Coverage Details

  Selected

Policy Details
Policy #
3CQ27218502
Effective Date
1/25/1995
Cancel Date
5/11/1996
DC Date
Carrier Name
AMERICAN MANUFACTURER MUTUAL INS CO
Carrier #
0319

Insured Details
Insured ID
231422000
Name
SALYERSVILLE FOODS INC
Street Address
114 E MOUNTAIN PKWY
SALYERSVILLE , KY 41465

Location ID Name Industry Address
L790369076 DAIRY QUEEN 5812 - EATING PLACES PO BOX 593 ROUTE 114 MOUNTAIN PKWY
SALYERSVILLE , KY 41465
L231422000 SALYERSVILLE FOODS INC 5812 - EATING PLACES RT 114 MOUNTAIN PRKWY POB 593
SALYERSVILLE , KY 41465
L231422001 DAIRY QUEEN #10697 - P O BOX 593 RT 114 MT PARKWAY
SALYERSVILLE , KY 41465
L790446066 DAIRY QUEEN 5812 - EATING PLACES ROUTE 114 MOUNTAIN PWKY
SALYERSVILLE , KY 41465
L790526585 SALYERSVILLE FOODS INC 722211 - Limited-Service Restaurants 114 E MOUNTAIN PKWY
SALYERSVILLE , KY 41465
Process Date Triplicate Code Description Policy # Effective Date Audit # Line #
4/26/2015 00-42-62 Cancellation by Insured / Change Ownership WC24025850015 4/26/2015 20160118-N0 281
4/26/2015 00-10-01 New Policy WC24025850015 4/26/2015 20150506-N0 767
4/26/2014 00-10-01 New Policy WC24025850014 4/26/2014 20140501-N0 833
4/26/2013 00-10-01 New Policy WC24025850013 4/26/2013 20130503-N0 776
4/26/2012 00-10-01 New Policy WC24025850012 4/26/2012 20120330-N0 849
4/26/2011 00-10-01 New Policy WC24025850011 4/26/2011 20110429-N0 597
4/26/2010 00-20-01 Renewal WC24025850010 4/26/2010 20100420-C0 112
4/26/2009 00-20-01 Renewal WC24025850009 4/26/2009 20090419-C0 63
00-20-01 Renewal 2402585 4/26/2008 20080408-C0
00-20-01 Renewal 2402585 4/26/2007 20070326-C0
00-70-01 Reinstatement 21402585 4/26/2003 20040121-C0
00-41-64 Cancellation by Carrier / Underwriting Reason 21402585 4/26/2001 20040105-C0