HomeMy WebLinkAboutInsurance Certificate: Noble Coffee Roasting (2)
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS NOTICE OF CANCELLATION DUE
P.O. BOX 901089 TO NONPAYMENT OF PREMIUM
FORT WORTH, TX 76101-2089
Billing: (888) 271-5634
DATE: 2016-04-22
MAIL TO: INSURED NAME AND ADDRESS
CITY OF ASHLAND NOBLE COFFEE ROASTING
20 E MAIN STREET NOBLE COFFEE ROASTING LLC DBA
ASHLAND OR 97520 281 FOURTH STREET
ASHLAND, OR 97520
POLICY NUMBER: 44PB463752
POLICY EFFECTIVE DATE: 04/13/2016
TYPE OF INSURANCE: Businessowners
CANCELLATION DATE: 05/07/2016
PREMIUM PAST DUE: $698.80
TOTAL DUE: $3,494.00
You are hereby notified in accordance with the terms and conditions of the above mentioned Policy, and in accordance
with law, that your Insurance will cease at 12:01 A.M. on the date shown above due to non-payment of premium.
Automobile Insurance Plan Information: If the insurance being terminated is automobile insurance, other than
insurance obtained under the Oregon Automobile Insurance Plan, you are possibly eligible for automobile insurance
through another insurer or under the Oregon Automobile Insurance Plan. Please contact your agent or this company for
information on securing insurance through the Automobile Insurance Plan.
Replacement of Property (Fire) Insurance: If this notice of cancellation or nonrenewal pertains to a policy providing
fire, extended coverage and possibly vandalism and malicious mischief insurance and you wish to replace your policy,
you should make an effort to obtain insurance through another company in the normal market. If you have difficulty
procuring replacement coverage in the normal market, you possibly may obtain coverage through the Oregon Fair Plan
Association. For further information, please contact your agent or this Company.
AGENT NAME AND ADDRESS
HART INSURANCE AGENCY 03769
P0BOX1240
GRANTS PASS, OR 97528
X03720R (1095) COMMERCIAL LINES
MF-CA3--OR Add' 1 Interest