HomeMy WebLinkAboutInsurance Cancelation Notice: Ashland Tennis & Fitness Club
PHILADELPHIA INDEMNITY INSURANCE COMPANY
1-877-438-7459
ONE BALA PLAZA, SUITE 100
BALA CYNWYD PA 19004
NOTICE OF CANCELLATION OF INSURANCE
Narned Insured & Mailing Address: Producer: 0001794
ASHLAND TENNIS & FITNESS CLUB REINHOLDT & O'HARRA INSURANCE
735 JEFFERSON AVE 518 WASHINGTON ST
ASHLAND OR 97520 ASHLAND OR 97520
Reference: N/A
Policy No.: PHPK1444545
Type of Policy: PACKAGE INCLUDING AUTO
Date of Cancellation: 05/30/2016; 12:01 A.M. Local Time at the mailing address of the Named Insured.
We are cancelling this policy. Your insurance will cease on the Date of Cancellation shown above.
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The reason for cancellation is NONPAYMENT OF PREMIUM $ 3883.50.
Excess of paid premium above the pro rata premium for the expired time, if not tendered with the notice will be
refunded on demand.
Within 30 days after receiving this notice, you may request a hearing before the director of the Department of
Consumer and Business Services.
Your interest in this policy as an "insured" or other party of interest is being cancelled effective 05/30/2016;
12:01 A.M. Local Time at the mailing address of the named insured.
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Date Mailed:
11th day of May, 2016
Other Party of Interest
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THE CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520 !~L MISSY LYNCH
ORCC36NONPMNT
FORM# CC96970304OR72000 05102016MYNY
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