HomeMy WebLinkAboutInsurance Final Bill/Reinstantment: Seder, Mark
WILLIS-CLAY INS INC
PM99REIVIlf"
202 SE 18 1ST AVE 2 206
PORTLAND, OR 97233 COMMERCIAL
MARK SEDER
ARCHITECTURE+URBAN DESIGN
MARK A SEDER Policy Number: 06368027-8
PATRICIA SEDER Underwritten by:
ARCHITECTURE+URBAN DESIGN Artisan and Truckers Casualty Co
3219 NE THOMPSON ST Date of Mailing: June 6, 2016
PORTLAND, OR 97212
Policy Period: Apr 12, 2016 - Apr 12, 2017
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WILLIS-CLAY INS INC
1-503-661-9095
Online Service
progressiveagent.com
Customer Service
Final Bill 1-800-444-4487
Please note that you no longer have insurance with us, effective June 4, 2016.
Your policy was canceled because we did not receive your payment by its due date. Please see your payment summary
below for more information.
If you have questions aboutpur cancellation, or would like to learn how to keep this policy or purchase a new one,
please call your Agent.
Policy premium for coverage until June 4, 2016 $989.00
Installment fee 12.00
Late fee 10.00
Other fees 85.00
Total $1,096.00
Total amount paid 1,356.29
Total refund amount $260.29
Form 6269 (10/10)
WILLIS-CLAY INS INC
202 SE 181ST AVE 2 206
PR49RFff1UE®
PORTLAND, OR 97233 COMMERCIAL
MARK SEDER
ARCHITECTURE+URBAN DESIGN
MARK A SEDER Policy Number: 06368027-8
PATRICIA SEDER Underwritten by:
ARCHITECTURE+URBAN DESIGN Artisan and Truckers Casualty Co
3219 NE THOMPSON ST Date of Mailing: June 7, 2016
PORTLAND, OR 97212
Policy Period: Apr 12, 2016 - Apr 12, 2017
Page 1 of 1
WILLIS-CLAY INS INC
1-503-661-9095
Online Service
progressiveagent.com
Customer Service
1-800-444-4487
Your policy has been reinstated
Your policy will not be canceled because we received the requested information. Please note there will be no lapse in your
coverage. Thank you for staying with us.
We appreciate having you as our customer.
Form 6270 (10/10)