The URL can be used to link to this page

Home My WebLink AboutFinal Bill Insurance Certificate: Mark & Patricia Seder WILLIE-CLAY INS INC 202 SE 18 1ST AVE 2 206 PRO9REl. MF PORTLAND, OR 97233 COMA--RC/AL 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 PORTLAND, OR 97212 Date of Mailing: November 14, 2016 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 Final Bill 1-800-444-4487 Please note that you no longer have insurance with us, effective November 12, 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 about your 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 November 12, 2016 $3,996.00 Installment fee 48.00 Late fee 40.00 Other fees 105.00 Total $4,189.00 Total amount paid 4,847.57 Total refund amount $658.57 Form 6269 (10/10) WILLIS-CLAY INS INC 202 SE 18 1ST AVE 2 206 AR44GREll/UE® 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 PORTLAND, OR 97212 Date of Mailing: November 14, 2016 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 Final Bill 1-800-444-4487 Please note that you no longer have insurance with us, effective November 12, 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 about your 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 November 12, 2016 $3,996.00 Installment fee 48.00 Late fee 40.00 Other fees 105.00 Total $4,189.00 Total amount paid 4,847.57 Total refund amount $658.57 Form 6269 (10/10)