HomeMy WebLinkAboutInsurance Certificate: Table Rock Masonry (2) i
WORLD OF INS LLC
1091 MEDFORD CENTER PRO4GRE.FRYED
MEDFORD, OR 97504 COMA ERC/AL
EFREN REGALADO
Policy Number: 03976300-0
Underwritten by:
EFREN REGALADO Artisan and Truckers Casualty Co
TABEL ROCK MASONRY Date of Mailing: February 28, 2017
7782 HARLAN DR
WHITE CITY, OR 97503 Policy Period: Nov 4, 2016 Nov 4, 2017
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WORLD OF INS LLC
1-541-770-3383
Online Service
progressiveagent.com
Customer Service
1-800-444-4487
Final Bill
Please note that you no longer have insurance with us, effective February 27, 2017.
Although your policy canceled, there is still a balance due. Please see your payment summary below for more information.
If you already sent your payment, thank you, but please know that your payment will not reinstate your policy. Failure to
pay the amount owed by the due date may result in your referral to a collections agency.
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 February 27, 2017 $320.00
Installment fee 12.00
Late fee 20.00
Other fees 20.00
Total $372.00
Total amount paid -254.75
Total amount due
$117.25
Due date March 16, 2017
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Policy Number: 03976300-0
Payment Coupon EFREN REGALADO
For immediate payment, please go to
. Total . . amou . . . . . . . . . . . .
. nt due $117.25 progressiveagent.com or call
1-877-278-1615.
Due date March 16, 2017
If you pay by check, please allow five to
Amount enclosed $ seven days for your payment to reach us.
Write your policy number on the check and
make it payable to Artisan and Truckers
Casualty Co.
PROGRESSIVE
PO BOX 105428
ATLANTA GA 30348-5428 Do not write below this section of coupon.
CA-68299 Form 6269(10/10)
525703976300 36397 0011725 0011725 5000443 4717401 000011041605