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Home My WebLink AboutInsurance Cancellation: City of Ashland TRAVELERS J� LIABILITY NOTICE OF CANCELLATION POLICY NO, 0107198940 LB FOR NON-PAYMENT OF PREMIUM Issue Date 08/12/22 Insuring Company: TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA ACCOUNT 2430E4231 Page 2 of 3 Named Insured CITY OF ASHLAND Agent BROWN&BROWN NORTHWEST and Mailing Address 20 EAST MAIN STREET ASHLAND OR 97520 Please contact your agent if you have any questions. PHONE: (541) 772-1111 EFFECTIVE DATE OF CANCELLATION: SEPTEMBER 06,2022 We are pleased to have you as a customer and would like to continue to provide your insurance. Unfortunately, we have not received the premium payment due on this policy. Therefore, your policy shown on this notice will be cancelled on the effective date of cancellation shown above, at the time the policy became effective. We will refund any ,premium due you. We regret having to take this action, and will be pleased to rescind the cancellation if we receive the minimum due on/before the effective date of `cancellation. In that event, we will send you a notice of reinstatement continuing your coverage. Premium Information POLICY NUMBER 0107198940 LB POLICY PERIOD 07/01/22 Previous balance $4,926.00 Pa MINIMUM DUE $4,936.00 Late Payment Charge +10.00 Y Either Amount TOTAL DUE $4,936.00 By DUE DATE SEPTEMBER 06, 2022 The policy number shown above consists of your CL policy number and policy form. For the complete policy number refer to your policy paper. This bill is rendered by The Travelers affiliated company indicated on the policy shown on this notice. Excess of paid premium, if any, above the pro rata premium for the expired time, if not tendered, will be refunded upon demand. Please detach the return stub and mail with your payment in the enclosed envelope to: TRAVELERS CL REMITTANCE CENTER, PO BOX 660317, DALLAS, TX 75266-0317. 648844J 2022224 0311 371 OG0481 Payment Coupon Make checks payable to: TRAVELERS BROWN & BROWN NORTHWEST Include Account Number on the check. CITY OF ASHLAND 2430E4231 0107198940 LB Change of Address? TOTAL BALANCE Place an"X"here. $4,936.0 0 Print changes on reverse side. PAYMENT MUST BE RECEIVED BY TRAVELERS CL REMITTANCE CENTER SEPTEMBER 06, 2022 MINIMUM DUE PO BOX 660317 DALLAS, TX 75266-0317 $4,936.00 '1111'1111.11"IIIIIIIIIi'll"IIni'1"1111"1"11'111'1111111'1 AMOUNT ENCLOSED 9932343330053432333140393939394000049360000049360054 nk TRAVELERS/ J 00397-C3 TRAVELERS Notice of Cancellation DBS - 371 01071989 40LB 220701 P.O. BOX 2961 HARTFORD, CT 06104-2961 Account 2430E4231 Page 1 of 3 371 CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND OR 97520 YOUR INSURANCE POLICY IS SUBJECT TO CANCELLATION. PLEASE SEE REVERSE SIDE FOR NOTICE OF CANCELLATION. CLDBNOC PL-9837 TRAVELERS 41J11k Notice of Cancellation Account 2430E4231 Page 3 of 3 Within 30 days after receiving this notice of cancellation, you may request a hearing before the Insurance Division for the purpose of establishing the existence of the proof or evidence for the reason given for the cancellation. This address is: Insurance Division, 350 Winter Street, N.E. , Room 440, Salem, Oregon 97301-3883. A. late. charge has been assessed on.your account because we have not received your previous minimum due. This account level charge is listed on this notice. An account level bill or other notice(s) may also be mailed to you today. If you are paying with a check from a Personal Checking Account, you authorize us to either use information from your check to make a one-time electronic funds transfer from your account or to process the payment as a check. If you are paying with a check from a Business Checking account, we will process the payment as a check. ***************0000******************** QUESTIONS? *************************************** If you have any questions about this statement, please contact your Agent, Travelers Billing Customer Service or the Travelers on-line Telephone Inquiry Service. To reach the Travelers Billing Customer Service or the Telephone Inquiry dial 1-800-252-2268 and follow the instructions. Your 9 character billing account number is: --- 2430E4231. 648844J 2022224 0311 371 OG0481 CLDBNOC3 PL-9837