HomeMy WebLinkAboutReinstatement Insurance Certificate: Dela Torre Perez Jose M & DelaTorre Cecelia Country Mutual REINSTATEMENT
INSURED:Dela Torre Perez Jose M +Dela Torre Policy A36K5147279
Cecilia Policy Period 04/05/21 to 04/05/22
Loan#
REINSTATEMENT 04/28/21
INSURED PROPERTY Producer:Darrell J Flora Jr
1479 Camp Baker Rd P.O.Box 2100
Phoenix OR 97535 Bloomington IL 61702-2100
Ph#:(888)211-2555 Prod Code:15999
Coverage Limits:$305,900 Deductible:$1000
Add'I.Ins:City Of Ashland
• 203 E Main St
Ashland OR 97520
THE INSURER SERVES NOTICE THAT THE ABOVE MENTIONED POLICY HAS BEEN REINSTATED EFFECTIVE 04/28/21.
202104300003207
91'8LL XL uoi;e}g e691109
'JO aaiw6uol 9ZEE
011 ateM4Og eoueansui Il
ul„I„iii,uillliIil'611111111l„iinl„il,liiinl1111lil,nii
$tion
e6elsod
1edold 1nogiM
1BAIi0p IOU IIIM
e3I11O Pod
pellnbeid
0601sod II I II
SSeI3-1S1id
li IIIIIIIIIOhIIIIIIIIIIIIIIIIIIIIIIIIII1IIIIIIII IIIIII
If you would like to receive this information by fax please
give fax number below:
Fax#:
•
Attn:
You may also receive this information via e-mail by contacting
(866)868-0790.
PLEASE DO NOT CONTACT THIS NUMBER FOR BILLING OR
POLICY INFORMATION.
PLEASE DO NOT SEND POLICY PREMIUM PAYMENTS OR
CHANGE OF ADDRESS INFORMATION TO INSVISTA.
•
I'I'IIII""I'I'III"IIIIIIIII'IIII'II'II'III'IIIIIIIIIII"III'I.
0Z9L6 a0 PUelusd
IS U1e1/1 3 COZ
pUelgs f0 AM
• 108LL 3331d-910NIS
09b03000EPOI•ZOZ#3 9 8VOZ
III III IIIIIIIIIIIIitllIIlIIIIIIitllllIIllllil lII11lll II
06L0-899(998)11V3'AllVOINO1ii9313 NOIIVWliOiNI SIH.3A13031:1 0.1.3)111 01fOM n0A Al
•eollou sly1 uo aeonpad eye ioejuoo'UO fl WJo1ul Aollod WOW.103
•eo13ou sipj uo Auedwoo eouemsul eqj loeluoo'sseJppe jo efluayo a podai of
Xi. NVA I8 suolleoliii0N O3USJnsuI
9zu#inWaad
algid 968LL x1 uol>eiS e0a11oO
3OVlSOd sn as aJlweuol 9ZEE
IIVW SSv1O 1Sald 011 eiumw9 eoueinsu Il
O3110S3Ud
pejsenbaa eolAiag ulnlaa