HomeMy WebLinkAboutInsurance Certificate: American Hallmark - Reinstatement
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
PO BOX 901089
FORT WORTH TX 76101-2089
REINSTATEMENT NOTICE
271-5634
44CL440090
... Stiiteiiieiit..MililiidT<i
. Policv. Effective... ... ......Policv Ex imti<iri.
09/14/200a 09/14/2009
... ...Agent P~Dne: 541 772-1.111
CITY OF ASHLAND
20 EAST MAIN ST
ASHLAND OR 97520
BEECHER CARLSON INS AGCY, LLC
707 MURPHY ROAD
MEDFORD OR 97504-8425
03789
Dear Lienholder:
We are pleased to inform you that this policy has been reinstated.
Policy Reinstatement Date is 07/09/2009,
MF-BQ4
Keep this portion of the statement for your records.
IMPORTANT Detach and return the notice below, along with your payment, in the envelope provided.
Please be sure to include your.policy number on your check.
. ....u AMERICAN HALLMARK . (il$;
INSURANCE COMPANY OF TEXAS ."'^ '\(1,;\
~g:j>~6~~: TX 76IOI-2089~"JI!'J REINSTATEMENT NOTICE
Claims: 800 426-5119 Phone: 888 271-5634
44CL440090
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44CL440090
Reinstatement notice sent by:
Policyholder:
AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS
PO BOX 901089
FORT WORTH TX 76101-2089
VERSATILE CONCRETE CONSTRUCTION INC
PO BOX 507
TALENT OR 97540
07/06/2009
A6M Add'l Interest
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
P,O, BOX 901089
FORT WORTH, TX 76101-2089
NOTICE OF CANCELLATION DUE
TO NONPAYMENT OF PREMIUM
DATE:
2009-06-24
MAIL TO:
CITY OF ASHLAND
20 EAST MAIN ST
ASHLAND OR 97520
INSURED NAME AND ADDRESS
VERSATILE CONCRETE CONSTRUCTION INC
PO BOX 507
TALENT, OR 97540
POLICY NUMBER:
POLICY EFFECTIVE DATE:
TYPE OF INSURANCE:
CANCELLATION DATE:
PREMIUM PAST DUE:
TOTAL DUE:
44CL440090
09/14/2008
CPP - Commercial Package
07/09/2009
$226.90
$1,251.35
You are hereby notified in accordance with the terms and conditions of the above mentioned Policy, and in accordance
with law, that your Insurance will cease at 12:01 A.M. on the date shown above due to non-payment of premium.
Automobile Insurance Plan Information: If the insurance being terminated is automobile insurance, other than
insurance obtained under the Oregon Automobile Insurance Plan, you are possibly eligible for automobile insurance
through another insurer or under the Oregon Automobile Insurance Plan. Please contact your agent or this company for
information on securing insurance through the Automobile Insurance Plan.
Replacement of Property (Fire) Insurance: If this notice of cancellation or nonrenewal pertains to a policy providing
fire, extended coverage and possibly vandalism and malicious mischief insurance and you wish to replace your policy,
you should make an effort to obtain insurance through another company in the normal market. If you have difficulty
procuring replacement coverage in the normal market, you possibly may obtain coverage through the Oregon Fair Plan
Association. For further information, please contact your agent or this Company.
AGENT NAME AND ADDRESS
BEECHER CARLSON INS AGCY, LLC
707 MURPHY ROAD
MEDFORD, OR 97504-8425
03789
X03720R (1095)
MF-CA3-0R
COMMERCIAL LINES
Add'l Interest