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Home My WebLink AboutInsurance Certificate: Versatile Concrete - Reinstmt/Cancellation AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS PO BOX 901089 FORT WORTH TX 76101-2089 (.~...%h '.ff%, 1M.:::"? "<FJ$ !f.."~~.k .i.4x~ .~,.,,;:~~ Claims: 800 426-5119 Phone: 888 271-5634 \,.,..,'.','...Pcilic,'T, ... ............................................... .....,.,',...,'...Due..Date...... cpp - Commercial Package REINSTATEMENT NOTICE ..........,..::.,..,.;,..Pcilic....:Numbei'i........,... 44CL440090 .......,.,'\iPcilicv:,Effective...... .....PolicfE.. iiaticiil\.. 09/14/2008 09/14/2009 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 08/08/2009 . I MF.BD4 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: mm m mAMERICAN HALLMARK INSURANCE COMPANY OF TEXAS PO BOX 901089 FORT WORTH TX 76101-2089 nom...............,,_ .~.,:.~;.;,......_._.... ('W10.. V~ft~ qTh. )WhW @W" .^.~ REINSTATEMENT NOTICE Claims: (8 00) 426-5119 Phone: (888) 271-5634 ..."..,'.'::.:':.:.'::.:'.:: \ ;.. {A$~iiii(,~#~l~s~ .Payn,entD1leDate 44CL440090 I . PleaH enter amount cndOled. 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 08/07/2009 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: 2009-07-24 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 08/08/2009 $1,031.95 $1,031.95 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-oR COMMERCIAL LINES Add'l Interest