HomeMy WebLinkAboutIns Cert: Snowberry Brook Cancell & Reinstmt
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
PO BOX 901089
FORT WORTH TX 76101-2089
("""'~
',,@(&;,
~R
",Wh
....::;:.
At~:.
. ,.
271-5634 Claims; 800 426-5119
REINSTATEMENT NOTICE
"":Po1iCEffective\.: "'; Poli'" . Ex" 'iriitioii\;
03/23/2010 03/23/2011
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 03/20/2011 .
~~4:~:~1~~
81':......................
Keep this portion of the statement for your records.
MF.B04
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.
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
PO BOX 901089
FORT WORTH TX 76101-2089
('''^'''".,qn",..
,.:.:.:.:.,,-:...
l~tl*
...>_.~llfJiJ
REINSTATEMENT NOTICE
Billing: (888) 271-5634 Claims: (800) 426-5119
..:'}....... AMoui:1fEilclosed;" Paymel1tDueDate ....
44CL463762 .
Pleas~~nleramountenclosed..
44CL463762
Reinstatement notice sent by:
Policyholder:
AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS
PO BOX 901089
FORT WORTH TX 76101-2089
SNOWBERRY BROOK LLC
2251 TABLEROCK ROAD
MEDFORD OR 97501
03/22/2011
A6M Add'l Interest
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
P.O. BOX 901089
FORT WORTH, TX 76101-2089
Billing: (888) 271-5634
NOTICE OF CANCELLATION DUE
TO NONPAYMENT OF PREMIUM
DATE:
2011-03-05
MAIL TO:
CITY OF ASHLAND
20 EAST MAIN ST
ASHLAND OR 97520
INSURED NAME AND ADDRESS
SNOWBERRY BROOK LLC
2251 TABLE ROCK ROAD
MEDFORD. OR 97501
POLICY NUMBER:
POLICY EFFECTIVE DATE:
TYPE OF INSURANCE:
CANCELLATION DATE:
PREMIUM PAST DUE:
TOTAL DUE:
44CL463762
03/23/2010
CPP - Commercial Package
03/20/2011
$162.50
$162.50
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.
BEECHER CARLSON INS AGCY LLC
707 MURPHY ROAD
MEDFORD, OR 97504-8425
03789
m~~~Q~~~~
BY: ........-;.:..-.:.......
AGENT NAME AND ADDRESS
X03720R (1095)
MF-CA3-0R
COMMERCIAL LINES
Add'l InteIest