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Home My WebLink AboutInsurance Certificate: Pacific Powder Cancellation & Reinstmt QITY RECORDER AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS PO BOX 901089 REINSTATEMENT NOTICE FORT WORTH TX 76101 -2089 ter Billing: (888) 271-5634 Claims: 800) 426 -5119 Policy Number Policy Type Due Date Policy Effective Policy Expiration 44CL412713 CPP Commercial Package 05/03/2010 05/03/2011 Statement Mailed rTo Agent PHONE; 541- 772 -1111 CITY OF ASHLAND ATTN: KAR BEECHER CARLSON INS AGCY LLC I OLSON, PURCHASING REP 707 MURPHY ROAD 90 N MOUNTAIN AVE MEDFORD OR 97504-8425 ASHLAND OR 97520 03789 Dear Lienholder: We are pleased to inform you that this policy has been reinstated. Policy Reinstatement Date is 05/01/2011 eD /O D W4304 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. AMERICAN HALLMARK r INSURANCE COMPANY OF TEXAS th PO BOX 901089 REINSTATEMENT NOTICE FORT WORTH TX 76101 -2089 Billing: (888) 271 -5634 Claims: (800) 426 -5119 Policy Number I I Amount Enclosed Payment Due: Date 44CL412713 Please enter amount enclosed. 44CL412713 Reinstatement notice sent by: Policyholder: AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS PACIFIC POWDER COATING PO BOX 901089 FORT WORTH TX 76101 -2089 PACIFIC PAVING INC PO BOX 2370 WHITE CITY OR 97503 04/21/2011 A6M Add'l Interest AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS NOTICE OF CANCELLATION DUE P.O. BOX 901089 TO NONPAYMENT OF PREMIUM FORT WORTH, TX 76101 -2089 Billing: (888) 271 -5634 DATE: 2011 -04 -16 MAIL TO: INSURED NAME AND ADDRESS CITY OF ASHLAND ATTN: KAR PACIFIC POWDER COATING I OLSON, PURCHASING REP PACIFIC PAVING INC 90 N MOUNTAIN AVE PO BOX 2370 ASHLAND OR 97520 WHITE CITY, OR 97503 POLICY NUMBER: 44CL412713 POLICY EFFECTIVE DATE: 05/03/2010 TYPE OF INSURANCE: CPP Commercial Package CANCELLATION DATE: 05/01/2011 PREMIUM PAST DUE: $129.00 TOTAL DUE: $129.00 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 03789 707 MURPHY ROAD MEDFORD, OR 97504 -8425 X0372OR (1095) COMMERCIAL LINES MF- CA3 -OR Adds]. Interest