HomeMy WebLinkAboutIns Reinstatement Notice: Pacific Powder Coating AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
PO BOX 901089
REINSTATEMENT NOTICE
FORT WORTH TX 76101-2089 kQ
Billing: (888)271-5634 Cl '2 2 "9
Policy Number Policy Type Claims: 800 426�DtiMa—te 1:,z;i�Policy Effective. Policy Expiration
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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 07/30/2011 .
MF-W4 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
INSURANCE COMPANY OF TEXAS
PO BOX 901089 REINSTATEMENT NOTICE
FORT WORTH TX 76101-2089
Billin 888 �31�QTaims: (800)-426-5119
Policy�Nmiben
[Arriount Enclose
Payment:Due D
44CL412713 ifte
44CL412713 CITY RECORDER
Reinstatement notice sent by: Policyholder:
AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS
PO BOX 901089 PACIFIC POWDER COATING
FORT WORTH TX 76101-2089 PACIFIC PAVING INC
PO BOX 2370
WHITE CITY OR 97503
07/21/2011 A6M Addll interest
AMERICAN HALLMARK
INSURANCE COMPANY OF TEXAS
PO BOX 901089 I n REINSTATEMENT NOTICE
FORT WORTH TX 76101-2089
Billing: 888 271-5634 Clai7: 800 426-5119
Polio Number Polio T ( Due Date ':%Policy Effective Poficy Expiration
44CL412713 CPP — Commercial Pickage 05/03/2011 05/03/2012
Statement Mailed;To I • : Agent• PHONE: 541-772-1141
CITY OF ASHLAND ATTN: K f BEECHER CARLSON INS AGCY LLC
ARI OLSON, PURCHASING RE I 707 MURPHY ROAD
90 N MOUNTAIN AVAE MEDFORD OR 97504-8425
ASHLAND OR 97520
03789
i
I
Dear Lienholder:
We are pleased to inform you that this p Ilicy has been reinstated.
Policy Reinstatement Date is 07/30/2011 .
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 r
PO BOX 901089 REINSTATEMENT NOTICE
FORT WORTH TX 76101-2089
Billin 888 271-5634 Clai ms: 800 426-5119
Policy Number: Amount Enclosed Payment Due Date
44CL412713
Please enter amount enclosed.
44CL412713 CITY RECORDER
Reinstatement notice sent by: Policyholder:
AMERICAN HALLMARK INSURANCE COMPANY OF TEXAS
PO BOX 901089 PACIFIC POWDER COATING FORT WORTH TX 76101-2089 PACIFIC PAVING INC
PO BOX 2370
WHITE CITY OR 97503
07/21/2011 AW Add'1 Interest