HomeMy WebLinkAboutCOI - Jenny Ray Camara - Expires 2021-09-20August 30, 2021 1 st Addntl Ins Copy
RLI Insurance Company
Peoria, Illinois 61615
A Stock Insurance Company
NOTICE OF CANCELLATION
Name and address of Insured RLI Agent
JENNY RAY-CAMARA
DBA JENNY RAY CAMARA
194 Paseo Gularte
SAN JUAN BAUTISTA, CA 95045
INSURANCE COMPANY:
RLI Insurance Company
9025 N. Lindbergh Drive
Peoria, IL 61615
KIND OF POLICY: Home Business Insurance
POLICY NO: BOP 1047197
Non -Payment of premium to company.
88502 Lindbergh Insurance Agency
(844)249-2684
9025 N Lindbergh Drive
Peoria, IL 61615
You are hereby notified, in accordance with the
terms and conditions of your policy, coverage
will cease as of the hour and date shown below.
09/20/21 12:01 AM
Date (Hour -Standard Time)
DATE OF MAILING: 08/31 /21
Premium Amount Due: $368.00
REASON FOR ACTION:
To pay online log onto: easypay.rlicort).com/HomeBusiness
Enter your Policy Number and Mailing Address Zip -Code
(g'o�." 13 J��
Jeffrey D. Fick, Corporate Secretary
BOP411 03/21