Document R2Yb5wK4d4mLrJZbjGYEQoYzB

' 'ANCE u ..hANY NAME ANO AOORESS Of INSURED "OTICE OF CANCELLATION OR NONRENEWA) flllHMii) KINO OF PfwjCY: BITUMINOUS INSURANCE COMPANIES 222 SOUTH RIVERSIDE PLAZA ROOM 2270 CHICAGO, IL 60606 GENERAL LIABILITY POLICY NO, GL 1 215 012 CANCELLATION OR TERMINATION WILL TAKE EFFECT AT: January 1,1985 (OATEl 12: 01 A.M. (HOUR--ST A f> OARQ T i MEi DATE OF MAILING: November 27,1984 ISSUED THROUGH AGENCY OR OFFICE AT: Chicago Fire Brick Company 1467 North Elston Avenue Chicago Cook, Illinois 60622 McManus & Pellouchoud Inc. CANCEL LATION 'Applicable item nutted (x)) [ | You are hereby notified in accordance with the terms and conditions of the above mentioned policy, and in accordance with the Illinois Insurance Code, that your insurance will cease at and from the hour and date mentioned above. If the premium has been paid, premium adjustment will be made as soon as practicable after cancellation becomes effective. If the premium has not been paid, a bill for the premium earned to the time of cancellation will be forwarded in due course. Unseats) for cancellation:.._____________ ____________________ _ You are hereby notified in accordance with the terms and condition^ or Ihe above mentioned policy, and in accordance with the Illinois Insurance Code, that your insurance will cease at and from the hour and date mentioned above due to nonpayment of premium. A bill for the premium earned to the time of cancellation will be forwarded in due course. You are hereby notified in accordance with the terms and conditions of the above mentioned policy, and in accordance with the Illinois Insurance Code, that your insurance will cease at and from the hour and date mentioned above. If the premium has been paid, premium adjustment will be made as soon as practicable after cancellation becomes effective. If the premium has not been paid, a bill for the premium earned to the time of cancellation will be forwarded in due course. leasenfsl for caicelfation: Appeal to the Director el Insurance: If you wish to appeal the reasonts) given, mail or deliver to the Director of Insurance of the State of Illinois. Springfield. Illinois 62767, or Room 1600, State of Illinois Building, 160 North La Salle Street, Chicago, Illinois 60601, at least 20 days prior to the effective date of cancellation, a written request for a hearing, clearly stating the basis for the appeal. Costs of the hearing will be assessed against the losing party, but shall not exceed $50. BNON RENEWAL Yqu are hereby notified in accordance with the terms and conditions of the above mentioned policy, and in accordance with the Illinois Insurance Code, that the above mentioned policy will expire effective at and trom the hour and date mentioned above and the policy will NOT be renewed. Reasonfsl for nonrenewal: "DOES NOT MEET CURRENT UNDERWRITING STANDARDS"________ You are hereby notified in accordance with the terms and conditions of the above mentioned policy, and in accordance with the Illinois Insurance Code, that the above mentioned policy will expire effective at and from the hour and date mentioned above and the policy will NOT be renewed. Reassifs) lir aearsaewal: Appeal to the Director of Insurance: If you believe the reasonts! lor nonrenewal is based on age, sex. race, color, creed, ancestry, occupation or marital ; status, you may appeal the reasonts) given by mailing to the Director of Insurance of the State of Illinois, Springfield, Illinois 62767, or Room 16G0, j State of Illinois Building, 160 North La Salle Street, Chicago, Illinois 60601, at least 20 days prior to the effective date of nonrenewal, a written -e . quest for a hearing, dearly stating the basis for the appeal. Costs of the hearing will be assessed against the losing party, but shall not exceed $50 j IMPORTANTAutomobile Insurance Plia Information: You have been notified herewith that this Company does not desire to carry your automobile insurance any NOTICES longer. You are possibly eligible for automobile insurance through another insurer or under the Illinois Automobile Insurance Plan. | I Appeal to Automobile Insurance Plan Governing Committee: As your policy was one obtained through the Illinois Automobile Insurance Plan, you are 1--*1 hereby advised, regarding the above notification of cancellation, that you have the right of appeal to the Governing Committee of the Plan located at the Automobile Insurance Plans Service Office, 30 West Washington Street, Suite 1040, Chicago, Illinois 60602. Consumer Report: In compliance with the Fair Credit Reporting Act (Public Law 91-508), you are hereby informed that the action taken above is being taken wholly or partly because of information contained in a consumer report from the following consumer reporting agency.