Diocese Copy

04/17/2024

St John Church
C/O The Episcopal Diocese of Utah , 75 S 200 E
Salt Lake City, UT 160062

Named Insured St John Church

Policy Number: POL89-AZ013
Policy Type: Commercial Package
Policy Term: 01/02/2024 - 01/02/2025
Past Due Balance: 437.00

Thank you for insuring with The Church Insurance Agency Corp. We appreciate the opportunity to serve you. According to our records, there is
an outstanding premium due in the amount of $437.00 on your Commercial Package policy.
If you have simply overlooked our earlier invoice notice, consider this a friendly reminder. You can make a payment by logging into your
account at xxx@xxx.com. This is the quickest way to get your account up to date.

We have also included a payment stub below if you would like to remit payment by mail. Please make your check payable to Church Insurance
Agency Corp and include your account number on the check.

If you have already paid your premium, please contact us so we may address this matter.

If we don't hear from you by 04/02/2024 we will assume you do not wish to continue your insurance coverage with us and will terminate
it effective 04/02/2024 at 12:01 AM EST.

We realize that your insurance is important to you and we want to work with you to keep this valuable coverage in force to protect your church.
Please contact the Billing Department at 800-819-2984 or email us at ciacbillingdept@cpg.org with any questions concerning your account or to
make arrangements for payment.

The Church Insurance Agency Corporation Minimum Due: $437.00

DUE ON OR BEFORE: 04/02/2024
Policy Number: POL89-AZ013
Account Number: AC111S Amount you are paying $________________
PAYOR: RETURN PAYMENT TO:
ST KEVINS EPISCOPAL CHURCH CHURCH INSURANCE AGENCY CORPORATION
PO BOX 540668 75 REMITTANCE DRIVE, SUITE XXXX (TBD)
OPA LOCKA , FL 33054-0688 CHICAGO, IL 60675-XXXX (TBD)

BID0AC111S I04022024 M