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IMPORTANT NOTICE <br />STATE OF TEXAS <br />COMPLAINT PROCEDURI-ESS <br />1.1MPORTANT Nb=F_ <br />'To bbtilh hwmelon or Maio a ocimplairit <br />2. Yovifty, corbotagent. <br />Yomr <br />3- -Y-6ts. -tr* q* WesdMd Ins C <br />Wesffield National hmmnce Company, -arwor <br />Ohio Faffnem Insmuce Company's tolVree. <br />telephone number for informatioti or to make a <br />complaint at <br />1.00-243-0210 <br />YOU may also write to Westfield kmtafloe <br />Company, Westfield Ratio" 'Insurance Company, <br />ancifor-Ohio P-afteft lbsurancecoinpanyal: <br />Aft Song CW#m <br />&; 'Park Circle <br />P 0 BOX 5001 <br />Westfield Center, -014 44Z6j-',W04. <br />Fkx #330x887-08.40 <br />5- You: May. -00tart the Te4r. Pepaft. of <br />ln$ur&We to obtain intmation on: companles, <br />-coverages, tights or coMplaints at <br />,1400-252-343,9 <br />S. YoU may Ote to the Texas Depaftent of <br />InwMWe, Consumer ftteCUOP SeO011 (MC 1:11 -14): <br />P.0. Box 14W91 <br />AuOn,'TX 78114-W91. <br />Fax, (512) 4W. -1007 <br />We& www.dtqm:pv <br />E-mail: Co=mKEwLqgftftdJJ.W==_y <br />7. PREMIUM 09 CLA-M -DISPVU,- S; <br />shoodd. you have a dispute, concerning your premium or <br />ab,W.a claim,. yqu should dmW the ip-Ont Wesdileld <br />lilswrdrft 00pany, Westfield National Insurance <br />Company, or Ohio FarmerslnsuMm Company first. if <br />the dis <br />,opute is not r*WVed, yqu- may qmtact the Texas. <br />Depi3ftent4insurahw, <br />B.- ATTACH THIS NOTICE TO YOUR POLICY: <br />This rrotice Is for inforfration only and 40es not become <br />roort,ftep of the attad <br />4 Part or , ied document. <br />ER)5430 '(06-15) <br />AV.11%0 IMPORTANTE <br />Para 6btener infomiacloh o para -somMwuna queja- <br />Pueft -comuniem6 con su .#Itle) 0 (telephone - <br />number). <br />Ustid puede IlarrAr al, ftumero & telefono gratis d6 <br />Westfield insurance Company, Westfield National <br />linsurawA Company, andVor Offlo Farmers. <br />Insurance CoMpanys Para 'infb.rnwjo6 -o p . m. <br />someter una quela at: <br />=e <br />Vsitedtaftlehwed' ribiraWestfietdinstiranbe <br />tfield National Insurance <br />Company, andlor Ohio Faraw m. Insurance <br />Attn: Bond Claimis <br />One Park 10 1rcI6 <br />P.O Box Mel. <br />Westfield Center', GH .44�0-6001 <br />Fax #33"87-0040, <br />PUP.4e comunicarse con al DeWonehtoi 00 <br />Sequrbsft Texas para obtener - informaclon ac erca <br />de companies, coberturas, dereChOS G qUeOS 21-. <br />1-800-252-34-39 <br />Puede:,esedbir :al Departomento de . Seguros de, <br />Texas.. Consumer PmtecUPR Sedlon (Mc 111 -1A <br />P.O. Box 14901 <br />AustK TX 70744--9.091 <br />Fak (511)4WtOO7 <br />Web: ,www.tdLte) ww.gov <br />E-mgit:.QMS=rPmteWonM)tdLtexas.00v <br />D[SPUTAS 805M -PRIMAS 0 RECLAMOS,' <br />Si bene. cols "i pUtO concemitente A t.0 prift o -a un <br />.re.damo, debe- comun.ic". Batt 0 agenig,'westfielo <br />Insurame Company,'Westfield National Insurance <br />Company, e ON ' :Furriers Insurance Omppy'. <br />I Jo <br />primem. "Si no se. muelve la 0(spula, puede, <br />entdnces_c*mun1car$.e.qpn el departamento (TDI). <br />LINA ESTE AVISO.A SU POLIZA:: Este aviso es <br />solo pom proposito 46 inbrmadon -y no.se-con . vierte <br />en parte. q condicion del dercumento adjunto., <br />