HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Communications (2)StateFa►m STATE FARM®
PO Box 853922
Richardson, TX 75085-3922
48A
AT1 15 -
000819 W93
CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520-1850
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DATE OF NOTICE: JAN 06 2020
CODE:
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURE[PS NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-Ao2-37C CAR 005 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2000 FORD BUKT TRK BI AND PD LIABILITY
v LLC VIN/CAMPER: 1FDXF46F3YEA44200 $ 1 MIL /$ 1 MIL /$ 1 MIL
r$500 DED. COMP.
747 SUMMER GLEN DR AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED. COLL.
MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265
o ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE.
c JAN 02 2020 UNTIL TERMINATED
N POLICY MESSAGES: This policy shown above supersedes policy# 3523755-37B.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
o provided and subject to all policy provisions. The additional insured will be given 10 days notice if.the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of - -
o any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE'
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-A02-37C CAR 006 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 1992 INTERNATIO BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 1HTSDPCN8NH431775 $ 1 MIL1$ 1 MIL1$ 1 MIL
747 SUMMER GLEN DR AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED. COMP.
MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265 $500 DED. COLL.
ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
JAN 02 2020 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 3523755-37B.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE6A
NAMED INSURED: POLICY NO: 352 3755-Ao2-37C CAR 007 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL; 2001 STERLING BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 2FZAAKAK51 AJ20186 $ 1 MIL/$1 MIL/$ 1 MIL.
747 SUMMER GLEN DR AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED. COMP.
$500 DED. COLL.
MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265
ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
JAN 022020 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 3523755-37B.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
.. is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
N any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL`INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE&A
NAMED INSURED: POLICY NO: 352 3755-Ao2-37C CAR 009 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 1993 INTERNATIO BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 1 HTSDPPNI PH52325 $ 1 MIL/$1 MIL/$ 1 MIL
747 SUMMER GLEN DR AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED. COMP.
MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265 $500 DED, COLL.
ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
POLICY MESSAGES: This policy shown above supersedes policy# 3523755-37B. JAN 02 2020 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
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any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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N
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE6A
NAMED INSURED: POLICY NO: 352 3755-AO2-37C CAR 010 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: NONOWNED AUTO BI AND PD LIABILITY
LLC VIN/CAMPER: $ 1 MIL/$1 MIL /$ 1 MIL
747 SUMMER GLEN DR AGENT NAME: SPOON INS AND FIN SVCS INC
MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265
ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
6164OG 6165CJ JAN 022020 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 3523755-3713.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be'given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
N any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
ADDITIONAL INSUREDS NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE6A
NAMED INSURED: POLICY NO: 352 3755-AO2-37C CAR 014 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2001 STERLING UTIL TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 2FZAAKAK91AJ43325 $ 1 MIL/$ 1 MIL /$ 1 MIL
747 SUMMER GLEN DR AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED. COMP.
MEDFORD OR 97501-4500 AGENT PHONE: (541)8e4-6265 $500 DED. COLL.
ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
JAN 02 2020 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 3523755-376.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be'given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE6A
NAMED INSURED: POLICY NO: 352 3755-AO2-37C CAR 015 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2000 INTERNATL BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: IHTSCABNOYH225582 $1 MIL/$t MIL /$1 MIL
747 SUMMER GLEN OR AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED. COMP.
MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265 $500 DED. COLL.
ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
JAN 02 2020 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 3523755-37B.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
Ali s is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
« any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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2ateFarm STATE FARM®
•
PO Box 853922
Richardson, TX 75085-3922
46A
15
000819 0093
CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520-1850
DATE OF NOTICE: JAN 06 2020
CODE:
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURER'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE6A
NAMED INSURED: POLICY NO: 352 3755-A02-37C CAR 016 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2000 FORD BUKT TRK BI AND PD LIABILITY
v LLC VIN/CAMPER: 3FDXF75HIYMA04941 $ 1 MIL/$ 1 MIL/3 1 MIL
747 SUMMER GLEN DR AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED. COMP.
y $500 DED. COLL.
q MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265
o ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
JAN 02 2020 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 3523755-37B.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
5 provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
;, is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
o any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE Or -COVERAGE
State Farm Mutual Automobile Insurance Company
2372-FAE6-A
NAMED INSURED: POLICY NO:
352 3755-Ao2-37C
CAR 021 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL:
1997 FORD BUKT TRK
BI AND PD LIABILITY
LLC VIN/CAMPER:
1 FDXF8000VVA02813
$ 1 MIL/$ 1 MIL/$ 1 MIL
747 SUMMER GLEN DR AGENT NAME:
SPOON INS AND FIN SVCS
INC $500 DED. COMP.
$500 DED. COLL.
MEDFORD OR 97501-4500 AGENT PHONE:
(541)884-6265
ENDORSEMENT NO:
6028BJ
POLICY EFFECTIVE
JAN 02 2020 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 3523755-37B.
The policy includes a loss payable clause protecting the additional insured's Interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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