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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 IPIIIhIII�I�d�IIrII��hhlillllrnlllll�Ill��J����luhlnh 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. 0 N ' 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. m 0 m 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. w n FRT 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 m any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. 0 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. N O O N 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. m e n BCKI 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. 0 0 N 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. m 0 A FBT BCK2