HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Communications LLC �__•__.—.-.. V U A U V I I'1I■ids
O O® DATE OF NOTICE: JAN 04 2022
PO Box 853922
Richardson, TX 75085-3922 CODE:
42A
AT1 15 A
ooasss 0093 NOTE: PLEASE NOTIFY STATE FARM AT THE
CITY OF ASHLAND ADDRESS LISTED AT THE TOP, LEFT CORNER
20 E MAIN ST
61OF THIS PAGE REGARDING ANY CHANGE OF
ASHLAND OR 97520-1849 ADDRESS INFORMATION.
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.. . lT DI1TA .INSUREE�:S:NQT C .�F.Dt.7VEFTACaE........ .:::::::::..::::...•::::.::::.•::.:...:.,:.::. :.:::::::::::::.::::.::.::. .::::.
State Farm Mutual Automobile Insurance Company 2372 i AE6A
NAMED INSURED: POLICY NO: 352 3755 A02 37E CAR 001 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2004 FORD ' BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 3FRNF65N44V681419 $2 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 2022 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37D.
The policy includes a loss payable clause protecting the additional insureds 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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State Farm Mutual Automobile Insurance Company 2372-FAE6A
NAMED INSURED: POLICY NO: 352 3755-A02-37E CAR 003 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2000 FORD PICKUP BI AND PD LIABILITY
LLC VIN/CAMPER: 1 FTSX31 F7YEB68872 $2 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 2022 UNTIL TERMINATED . ,
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37D. .
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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State Farm Mutual Automobile Insurance Company 2372-FAE6•A
NAMED INSURED: POLICY NO: 352 3755-A02-37E CAR 005 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2000 FORD BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 1 FDXF46F3YEA44200 $2MIL
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 2022 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37D.
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 CF COVERAGE : •
State Farm Mutual Automobile Insurance Company . 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-A02-37E' CAR 007 COVERAGE:, •
SOUTHERN OREGON COMMUNICATONS ' YR/MAKE/MODEL: 2001 STERLING .BUKT TRK BI AND PD LIABILITY
• 'LLC • VIN/CAMPER: 2FZAAKAK51AJ20186 $2 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.LOLL.
ENDORSEMENT NO: 6028BJ : POLICY EFFECTIVE
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37D. JAN 022022 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
•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`SNOTICE OF;COVERAGE
• .State Farm Mutual Automobile Insurance Company - .. 2372-FAE6-A_
• NAMED INSURED: POLICY NO: 352 3755-A02-37E • • CAR 010 COVERAGE: '
.SOUTHERN OREGON COMMUNICATONS .YR/MAKE/MODEL: NONOWNED AUTOBI AND PD-LIABILITY
LLC VIN/CAMPER: - '' $2 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
6164DG 6165CJ JAN 02 2022 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37D. .
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 1'0 days of .
in any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'SNOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company2372-FAE6A
NAMED INSURED: POLICY NO: 352 3755-A02-37E • • CAR 021• COVERAGE: • •
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL:' 1997 FORD 'BUKT TRK . BI AND PD LIABILITY. '
LLC VIN/CAMPER: • 1 FDXF8000VVA02813 $2 MIL
747 SUMMER GLEN DR . AGENT NAME: SPOON INS AND FIN SVCS-INC $502 Eve):COMP.
• MEDFORD OR 97501-4500 AGENT PHONE: • (541)884-6265 $50o COLL.
ENDORSEMENT NO: 6028BJ ' POLICY EFFECTIVE
JAN 02 2022 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37D, • •
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.
ADDITIONAL INSURED'S;NOTICE OF COVERAGE..•
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO:, 352 3755-A02-37E CAR 024 ' COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2004 CHEVROLET BUKT TRKBI AND PD LIABILITY .
LLC VIN/CAMPER: 1GDM8C1C44F505848 $2MIL
747 SUMMER GLEN DR •
AGENT NAME: SPOON INS,AND FIN SVCS INC $500 DED.COMP.
•
MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265 $50o DED.COLL.
• ENDORSEMENT NO: 6028BJ POLICY'EFFECTIVE
• . JAN 02 2022 UNTIL TERMINATED- •
.POLICY MESSAGES: This policy shown above supersedes policy#3523755-37D. • • .
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 insuredwill 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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