HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Communications LLC (2) O® DATE OF NOTICE: JAN 05 2022
PO Box 853922 CODE:
Richardson, TX 75085-3922
42A
AT1 15 A '
000769 0093 NOTE: PLEASE NOTIFY STATE FARM AT THE
CITY OF ASHLAND ADDRESS LISTED AT THE TOP, LEFT CORNER
20 E MAINST OF THIS PAGE REGARDING ANY CHANGE OF
• ASHLAND OR 97520-1849 ADDRESS INFORMATION.
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:`A 7O1TI.01.1AL:INSURED.SIVOTICE.t'�F.COVEF GE :
•
• ADDITIQNAL INSUFIED'S tl:vtiCE OF C0YAMIRNM
State Farm.MUtual Automobile Insurance Company2372-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: 1FDXF46F3YEA44200 $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 •• $50o DED.LOLL.
'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 II the policy is terminated. Until such notice
is provided,it shall be presumed that the required renewal premiums have been paid. The additional insured mustnotify 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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ADDtTI0NA1 INSEJR£b'S:NOTICE OF COV t AGS
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 BUKTTRK . . 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 . •
$50o DED.LOLL.
• . 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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;;ADDITIONAL INSUREDS h10TICE OF COVERAGE
State Farm Mutual Automobile Insurance Company . 2372-FAE&A .
NAMED'INSURED: 'POLICY NO: " 352 3755-A02-37E'' ' ' • CAR 010 rr COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: NONOWNED AUTO BI AND PPLIABILITY . •
LLC . . VIN/CAMPER: .. - . • . • ' - $2 MIL •• '
747 SUMMER GLEN DR ' .AGENT NAME: ' SPOON INS AND FIN SVCS INC
' MEDFORD OR 97501-4500 AGENT PHONE: • i (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 insureds interest in the described car fo 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
Nany change of interest or ownership coming to their attention.'Failure to do so will render this policy null and void.— . ' .
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ADDtTIONAI^INSU;R£D S N+�TICE OI=COVERAGE
State'Farm Mutual•Automobile Insurance Company 2372 FAE6.A
.NAMED INSURED: POLICY NO: __. 352 3755-A02-37E ' . ' CAR 021 '. COVERAGE : • '
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MOEL: 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 ' • $50o 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 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.,ii 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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�® DATE OF NOTICE: JAN 05 2022
PO Box 853922
Richardson, TX 75085-3922 CODE:
42A
15 A
000769 0093
CITY OF ASHLAND NOTE: PLEASE NOTIFY STATE FARM AT THE
20 E MAIN ST ADDRESS LISTED AT THE TOP, LEFT CORNER
ASHLAND OR 97520-1849 OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
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State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-A02-37E CAR 9ZZ COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL:
LLC VIN/CAMPER:
LT 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
JAN 02 2022 UNTIL TERMINATED
POLICY MESSAGES:
R The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
S 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
0 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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