HomeMy WebLinkAboutInsurance Certificate: Kencairn Landscape Architecture LLC .. ...■...... a I IG. rr1nIeI
A® DATE OF NOTICE: JAN 20 2022
PO Box 2368 CODE:
Bloomington IL 61702-2368
48A
AT1 15 A
00050 oss NOTE: PLEASE NOTIFY STATE FARM AT THE
CITY OF ASHLAND SNDDTHEIR ADDRESS LISTED AT THE TOP, LEFT CORNER
ELECTEDOFFICIALS OFFICERS & OF THIS PAGE REGARDING ANY CHANGE OF
grin EMPLOYEE
AI S
p2 20 E MAIN ST ADDRESS INFORMATION.
war ASHLAND OR 97520-1849
111111111111111111111111111�I�l�lili�l�i�ll'�I'I'Illll'Il'����II�
8
O
8
s
State Farm Mutual Automobile Insurance Company • 097C-FAE6A
NAMED INSURED: POLICY NO: 330 3415-A14-37F COVERAGE:
KENCAIRN LANDSCAPE YR/MAKE/MODEL: 2017 TOYOTA SPORT WG BI AND PD LIABILITY
T ARCHITECTURE LLC VIN/CAMPER: 5TDJZRFH9HS477367 $1 MIL/$1 MIL/$1 MIL
$250 DED.COMP.
147 CENTRAL AVE AGENT NAME: JACOB FINCH $1000 DED.LOLL.
c ASHLAND OR 97520-1714 AGENT PHONE: (541)482-8470
8 ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
DEC 20 2021 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3303415-37E
The policy includes a loss payable clause protecting the additional'Insureds interest in the described car to the extent of the insurance
b provided and subject to all policy provisions.The additional insured will be given 10 days notice if the policy is terminated. Until such notice •
co is provided,it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
gany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
•
FRT