HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Communications LLC .iwaolm,n 0 1 AIC r rtivi
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O ® DATE OF NOTICE: JAN 04 2021
PO Box 853922 CODE:
Richardson, TX 75085-3922
30A
AT1 15 A
000734 0093 NOTE:- PLEASE NOTIFY STATE FARM AT THE
CITY MA ASHLAND ADDRESS LISTED AT THE TOP, LEFT CORNER
20 E IN ST • • •-.OF.THIS PAGE REGARDING ANY CHANGE OF
ti ASHLAND OR 97520-1850 ADDRESS INFORMATION.
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A IT. . A .INSURED;S:NO•FICE.OF.:COVERAGE< _:.,, ;.; :::;; »>;;;:<:;;:>:»;;>:>: > > > < : :<':: : ' < > :> »:> << <•: :
State Farm Mutual Automobile Insurance Company 2372 FAE6A W
NAMED INSURED: POLICY NO: • • • 352 3755-A02-37D` ' • ' CAR 001 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: •2004,FORD .BUKT TRK BI AND PD LIABILITY
a LLC ••VIN/CAMPER: •3FRNF65N44V681419. •• $2 MIL
N $500 DED.COMP.
747 SUMMER GLEN DR AGENT NAME: 'SPOON INS AND FIN SVCS INC
$500 DED.COLL.
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' MEDFORD OR 97501-4500 AGENT PHONE: , (541)884-6265
ENDORSEMENT NO: 6028BJ ' POLICY EFFECTIVE •
• "JAN 02 2021 UNTIL TERMINATED
c POLICY MESSAGES: This policy shown above supersedes policy#3523755-37C.:' , • •
, 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
O 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 INSUREDS:NQTICE OF COVERAGE :>: :::::; `::,.'•:::::> ;::::<:.:.
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: •352 3755-A02-37D ' •CAR 003 COVERAGE:
SOUTHERN OREGON COMMUNICATONS' YR/MAKE/MODEL: 2000 FORD • PICKUP BI AND PD LIABILITY .
• LLC . VIN/CAMPER: 1 FTSX31 F7YEB68872 $500 ICED.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 •
'ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
• • ' .JAN 02 2021 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37C.
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
ii any change of interest or ownership_coming to their attention. Failure to do so will render this policy null and void. .
• I - - .;:;i:.::•:::.:. i•C.. . :ni :a ::;y``2:Ji<.i<;.:;:;; : :iii¢R:''i' il:,`i:•i
AQ.DIT.I.ONAL;:I'NSURED...S NOTICE:OF::CQUERAGE.. .. . .. : :..:
State Farm Mutual Automobile Insurance Company , , , 2372-FAE6•A
NAMED INSURED:' . • POLICY NO: •• 352 3755-A02-37D. . CAR 005 COVERAGE: • .
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2000 FORD . BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 1FDXF46F3YEA44200 $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 $500 DED.COLL.
ENDORSEMENT NO:,6028BJ •POLICY EFFECTIVE • •
. JAN 02 2021 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37G. •
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 premiumsthave 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:NOTICEiOF CQVERAGE .:.::.. :.. 7..77 •777 .:::.. :•. . .. . .; .
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-A02-37D 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.COLL.
ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
POLICY MESSAGES: This policy shown above supersedes policy#3523755-370. •
JAN 02'2021 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.
77.77
ADDIT. ..
IONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company • 2372-FAE6-A
.NAMED INSURED: POLICY NO: 352 3755-A02-37D CAR 009 COVERAGE:` • '
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 1993 INTERNATIO BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: ' 1 HTSDPPN1 PH52325 .. ' $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: $50o DED.COLL.
ENDORSEMENT.NO: 6028BJ POLICY EFFECTIVE
v JAN 02 2021 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37C.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions.The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided,it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to•do so will render this policy null and void. . .
ADDITIONAL INSURED'$ NOTICEOF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE6•A
NAMED INSURED: POLICY NO: 352 3755-A02-37D CAR 010 . COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: NONOWNED AUTO ' BI 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 6165CJJAN 02 2021 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37C.
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 INSURE:D'S•NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company -. 2372-FAEEA
NAMED INSURED: POLICY NO: 352 3755-A02-37D CAR 014 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2001 STERLING UTIL TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 2FZAAKAK91AJ43325 ' • • $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 2021 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#.3523755-37C. •
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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o O® DATE OF NOTICE: JAN 04 2021
PO Box 853922CODE:
Richardson, TX 75085-3922 '
30A
15 A . •• .
20. E. MAIN ST
000734 0093 • • NOTE: PLEASE NOTIFY STATE FARM AT THE
CITE OF ASHLAND
.ADDRESS.LISTED AT•THE TOP, LEFT CORNER
,
ASHLAND OR 97520-1850 • OF THIS•PAGE REGARDING ANY CHANGE OF'
;? E ADDRESS INFORMATION.
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I 7EADD TIONALINSUREDS OTCEFCOVA
State Farm Mutual Automobile Insurance Company • 2372-FAE6-A
NAMED INSURED: • POLICY NO: 352 3755-A02-37D CAR 021 COVERAGE:
• SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: • 1997 FORD ' BUKT TRK BI AND PD•LIABILITY
E LLC VIN/CAMPER: 1 FDXF8000VVA02813 $2 MIL
N $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)8M-6265
o ENDORSEMENT NO: 6028BJ • 'POLICY.EFFECTIVE
• JAN 02 2021 UNTIL TERMINATED
g POLICY MESSAGES: This policy shown above supersedes policy#3523755-37C.
al The policy includes a loss payable clause protecting the additional insured's interest in the'described car to the extent of the insurance
TO provided and subject to all policy provisions:The additional insured will be given 10,days notice if the,•policy is terminated. Until such notice
c, 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
g any change of interest or ownership coming to their attention. Failure to do so will renderthis policy null and void.
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AQD.giNiNAL:INSURER:S NOTi:CE t�F.:C .vitt AGE *i:i:i:i*:::* •:>::*::
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-A02-37D CAR 024• COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2004 CHEVROLET BUKT TRK BI AND PD LIABILITY
LLC VIN/CAMPER: 1GDM8C1C44F505848 $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 2021 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#3523755-37C.
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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