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HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Communications, LLC I awaaroru. WI-kit I'AtiM" C O® DATE OF NOTICE: APR 28 2020 PO Box 853922 Richardson, DC 75085-3922 CODE: 35A AT1 15 - .. . A . • 000s 0093 , NOTE: PLEASE NOTIFY STATE FARM AT THE CITY OF ASHLAND. 20. E MAIN ST • .. i. ADDRESS LISTED AT THE TOP, LEFT CORNER. or.= ASHLAND OR 97520-1850 �' . OF THIS PAGE'REGARDING ANY CHANGE OF • ADDRESS INFORMATION. • 111111111111'111111111111111111111111•1111111111111111111111111 . r - o . S. s >ADDITI.ONAL:INSUR,,"•••p,;,".....,,,.."•:••,:•;•,„,,•••••;;;;;;;;;„;•;,,- D:S:::N. TI C E-•:•;;;;•'....-O. .O .. . .COVERAGE:::::::::.:. . : ::;:::::::: :...:. ;: :::: :i:i: :<:::>:::::::: s :::<:: ;::::::::x::::<: State Farm Mutual Automobile Insurance Company ;• I - •• ' 2372-FAE6-A NAMED INSURED: POLICY NO: • 352 3755-A02-37C - ' CAR 001. COVERAGE: SOUTHERN OREGON COMMUNICATONS_ YR/MAKE/MODEL: '' 2004 FORD • BUKT TRk . ' BI AND PD LIABILITY ' a LLC VIN/CAMPER• : 3FRNF65N44V6'81419 $2 MIL N 747 SUMMER GLEN DR' AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED.COMP. 3, $500 DED.COLL. MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265 I ENDORSEMENT NO: 6028BJ 11• POLICY EFFECTIVE • JAN 02 2020 UNTIL TERMINATED ZNI POLICY MESSAGES: - ! • 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 co is-provided,it'shallbe 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 r ...•.•.•.,..1.. ;•:; ADDITI .••A 1 :•. E.. F:•C . : ; TON L. N f ED•: h1 .TI C©VERA State Farm Mutual.Automobile Insurance.Company . . 2372-FAE6p. , NAMED INSURED: ,. . •POLICY NO: 352 3755-A02-37C • CAR 012 COVERAGE: SOUTHERN OREGON COMMUNICATONS 'YR/MAKE/MODEL: ' 1999 INTERNATIO UTIL TRK BI AND PD LIABILITY ' LLC ':VIN/CAMPER: 1 HTSCABNXXH670183 $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 2020 UNTIL TERMINATED POLICY MESSAGES: 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. 0 0 m ADDITIONAL;;:INSI:j iED'S;NOTICE OF;C.OVERAGE :: :: ,:.,.,:., State.Farm Mutual Automobile Insurance Company 2372-FAE6-A NAMED INSURED: POLICY NO: 352 3755-A02-37C: 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 2020 UNTIL TERMINATED. ' POLICY MESSAGES: , 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. g • • BCKt