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HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Communications LLC J StateFarm STATE FARM° • C)® DATE OF NOTICE: MAR 20 2020 PO Box 853922 Richardson, TX 75085-3922 • CODE: 28A AT1 15 •- A • 000585 0093 CITY OF ASHLAND NOTE: PLEASE 'NOTIFY STATE'-. FARM'AT THE 20 E MAIN ST ADDRESS LISTED AT THE TOP;•LEFT CORNER ASHLAND OR 97520-1850 OF THIS PAGE REGARDING ANY-CHANGE OF ADDRESS INFORMATION. I1I1111i1iIiiiluni1111X111'iIIIIII1i1u1I1111"1"huilliliiii 0 . s s : . : .:. .;. ` ' : : : : :» :> >>:> : : >» 'RE :S . . , F1 :> ::<: : :;:::: :>::: >:: .:: ::: ::;> ::: :;::>;: `:::::::: :> : :<: : :<: <:: ::: ::Afl 1TIONAL INS D. NE O : .OERAGE . : State Farm Mutual Automobile Insurance Company ., 2372-FAE6-A NAMED INSURED: C. 'POLICY NO: " 352'3755-A02-37C • CAR 001 COVERAGE: ' SOUTHERN OREGON C.OMMUNICATONS YR/MAKE/MODEL: 2004 FORD ', BUKT TRK " BI AND PD LIABILITY LLC VIN/CAMPER: $2 MIL 0 3FRNF65N44V681419 $500 DED.COMP. O1 747 SUMMER GLEN DR AGENT NAME: SPOON INS AND FIN SVCS INC $500 DED.COLL. q MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265 ' o ENDORSEMENT NO: 6028BJ 1 POLICY EFFECTIVE " = JAN 02 2020 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 o 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 g any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. 0 N .,.AD L: ED .. A DITIONA INSUR S NO State Farm Mutual Automobile Insurance Company 2372-FAE6-A • NAMED INSURED: . POLICY NO: ._ 352 3755-A02-37C CAR 003 COVERAGE: SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODL: 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' $50o 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 A AD ED: QITIONAL:INSUR .T , F.. E.; ::,:, ::, ::.: :;:: :::<:: ::: <::•: :: ,: .:: » <-> <: : , , . : ::::::.:.::::::::: . ... :::...:::::.::::.S;H©.,10E.0. CQU`ERAG:::::::: •..::. . ........ State Farm Mutual Automobile Insurance Company 2372-FAE6 A NAMED INSURED: POLICY NO: 352 3755-A02-37C CAR 004 COVERAGE: SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 1991 INTERNATIO UTIL TRK BI AND PD LIABILITY LLC VIN/CAMPER: 1HTSHNZR4MH362634 $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 N any change of interest or ownership coming to their attention. Failure to do.so will render this.policy null and void. 0 coy Ai:;!:::::; :;:;:::;::...... G: :....;:<::%:•,... ::::y:::'" 3i: 3 5 Sit i ::<;:: ;i; :; ::::: i*:*]::::*atr S i]r]3`:: :'':: :' %::*?:::::'isi'i:::i::i: *i,i:i;: ;t*,:::: :i;:::::::i:ri:C • 2<::i:i::i::5i DDITICSNAL:INSURD.E ;:hl� TIC.E; . F COVERAGEe :r;: .. ........:... ..: ...:...........:.:;::::;>:i::;:>:.;: ;:: .;::. ::c.> >:>:•>:::... ... ... ... . . ............ State Farm Mutual.Automobile insurance Company 2372-FAE6rA 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 $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 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. • ADDITIONAL INSURED'S.NO 'ICE',:•,,,,-......,,••••: ,,••••••,...:••„••• F COVERAGE .........:.... .. 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: 1G DM8C1C44F505848 $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 $soo 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. • • BCKI '