HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Communicatons LLC 1 3racerarm STATE FARM`
CDC)® . ' DATE OF NOTICE: JAN 19 2021
PO Box 853922 CODE:
Richardson, TX 75085-3922
42A .
. AT1 . 15 A.
000783 0093 • 'NOTE':'s PLEASE NOTIFY STATE FARM AT THE
CITY OF ASHLAND • 'ADDRESS LISTED AT THE TOP, LEFT CORNER '
Eit.:— • ,. ,
20 E MAIN ST !OF.THIS PAGE REGARDING ANY CHANGE OF
ASHLAND OR 97520-1850
! ,..ADDRESS INFORMATION.
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ADDITIONAL IIVSURECr.NOTICE OF iCOVERAGE
. State Farm Mutual Automobile Insurance Company, , . ', - 2372-FAE&A
NAMED INSURED: ' ' POLICY NO: ' . 352 3755-A02-37D ' ' 't. CAR 005 COVERAGE:'
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2000 FORD BUKT TRK , BI AND PD LIABILITY
a LLC S VIN/CAMPER: ••1 FDXF46F3YEA44200 ' ' $2 MIL
0 747 SUMMER GLEN DR ' ' AGENT NAME: SPOON INS AND FIN.SVCS INC $500 DED.COMP.
9 c' $500 DED:COLL.
MEDFORD OR 97501-4500 AGENT PHONE: (541)884-6265 5 • S '
8 ENDORSEMENT NO: 6028BJPOLICY EFFECTIVE
c• ': I S ' '.' JAN,02•2021 UNTIL TERMINATED
c POLICY MESSAGES:.This policy shown above supersedes policy#3523755-37C: , ••
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The policy includes a loss payable clause protecting the additional insured's interest in the described car td the'eztent of the insurance
Ti. 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 requiredrenewal'premiiumshave beery paid: The-additional insured must-notify us withinl0•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 INVJRED'Sr E NOTICOF;COVERAGE :
• 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 BIJKT T•RK _ BLAND 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. '` - • ; $Soo DED COLL.
• . • :.ENDORSEMENT:NO: 6028BJ T ;POLICY EFFECTIVE -
w ;JAN 02,2021.UNTIL TERMINATED'
. 'POLICY MESSAGES: This policy shown•above supersedes policy#3523755 37C.; r.` .
The policy includes a loss payable clause protecting the additional'insured's interest in the described canto 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, ',
y 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 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.
$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 supersedespolicy#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
cl 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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:ADDITIONALINSUREDSNOTICE;OFCOVERAGE . : : : : ., :.;;;:.:.>:< :: : : : : .;
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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 . • BLAND 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 6165CJ •'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 thedescribed'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 .
i 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 1NSURED'S NoTICE 0r' mkrE / Glr
State Farm Mutual Automobile Insurance Company • ,.. . . - ' • 2372-FAE6•A
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" $50o DED.COMP.
MEDFORD OR 97501-4500" AGENT PHONE: (541)884-6255: ,$500 DED.COLL.
. •• ENDORSEMENT NO:-6028BJ •POLICY EFFECTIVE .,
. JAN 02 2021 UNTIL TERMINATED . •
POLICY MESSAGES:,This policy above supersedes policy#3523755-37C.
The policy includes a loss payable clauseprotecting 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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AI�QITIQNAL INSURED'S NOTICE OF COVERAGE .
State Farm Mutual Automobile Insurance Company . . 2372-FAE6A
' 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 '
LLC ' VIN/CAMPER: • . 1 FDXF8000VVA02813 $2 MIL V.
747 SUMMER GLEN.DR ' ' AGENT NAME: SPOON INS AND,FIN SVCS INC $50o DED.COMP. . •
•MEDFORD OR 97501-4500 ' AGENT PHONE:. •" (549)884-5.265 , V $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 tatheir attention: Failure to.do so will render this policy null and void. .
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