HomeMy WebLinkAboutInsurance Certificate: Kencairn Landscape Architecture LLC arawerarm STATE FAHM''
O-O® DATE OF NOTICE: DEC 08 2021
PO Box 853922
Richardson, TX 75085-3922 CODE:
27A
AT1 15 A •
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EIEY OF ASHLAND ANDNOTE: PLEASE NOTIFY STATE FARM AT THE ELECTED OFFICIALS OFFICERS & ADDRESS LISTED AT THE TOP, LEFT CORNER
'Ea. EMPLOYEE'S OF THIS PAGE REGARDING ANY CHANGE OF
'} 20 E MAIN ST ADDRESS INFORMATION.
ASHLAND OR 97520-1849
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State Farm Mutual Automobile Insurance Company 097C-FAESA
NAMED INSURED: POLICY NO: 330 3415-A14-37E • COVERAGE:
•KENCAIRN LANDSCAPE YR/MAKE/MODEL: 2017 TOYOTA SPORT WG BI AND PD LIABILITY
ARCHITECTURE LLC VIN/CAMPER: 5TDJZRFH9HS477367 $1 MIL/$1 MIL/$1 MIL
6 147 CENTRAL AVE AGENT NAME: JACOB FINCH $200 DED,COMP.
•
ASHLAND OR 97520-1714 AGENT PHONE: $1000 DED.COLL.
ENDORSEMENT NO: 6028BJ2 8470 POLICY EFFECTIVE
DEC 06 2021 UNTIL TERMINATED
POLICY MESSAGES:
o 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. .
FRT