HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Communications LLC (2)SlateF&M STATE FARM'
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PO Box 2368
Bloomington IL 61702-2368
94A
AT1 15
001262 0093
CITY OF ASHLAND
51 WINBURN WAY
ASHLAND OR 97520-1849
Va
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DATE OF NOTICE: JAN 17 2024
CODE:
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-A02-37G CAR 026 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2018 CHEVROLET PICKUP BI AND PD LIABILITY
LLC VIN/CAMPER: 1GC4K0EY9JF152643 $ 2 MIL
3522 BELLINGER LN AGENT NAME: SPOON INS AND FIN SVCS INC $500 DIED. COMP.
$500 DED. COLL.
MEDFORD OR 97501-9508 AGENT PHONE: (541)884-6265
ENDORSEMENT NO: 6028BJ POLICY EFFECTIVE
NOV 14 2023 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.
FRT