HomeMy WebLinkAboutNotice of Termination of Additional Insured Interest: Southern Oregon CommunicationsStateFar'm STATE FARMS
PO Box 2368
Bloomington IL 61702-2368
238
AT1 15
002932 0055
CITY OF ASHLAND
51 WINBURN WAY
ASHLAND OR 97520-1849
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DATE OF NOTICE: FEB 25 2025
CODE:
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
NOTICE OF TERMINATION OF AN ADDITIONAL INSURED INTEREST
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-A02-37H CAR 010 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: NONOWNED AUTO
LLC VIN/CAMPER:
3522 BELLINGER LN AGENT NAME: SPOON INS AND FIN SVCS INC
MEDFORD OR 97501-9508 AGENT PHONE: (541)884-6265
3RD PARTY INTEREST TERMINATED
EFFECTIVE MAR 10 2025
POLICY MESSAGES:
Protection of the additional insured's interest provided by this policy is terminated as of the effective date above for the following reason:
Policy cancelled by insured, This advance notice is solely to protect the additional insured's interests as they are affected by the ownership,
maintenance, or use of the car described in the policy.
FRT