HomeMy WebLinkAboutNotice of Termination of Additional Insured Interest: Southern Oregon Communications LLCSfateFarm STATE FARM®
PO Box 2368
Bloomington IL 61702-2368
242
AT1 15
003142 0055
CITY OF ASHLAND
51 WINBURN WAY
ASHLAND OR 97520-1849
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DATE OF NOTICE: MAY 06 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-FAE&A
NAMED INSURED: POLICY NO: 352 3755-A02-37H CAR 024 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2004 CHEVROLET BUKT TRK
LLC VIN/CAMPER: 1 GDM8C 1 C44F505848
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 JUN 02 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 Company. 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.
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 026 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2018 CHEVROLET PICKUP
LLC VIN/CAMPER: 1 GC4K0EY9JF152643
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 JUN 02 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 Company. This advance notice is solely to protect the additional insured's interests as they are affected by the
v
ownership, maintenance, or use of the car described in the policy.
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 027 COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL: 2020 LINCOLN SPORT WG
LLC VIN/CAMPER: 5LMJJ2LT2LEL11920
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 JUN 02 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 Company. 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
NOTICE OF TERMINATION OF AN ADDITIONAL INSURED INTEREST 771
State Farm Mutual Automobile Insurance Company 2372-FAE6-A
NAMED INSURED: POLICY NO: 352 3755-Ao2-37H CAR 9ZZ COVERAGE:
SOUTHERN OREGON COMMUNICATONS YR/MAKE/MODEL:
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 JUN 02 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 Company. 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.
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