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SbtteFWM STATE FARM® <br />44. <br />PO Box 2368 <br />Bloomington IL 61702-2368 <br />27A <br />AT1 02 <br />000025 0093 <br />CITY OF PLEASANTON <br />PO BOX 520 <br />PLEASANTON CA 94566-0802 <br />-0-1-11111'11'1111llll <br />s <br />s <br />A <br />DATE OF NOTICE: AUG 08 2025 <br />CODE: <br />NOTE: PLEASE NOTIFY STATE FARM AT THE <br />ADDRESS LISTED AT THE TOP, LEFT CORNER <br />OF THIS PAGE REGARDING ANY CHANGE OF <br />ADDRESS INFORMATION. <br />State Farm Mutual Automobile Insurance Company 281 D-FA57A <br />NAMED INSURED: POLICY NO: 498 2428 -F10 -05C COVERAGE: <br />OGDEN COSTA CREATIVE GROUP INC YR/MAKE/MODEL: NONOWNED AUTO BI AND PD LIABILITY <br />1807 SANTA RITA RD STE H262 VIN/CAMPER: $ 2 MIL /$ 2 MIL /$ 2 MIL <br />PLEASANTON CA 94566-4779 AGENT NAME: LAWRENCE MUI <br />AGENT PHONE: (925)846-7118 <br />ENDORSEMENT NO: 6028BU POLICY EFFECTIVE <br />6165CS JUL 01 2025 UNTIL TERMINATED <br />POLICY MESSAGES: This policy shown above supersedes policy# 4982428-05B. <br />The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance <br />o provided and subject to all policy provisions. The additional insured will be given 20 days notice If the policy is terminated. Until such notice <br />is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of <br />-any change of inter"t or -ownership -co 4o, #hsir attention, Fa4ure to do so willrenderthis po4c"ull and void -- <br />F4 <br />FRT <br />