Laserfiche WebLink
bYate'F IM STATE FARM® <br />PO Box 2368 <br />Bloomington IL <br />61702-2368 <br />49A <br />AT1 02 <br />000052 0093 <br />CITY OF PLEASANTON <br />PO BOX 520 <br />PLEASANTON CA 94566-0802 <br />II,IIInI'll"IIIII'IIIIIIIIIIIIII'lllll"IIIII�IIII'lllllllllli' <br />A <br />DATE OF NOTICE: SEP 04 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 378F-FA57-A <br />NAMED INSURED: POLICY NO: 331 8286 -A01 -05J COVERAGE: <br />D & D COMMERCIAL & YR/MAKE/MODEL: 2021 FORD PICKUP BI AND PD LIABILITY <br />RESIDENTIAL PAINTING INC VIN/CAMPER: 1FTFWlRGOMFC64059 $1 MIL <br />AND RICE, DAVID AGENT NAME: JILL CASH $250 DED. COMP, <br />PO BOX 518 AGENT PHONE: $1000 DED. LOLL. <br />EAGLE ID 83616-0461 ENDORSEMENT NO: 6028BU 8000 POLICY EFFECTIVE <br />POLICY MESSAGES: This policy shown above supersedes policy# 3318286-051. AUG 20 2025 UNTIL TERMINATED <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 />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 wNhin 10 days of <br />any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. <br />FRT <br />