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StateFenm STATE FARM® <br /> ®POBox 2368 DATE OF NOTICE: MAR 10 2026 <br /> Bloomington IL 61702-2368 CODE: <br /> 15A <br /> AT1 02 A <br /> 000014 0093 <br /> CITY OF PLEASANTON NOTE: PLEASE NOTIFY STATE FARM AT THE <br /> PO BOX 520 ADDRESS LISTED AT THE TOP, LEFT CORNER <br /> a}tib : PLEASANTON CA 94566-0802 OF THIS PAGE REGARDING ANY CHANGE OF <br /> ADDRESS INFORMATION. <br /> 'Ill Iii 1111111iiill�llill���P111111111911111.111'1111111�11�1I11 <br /> 0 <br /> 0 <br /> L <br /> 0 <br /> 0 <br /> ADDITIONAL INSURED'S NOTICE OF COVERAGE <br /> State Farm Mutual Automobile Insurance Company 378F-FA57-A <br /> NAMED INSURED: POLICY NO: 331 8286-A01-05Q COVERAGE: <br /> D&D COMMERCIAL& YR/MAKE/MODEL: 2021 FORD PICKUP NAND PD LIABILITY <br /> RESIDENTIAL PAINTING INC VIN/CAMPER: 1FTFW1RGOMFC64059 $1 M <br />'Q1 AND RICE,DAVID AGENT NAME: JILL CASH $250 D DED.COMP. <br /> 2 PO BOX 518 AGENT PHONE: (925)892-8000 $1000 DED.COLL. <br />• EAGLE ID 83616-0461 ENDORSEMENT NO: 6028BU POLICY EFFECTIVE <br /> FEB 18 2026 UNTIL TERMINATED <br /> 5 POLICY MESSAGES: This policy shown above supersedes policy#3318286-05P. <br /> ca The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance <br /> b 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 /> cl 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 /> g any change of interest or ownershp coming to their attention. Failure to do so will render this policy null and void. <br /> N <br /> FRT <br />