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AMERICAN CEMETERY MAINTENANCE AND BURIAL
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AMERICAN CEMETERY MAINTENANCE AND BURIAL
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Last modified
2/2/2026 10:50:58 AM
Creation date
2/2/2026 10:48:17 AM
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CONTRACTS
Description Type
Maintenance Services
Contract Type
New
NAME
AMERICAN CEMETERY MAINTENANCE AND BURIAL
Contract Record Series
704-05
Munis Contract #
2026366
Contract Expiration
1/1/2026
NOTES
BURIAL SERVICES AND GROUNDS MAINTENANCE
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www.statefarm.com/customer-care/privacy-security/privacy <br />or contact your State Farm Agent. <br />Location used to determine rate charged-249 <br />NORTHWOOD CMNS, LIVERMORE CA 94551. <br />When you provide a check as payment, you authorize us <br />either to use information from your check to make a <br />one-time electronic fund transfer from your account or to <br />VEHICLE INFORMATION <br />A State Farm <br />process the payment as a check transaction. When we use <br />information from your check to make an electronic fund <br />transfer, funds may be withdrawn from your account as soon <br />as the same day we receive your payment, and you will not <br />receive your check back from your financial institution. <br />Review your policy information carefully. If anything is incorrect, or if there are any changes to your vehide information, please <br />let us know right away. <br />Vehicle Description <br />Vehicle Identification <br />Number (VIN) Who principally drives this vehicle? How is this vehicle normally used? <br />2011 LEXUS RX 450 HYB JTJBC1BA8B2419620 DIANA GARRISON, a married individual, To Work, School or Pleasure. <br />who will have 46 years of driving <br />experience as of December 29, 2025. <br />Other Household Vehicle(s) <br />Your premium may be influenced by other State Farm <br />policies that currently insure the following vehicle(s) <br />in your household: <br />2015 CHEVROLET C1500 <br />2016 HONDA CRV <br />The premium on the expiring policy term was based on <br />10,000 miles per year. <br />The premium on the renewal policy term was based on <br />10,000 miles per year. <br />Premium Adjustment <br />Each year, we review our medical payments and personal <br />injury protection coverages claim experience to determine <br />the vehicle safety discount that is applied to each make and <br />DRIVER INFORMATION <br />Assigned Driver(s) <br />The following driver(s) are assigned to the vehicle(s) on this policy. <br />Name <br />DIANA Y GARRISON <br />Policy Number: 414 5475-F29-05A <br />Prepared November 6, 2025 <br />Driving Experience as of <br />December 29, 2025 <br />46 years <br />model. In addition, we review the comprehensive, collision, <br />bodily injury and property damage claim experience <br />annually to determine which makes and models have <br />earned decreases or increases from State Farm's standard <br />rates. If any changes result from our reviews, adjustments <br />are reflected in the rates shown on this renewal notice. <br />Marital <br />Status <br />Married <br />Page number 2 of 5 <br />Docusign Envelope ID: B1A2B84F-219F-40B7-B41B-2FF5FEF8647B
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