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StateFarm <br /> �.. State Farm Mutual Automobile Insurance Company q;:FE.1-A VUTL Vc- <br /> � � FO Box 2355 <br /> B1acmrr7gton IL 6 1 702-23 5 8 DECLARATIONS PAGE 771 <br /> NAMED INSURED <br /> Ate 06-2118-1 A A FOLICY INUMEER E7E 9C1=-F17-:EA <br /> MARTIN, LISA ANDFSABBACH, OLICY FERIOD MAY 7 2:25 t-DEC 172:25 <br /> JAMIE 12..1 AfJ. Lta c3rc (-imp — <br /> 12350 COUNTY ROAD 195 <br /> SALIDA CO 81201-9367 ;STATE FARM PAYMENT=LAN NUMEER <br /> 14E9�219=:4 <br /> AuENT — <br /> TDEY MOSER 1NSLR A('�FNCY INC — <br /> 1295 S EROADWAY ST STE A <br /> EOULDER,CO SC3C=-:--7E-9 — <br /> FFnNF:(3^3)494-4-E4 <br /> DO NOT PAY PREMIUMS SHOWN ON THIS PAGE. <br /> IF AN AMOUNT IS DUE,THEN A SEPARATE STATEMENT IS ENCLOSED. <br /> YOUR CAR <br /> YEAR MAKE MODEL. BODY STYLE VEHIXF In.NU"JIF3ER CLASS <br /> SYMBOLS COVERAGE&LIMITS PREMIUMS <br /> A Liarility C�-v-ray= <br /> E-�cily Ir-ji.ry Limit- <br /> Eacl-Ferso-, Each-A=ice-t <br /> FmParrty Damag=Limit <br /> Earl-Accice-1 <br /> $1 Crr rn; <br /> n 'rrmcr-�=-rciv=r r. vFrage-$f,"'"n=-,rtiHr <br /> G Crllisirr Cr-vera a- 2 CCC Der:_rfitlg: <br /> Total premium for MAY 07 2025 to DEC 17 2025. This is not a bill. <br /> IMPORTANT MESSAGES <br /> R_cla:ecl�:lic}rLmt_rE7=��1•=-C=. <br /> Your total renewal premium for JUN 17 2025 to DEC 17 2025 is$659.46. <br /> `The total premium listed above reflects a recent change to your policy and the 6 month renewal premium. <br /> Frmil.m ii-:Ii zr,$. fcr Gl-racr Tl-=ft Fr?,,=rtirr AE t'-rrity Fem <br /> C-1-race law reCl-ims Liatility Ccverage(�cver-ige A)'mt-E-^ily it-jr.ry limits cf a1 least$2=,CCC earl-cerscr/${C arr aacr <br /> amicert arc a rrcac ycamage limit cf$1 "rya- a i_=-rt.llrirs_re_Mct-r V=1-i:le C:v=rag is Available -c:t-ar amc_rl <br /> ecLal t_ycLr cLrrert Csysrage A limits.UrirsLry M t r ti=f-i*-Ccvc-rage fcr LZ:cily irjM will 1;-r rlLCGC irycur policy it air <br /> amc;.rt acLal tc y-Lr �cverage A t;ccily ir-jr.ry limit=r.rirss ycL ccrrrcl--t-ar aekrcwtecgmE-t cf cdvarag-se ecircr cr rje-Uc�- fcmi. <br /> oft-er coverage_that may Le selectee ty t•e ramtc r =Lr==irclL•_e Mecical=ayme+ts,Jrn st.rec Mctcr Vericle=rccerty Damage, <br /> C-m r=l-orGive, Em=rg-r^y Rc-ac SerAna,Car Rartal&Trav=l Excer,-=,DeAtl-,DiemGmEr inert&L-„ <br /> arc LOSS-f Ear-irgs ccver-ige;, <br /> State Farm w•:rK- I-arc tc cff=r yr 1:1 =t==et rc rcirati_r cf Fri:e,s=rvr:e,ar-Frctecti-r. T•-e wrc_rt y-i Fay fhr ar tcrccrle <br /> irsurarce is cet_rmi-ec cy mary fact-rs s...l as tie ccverages y::L -ays,wl-ere yc_five,ti-e kir=cf:ar yc- _rry I-,w ycLr <br /> car is Lsec,M-c cTrvEs tt-B oar,a-c rrfcrnaticr fr_m -cr_Ltn_r reccrts. <br /> Y-L l-avg�tr•e ri l-t t-recT.est,r-mere tf-ar--r:e_.-ri^g a 1 rr-rtl- FFri-c,ti-at y:Lr ccG^y ce riot-c Lsirg <br /> a;i.rrert ercit asr it_i..rarce sCCr Ter-aLlti~g imra:t E tr_tl e _it Fcfticr -f t`e ra-ratryc irSLrar-ce s:-ra <br /> will r-t ircrease y:Lr prerniLm;1-cw-v�r,yc.r ter-.rail cremi.-r rray cecrea.-e,remarr tF-ry sams,:r it:r=a"-cL=tc --6--er <br /> fa-t:r-imFactirg ycLr total premium. <br /> EXCEPTIONS,POLICY BOOKLET&ENDORSEMENTS(See policy booklet&individual endorsements for coverage details,) I <br /> YOUR POLICY CONSISSTS OF TrHIS 'DECLARATIONS PAGE THE POLICY BOOKLET - <br /> FORM 9806B, AN[ ANY ENDORSEMENTS THAT APPLY, INCLULING THOSE ISSUEC TO YOU <br /> WITH ANYSUBSQUENT RENEtAL NOTICE. <br /> NZ68 T ALLITIONAL 1N5URE- (PRI(,,k NOTICE OF lLRMINAlIUN)-LIfY OF SANTA ANa, <br /> 6125AVIL LEAMENCATO11YyENCORSEMENT HLIU1-41J5t3. <br /> 6129H AMENCATORY ENCORS"EMENT. <br /> 690613.1 AMENCATORY ENCORSEMENT. <br /> Agerf. TOeY MOSER AGENrY INr <br /> TeleFI---re. (3;3)494-4554 <br /> C35421Cr"7C1 VeR v= = r=' prepare_ MAY14%C%_ -11?-Ac= <br />