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StafeFarm State Farm Mutual Automobile Insurance Company Q Pa Y 92918-4-A MATCH 01012 MUTL VOL <br /> PO Box 2,96$ <br /> Bloomington IL 61702-2268 DECLARATIONS PAGE <br /> PAGE 2 OF 2 <br /> 01012 <br /> NAMED INSURED 75-2EDB-4 A A POLICY NUMBER 473 3354-F13-750 <br /> SLSG 4m� POLICY PERIOD OCT 01 2025 to DEC 13 2025 <br /> 875 IRON HORSE DR STE A271 PROPERTY SOLUTIONS, INC. 12:01 A.M.Standard Trme <br /> 75 <br /> PARK CITY UT 84060-5158 STATE FARM PAYMENT PLAN NUMBER <br /> 1256610923 <br /> EXCEPTIONS,POLICY BOOKLET&ENDORSEMENTS IiSi:e policy booldet&individual endorsemerds lbr coverage details,). <br /> FORM 9805BY CONSISTS <br /> SENDORSEMENTS DECLARATIONS <br /> MCLUDINGLT'HOSE©OISS BOOKLET <br /> TO YOU <br /> WITH ANY SOBSEQUENT RENEWAL NOTICE. <br /> CREDITOR- FORD MOTOR CREDIT - LIEN INSURANCE SERVICE CENTER, PO BOX 390858, <br /> MINNEAPOLIS MN 55439-0858. <br /> 01 6028BU <br /> UZA DR 5AD ADDITIONAL IINSUUpRD—OVERLAND, PACIFIC, & CUTLER, INC, 5000 AIRPORT <br /> 02 6028BU ADDITy�IdNAL INSURED SEARAAVPggR2Og YORBA LINDA AND BUENA PARK, INC, 21520 <br /> ©33R6028BUDADDITIIONALRBINSUREDANEICTGEN8ASSOCIATES INC DBA SERVICEMASTER <br /> 0456028BUOADDITIONALPIIN5SUURED-CIfYGOF LLgO�pNp,,GABEgqACH3PUB IC ORKS - PUBLIC SERV <br /> 05R60NBU6ADDITIONALNINSURED-CITY0OF SANTA ANA9020 CIVIC CENTER PLZ, SANTA <br /> ANA CA 92701-4058. <br /> SANTIAGOUSTREEETIOLOFTSIMAINTANCE CORP, PACIFIC <br /> IVONRKARMAN AVEASTEE106,LIRVIINE <br /> CA 92606. <br /> 07 60286U ADDITIONAL INSURED-CALIFORNIA DOT CALTRANS DIV OF PROC AND <br /> CONTRACTS, 1727 30 H ST MSG 65 SACRAMENTO CA 95816-7005. <br /> 08 6028BU ADDITIONAL INSURED-CfTY OF ONTARIO, 303 E B ST, ONTARIO CA <br /> 91764-4196.09 6028BU 11��IONAL FF ggqq gg <br /> AGENCY <br /> 18,6828BUNADpNpIGI�TTIIO ALNINSUREDICITYCOFTSANTA ANAANATTENTION: PLANNINGB& <br /> BUILDING20 CIyIC CENTER PLAZA SANTA ANA CA 92�01-9999. <br /> 6196AA BU YER OF SUBROGATION UNDER THE LIABILITY COVERAGE. <br /> 603OGF U511NESS NAMED INSURED. <br /> 6126MD AMENDATORY <br /> EERFOREPERSONAL VEHICLE SHARING. <br /> 6129J AMENDATORY ENDORSEMENT. <br /> 6289OW SINGLE LIMIT LIABILITY COVERAGE. <br /> 6196AA - WAIVER OF SUBROGATION UNDER THE LIABILITY COVERAGE FOR CITY Q� <br /> SANTA ANA PUBLIC WORKS AGENCY, CEP/DESIGN ENGINEERING; CITY OF SANTA A <br /> PLANNING AND BUILDING AGENCY. <br /> Agent: JOSE GASTELUM <br /> Telephone:(714)557-3344 <br /> 21730f/1�61184A z (u7ao cy (alno�ac) Prepared OCT 03 2025 2EDB-B8A <br /> 13SX0 (ota06vdj <br />