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StateFarm STATE FARM <br /> i�® DATE OF NOTICE: OCT 03 2025 <br /> PO Box 2368 CODE: <br /> Bloomington IL 6 1 70 2-2368 <br /> 98A <br /> AT1 23 A <br /> 002890 0093 <br /> CITY OF SANTA ANA NOTE: PLEASE NOTIFY STATE FARM AT THE <br /> ATTENTION: PLANNING & ADDRESS LISTED AT THE TOP, LEFT CORNER <br /> BUILDING20 CIVIC CENTER PLAZA OF THIS PAGE REGARDING ANY CHANGE OF <br /> SANTA ANA CA 92701 ADDRESS INFORMATION. <br /> 0 <br /> ADDITIONAL INSUREWS NOTICE OF COVERAGE <br /> State Farm Mutual Automobile Insurance Company 2EDB-FB8AA <br /> NAMED INSURED: POLICY NO: 473 3354-F13-750 COVERAGE: <br /> SLS PROPERTY SOLUTIONS,INC. YR/MAKE/MODEL: 2018 FORD PICKUP BI AND PD LIABILITY <br /> 875 IRON HORSE DR STE A271 VIN/CAMPER: 1 FTMFICB3JKE76591 $z MIL <br /> $250 DED.COMP. <br /> N PARK CITY UT 84060-5158 AGENT NAME: JOSE GASTELUM $500 DED.COLL. <br /> o AGENT PHONE: (714)557-3344 <br /> o ENDORSEMENT NO: 6028BU POLICY EFFECTIVE <br /> c OCT 01 2025 UNTIL TERMINATED <br /> POLICY MESSAGES: This policy shown above supersedes policy#4733354-75N. <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 terminatedUntil such notice <br /> „ 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 ownership coming to their attention.Failure to do so will render this policy null and void. <br /> 0 <br /> N <br /> ADDITIONAL INSURED'S NOTICE OF COVERAGE <br /> State Farm Mutual Automobile Insurance Company 2EDB-FB8AA <br /> NAMED INSURED: POLICY NO: 776 3587-F22-75E COVERAGE: <br /> SLS PROPERTY SOLUTIONS,INC YR/MAKE/MODEL: 2018 FORD PICKUP BI AND PD LIABILITY <br /> 875 IRON HORSE DR STE A271 VIN/CAMPER: 1 FTMF1 EP9JKF78146 $2 MIL <br /> PARK CITY UT 84060-5158 AGENT NAME: JOSE GASTELUM $ DED.COMP. <br /> AGENT PHONE: (714)557-3344 $50 0 0 DED.LOLL. <br /> ENDORSEMENT NO: 6028BU POLICY EFFECTIVE <br /> OCT 01 2025 UNTIL TERMINATED <br /> POLICY MESSAGES: This policy shown above supersedes policy#7763587-75D. <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 terminatedUntil such notice <br /> 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 /> N any change of interest or ownership coming to their attention.Failure to do so will render this policy null and void. <br /> N <br /> O <br /> O <br /> FRT <br />