Laserfiche WebLink
Stdf@Fdr►T?STATE FARM <br /> • <br /> VW PO Box 853922 DATE OF NOTICE: FEB 03 2026 <br /> Richardson, 7X 75085-3922 <br /> CITY OF SANTA ANA NOTE: PLEASE NOTIFY STATE FARM AT THE <br /> 20 CIVIC CENTER PLAZA ADDRESS LISTED AT THE TOP, LEFT CORNER <br /> SANTA ANA, CA 92702 OF THIS PAGE REGARDING ANY CHANGE OF <br /> ADDRESS INFORMATION. <br /> ADDITIONAL INSURED'S NOTICE OF COVERAGE <br /> State Farm Mutual Automobile Insurance Company 1045-FACE-A <br /> Named Insured: AGENT PHONE: (951)280-3516 <br /> ACM ARTISTIC NEON, INC DBA ACM LIGHTING Policy No: 540 4183-C19-75 COVERAGE: <br /> SERVICE YRIMAKEIMODEL:2023 FORD F450 BI AND PD LIABILITY <br /> 1411 RIMPAU AVE STE 202 VINICAMPER: 1FDUF4GT3PDA08356 $1 MIL <br /> CORONA,CA 92879 AGENT NAME:Tony Freeman $500 DED.COMP. <br /> ENDORSEMENT NO: 6028BU POLICY EFFECTIVE COLL. <br /> SEP 19 2025 UNTIL TERMINATED <br /> POLICY MESSAGES: This policy shown above supersedes policy#540 4183-C19-75. <br /> The policy includes a lass payable clause protecting the additional insured's interest in the described car to the <br /> extent of the insurance provided and subject to all policy provisions. The additional insured will be given 20 days <br /> notice if the policy is terminatedLI ntil such notice is provided, it shall be presumed that the required renewal <br /> premiums have been paid.The additional insured must notify us within 10 days of any change of interest or <br /> ownership coming to their attention. Failure to do so will render this policy null and void. <br />