HomeMy WebLinkAboutCAG2025-037 - Insurance Certificate - Johnson Irrigation, LLC - 4/1/25 I
StateFarm STATE FARM®
® DATE OF NOTICE: FEB 19 2025
PO Box 2368 CODE:
Bloomington IL 61702-2368
70A
AT1 15 A
000846 0093 NOTE: PLEASE NOTIFY STATE FARM AT THE
CITY OF KENT ADDRESS LISTED AT THE TOP, LEFT CORNER
220 4TH AVE S OF THIS PAGE REGARDING ANY CHANGE OF
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L KENT WA 98032-5895 ADDRESS INFORMATION.
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ADDITIONAL:INSURED'SNOTICE OF COVERAGE
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State Farm Mutual Automobile Insurance Company 2769-FACDA
NAMED INSURED: POLICY NO: 489 8539-D01-47C COVERAGE:
JOHNSON IRRIGATION,LLC YR/MAKE/MODEL: 2002 FORD UTIL TRK BI AND PD LIABILITY
S 7014 JOHNSON RD NE VIN/CAMPER: I FDSE35LX2HA1 1070 $1 MIL/$1 MII_/$1 MIL
TACOMA WA 98422-3906 AGENT NAME: BRADY NELSON INS AGCY INC
AGENT PHONE: (253)874-4000
ENDORSEMENT NO: 6028BL POLICY EFFECTIVE
APR 01 2025 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy#4898539-47B.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions.The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided,it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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