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STATE FARM GENERAL INSURANCE COMPANY <br />AA�SyT�OCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS <br />Rmheb, n39TX 75085-3925 Policy Number 92-EK-V825.4 <br />Named Insured Policy Period Effective Date Expiration Date <br />ATz MNd7 ppgg 0810-FBSA F N 12 Months MAY 16 2020 MAY 16 2021 <br />002972 3125 The pohgy pPied begins a nd ends at 12.01 am standard <br />MENTE INC time at➢12 mhses location. <br /> <br /> <br />Agent and Mailing Address <br />1202SARIAHW 1EVEREAD% <br />1ST ST <br />SANT <br />III'I�'I��I�I"I'IIIII�I'�'IIII�'��III��II�III��IIII�'ll"'�I�'I' SANTA ANA CA 92703-3810 <br />R PHONE: (714) 541-7280 <br />5 <br />6 <br />Office Policy <br />Automatic Renewal - It the policy period is shown as 12 months, this policy will be renewed automatically subjectto the premiums, rules and <br />farms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortga goal holder written notice in <br />compliance with the policy provisions or as required bylaw. <br />Entity: Corporation <br />NOTICE: Information concerning changes in your policy language is included. Please call your agent <br />if you have any questions. <br />POLICY PREMIUM $ 328.00 <br />Discounts Applied: <br />Renewal Year <br />Years in Business <br />Protective Devices <br />Claim Record <br />Prepared <br />MAR 032020 <br />VCopynght State FarmMuaal Putomobile Insurance Cohryany.2088 <br />CMP-4000 <br />Includes copyrighted mammal N Insrance Services (thce, Inc., with Hs permiszon. <br />019279294 1 <br />Continued on Reverse Side of Page <br />N <br />Page 1 of 8 <br />Siame.z htrei-zml m:rv]ma <br />Risk Manager mad Division <br />REVIEWED S APPRCri BY: <br />0 Risk Management Analyst <br />