HomeMy WebLinkAboutCOI - Special K Productions - Expires 2023-11-20State Farm Insurance
PO Box 2915
Bloomington, IL 61702-2915
02 6858
AT1 001091 1005 01
CITY OF GILROY
ITS OFFICERS EMPLOYEES &
VOLUNTEERS
7351 ROSANNA ST
GILROY CA 95020-6141
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Notice of Reinstatement
Businessowners
Reinstatement date: November 20, 2022, 12:01 a.m. Standard Time
Date processed: November 8, 2022
Amount paid: No Amount Due
W&StateFarn
State Farm General Insurance Company
Policy number: 97-B8-B286-6
SFPP number: 1086009802
Your State Farm Agent
Al Olseen
3267 S White Road
San Jose, CA 95148-4056
Bus: 408-274-4900
Email: al.olseen.b9ct@statefarm.com
NOV 15 Z-H2
GILROY CITY
Please keep for your records
We are pleased to acknowledge receipt of the premium due on this policy. This policy will be continued in force subject to its printed
terms and conditions upon the payment check clearing through your bank.
Insured:
ALI, KENYATTA
IDEA SPECIAL K PRODUCTIONS
Policy Number 97-BB-B286-6
Prepared. November 08, 2022
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Location:
3687 ROCKY CREEK CT
SAN JOSE CA 95148-1421
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