HomeMy WebLinkAboutCOI - Special K Productions - Expires 2023-02-20State Farm General Insurance Company
PO Box 853925
Richardson, TX 75085-3925
StateFarm
02 W68
AT1 000828 1005 01
CITY OF GILROY
.. ITS OFFICERS, OFFICIALS &
`� EMPLOYEES
7351 ROSANNA ST
GILROY CA 95020-6141
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Notice of Reinstatement
Businessowners
Reinstatement date: February 20, 2022,12:01 a.m. Standard Time
Date processed: February 14, 2022
Amount paid: No Amount Due
State Farm General Insurance Company
Policy number: 97-BS-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@statefann.com
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
DBA SPECIAL K PRODUCTIONS
Location:
3687 ROCKY CREEK CT
SAN JOSE CA 95148-1421
Policy Number. 97-88-B286-6
Prepared. February 14, 2022
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