HomeMy WebLinkAboutCOI - Kenyatta Ali - Expires 2024-07-22State Farm Insurance
PO Box 2915
Bloomington, IL 61702-2915
• kateFarm
02 6868
AT1 000632 1005 01
State Farm General Insurance Company
CITY OF GILROY
ITS OFFICERS, OFFICIALS &
EMPLOYEES
Policy number: 97-B8-B286-6
7351 ROSANNA ST
SFPP number: 1086009802
GILROY CA 95020-6141
Your State Farm Agent
AI Olseen
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32675WhiteRoad
San Jose, CA 95146-4056
Bus:408-274-4900
Email: al.olseen.b9ct@statetarm.com
Notice of Reinstatement
Businessowners
Reinstatement date: July 22, 2023,12:01 a.m. Standard Time
Date processed: July 6, 2023
Amount paid: No Amount Due
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. 97-88-1
Prepared. July 06, 2023
Al
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