HomeMy WebLinkAboutCOI - Special K Productions - Expires 2024-09-01 (2)State Farm Insurance
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PO Box 2915
Bloomington, IL 61702-2915
02 8868
AT1 001178 1005 01
CITY OF GILROY
ITS OFFICERS EMPLOYEES &
VOLUNTEERS
7351 ROSANNA ST
GILROY CA 95020-6141
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Notice of Reinstatement
StateFamr
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
I3usinessowners
Reinstatement date: October 21, 2023, 12:01 am, Standard Time
Date processed: October 9, 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: 97-88-13286-6
Prepared: October 09, 2023
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