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STATE FARM FIRE AND CASUALTY COMPANY <br />A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGIOM /LIINOIS RENEWAL DECLARATIONS <br />HS*lt "{il <br />R?"8 3 ia€*i! ?* rco 8 s-3 s 2 s <br />Named lnsured <br />AT2 M-15-2689-FBA1 F N002200 312s <br />CRIME STOPPERS OF <br />YAKTMA COUNTY TNC <br />PO BOX 11056 <br />YAKIMA WA 98909_2056 <br />"';l',;rrlrlrrlll;lll'lltlll'lllil'ltl'l'il'll'tlllllllllll"'ll <br />Businessowners Policy <br />Policy l{umber 98-BJ-G478-3 <br />Policv Petiod Elfsctive Dale Exoiration Date <br />12 Mbnths JIJL1 2021 JLJLl 2022 <br />The polipy period begins and ends at 1 2:01 am standard[me alme premtses tocallon. <br />Agent and Mailing Address <br />BRUCE SEARS CLU <br />PO BOX 569 <br />SELAH WA 98942_0669 <br />PHONE: (509) 697-49009+ <br />Automalic-Renewal - lf dre policy period is shown as 12 months , fiis policy will be renewed automatically subiectto tre premiums, rules and <br />forms in effect for each succeeding policy period. lf tris policy is terminated, we will give you and tre Mortgagee/Lienholder written notice in <br />comoliance witr tre policv orovisions or as reouired bv law. <br />Entity: Corporation <br />NOTICE: lnformation concerning changes in your policy language is included. Please call your agent <br />if you have any questions. <br />POLICY PREMIUM <br />Minimum Premium <br />Discounts Applied: <br />Renewal Year <br />Years in Business <br />Sprinkler <br />Claim Record <br />$ 440.00 <br />Prepared <br />MAY 07 2021 <br />cMP-4000 <br />013008 294 I <br />N <br />@ Copyright State Farm Mutual Automobile lnsurance Company,2008 <br />lncludes copyrighted material of lnsurance Services Office, lnc., with its permission. <br />Continued on Reverse Side of Page Page 1 of 7 <br />530-686 s.2 05'31'20t1 {olf3231c)