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STATE FARM FIRE AND CASUALTY COMPANY <br />A STOCK COMPANY WITH HOME OFFICES TN BLOOMINGTON, ILLINOIS RENEWAL DECLARATIONS <br />ffi <br />F?"ffi fa€ai! l* z so I s - 3 s 2 s <br />Named lnsured <br />Ar2 M-15-2689-FBA1 F N <br />003865 3125 <br />CRIME STOPPERS OF <br />YAKTMA COI]NTY ]NC <br />PO BOX 11056 <br />YAKIMA WA 98909.2056 <br />lllllrlrlrrhllLlll'lrlllrrrL;hlllrl;rLlllllllllrllulllllll <br />Businessowners Policy <br />Policy Number 98-BJ-G478-3 <br />Policy Period Ellective Date Expiralion Date <br />12 Mbnths JUL12022 JUL12023 <br />The policv oeriod beoins and ends at 12:01 am standard <br />fime at thC premises Tocation. <br />Agent and Mailing Address <br />BRUCE SEARS CLU <br />PO BOX 669 <br />SELAH WA 98942-0669 <br />PHONE: (509) 597-4900 <br />+ <br />Aulomatic_fionowal - lf ttre policy period is shown as 12 months , this policy will be renewed automatically subjectto tre pre <br />forms in effect for each succeeding policy period. lf this policy is terminated, we will give you and dre Mortgagde/Lienholder <br />compliance witr the policv provisions or as reouired bv law. <br />miums, rules and <br />written notice in <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 />Prepa red <br />MAY 09 2022 <br />cMP-4000 <br />024085294 INL4 <br />O Copyright,State Fann Mutual Automobile lnsurance Colnpany,2008 <br />lncludes copyrighted material of ll)surance Services 0ffice, llc., with its psnnission. <br />Continued on Reverse Side of Page Page 1 of 7 <br />530'606 a.2 05-31.2011 {ol13231c)