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Policy Number DECLARATIONS PAGE AMENDED NOV 17 1998 .... <br /> 97 -B6- 9284 -4 <br /> STATE FARM FIRE AND CASUALTY COMPANY .•.••�; <br /> 4600 25TH AV N EAST, SALEM OR 97313 -1000 <br /> A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS <br /> Named Insured and Mailing Address <br /> 1927 -F473 S <br /> REED, DAVID J <br /> DBA REED PLANNING SERVICES <br /> 690 N 71ST ST <br /> SPRINGFIELD OR 97478 -7222 <br /> Cov A - Inflation Coverage Index: N/A <br /> BUSINESS POLICY - SPECIAL FORM 3 Cov B - Consumer Price Index: 162.5 <br /> AUTOMATIC RENEWAL - If the POLICY PERIOD is shown as 12 MONTHS, this policy will be renewed automatically <br /> subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will <br /> give you and the Mortgagee /Lienholder written notice in compliance with the policy provisions or as required by law. <br /> Policy Period: 12 Months The policy period begins and ends at 12:01 am standard time at the <br /> Effective Date: AUG 2 1998 premises location. <br /> Expiration Date: AUG 2 1999 <br /> Named Insured: Individual <br /> Your policy is amended NOV 17 1998 <br /> ADDL INSURED NAME & ADDRESS ADDED <br /> Location of Covered Premises: ENDORSEMENT FE -6324 ADDED <br /> 690 N 71ST ST <br /> SPRINGFIELD OR 97478 -7222 <br /> Coverages & Property Limits of Insurance Occupancy: Off ice <br /> Section I <br /> A Buildings Excluded <br /> B Business Personal Property $ 10,200 <br /> C Loss of Income $ Actual Loss <br /> Section II Deductibles - Section <br /> L Business Liability $ 1,000,000 <br /> M Medical Payments $ 5,000 $ 250 Basic <br /> Products- Completed Operations Excluded <br /> (PCO) Aggregate <br /> General Aggregate (Other $ 2,000,000 <br /> Than PCO) In case of loss under this policy, the deductible will be <br /> applied to each occurrence and will be deducted from the <br /> amount of the Toss. Other deductibles may apply - refer to <br /> policy. <br /> Endorsement Premium <br /> Forms, Options, and Endorsements Increase $ 36.77 <br /> Special Form 3 FP -6103 <br /> *Additional Insured FE -6324 <br /> Amendatory End FE 6237.1 <br /> Debris Removal Endorsement FE -6451 <br /> Policy Endorsement FE -6464 <br /> Glass Deductible Change FE- 6538.1 <br /> Advertising Injury Excl End FE -6345 <br /> * New Form Attached <br /> Continued on Reverse Side of Page <br /> OTHER LIMITS AND EXCLUSIONS MAY APPLY - <br /> Countersigned <br /> REFER TO YOUR POLICY s <br /> Prepared i l / <br /> ( ( <br /> NOV 30 1998 <br /> FP- 8030.2C AUIV By " fGtA a•— _ Agent <br /> 06/1993 PAT LAWTON INS AGENCY INC <br /> Your policy consists of this page, any endorsements (541) 485 -6208 <br /> and the policy form. PLEASE KEEP THESE TOGETHER. (o112172b) <br />