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<br />Certificate of Insurance <br />This certifies that: State Farm Mutual Co. of Bloomington, III. <br />had coverage in force for the fallowing Named Insured as shown below: <br />Named Insured: Thompson, David <br />Insured's address: 4440 Theona DR., Eugene OR. 97402 <br />Policy Number 046 0526-A10-37A <br />Effective Date of the <br />poijcy of/1o/2006 <br />through <br />07/10/2006 <br />Description of <br />Pro a 1977 Toyota Pickup <br />Vin #: RN28103529 <br /> <br />Liabili <br />Per Person 1,000,000 <br />Per Accident 1,000,000 <br />Pro a Dama e 1,000,000 <br />Personal Injury <br />Protection 15,000 <br />Comprehensive <br />deductible <br />Collision deductible <br />Uninsured Motorist <br />Per Person 1,000,000 <br />Per Accident 1,000,000 <br />Pro a Dama e 10,000 <br /> <br />waaitiona~ tnsurea: c:~ty or Eugene, zio Cheshire St., Eugene OR. 97401 <br />State Farm Agent: Jason Stefely, 315 Coburg Road, Eugene, OR 97401 <br />Phone: (541)485-1315 Fax: (541)485-1272 <br />Countersigned: _k~-l1t~Y ~_ ~ ~ 1C~i(p by <br />