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Home My WebLink About- - (30) State Farm Insurance PO Box 2915 Bloomington, IL 61702-2915 c�5tateFarm," AT2 002616 1200 01 State Farm Fire and Casualty Company CITY OF FORT COLLINS PURCHASIN A stock company with home offices in Bloomington, Illinois r P.O. BOX 580 FORT COLLINS CO 80522 s� �� 'll'Illllll��llllllll�ll�llllllll�lllll�lll�l��lll�llll��ll�l�lll NO C", Amended Declarations Policy number:96-KQ-8075-5 Effective date:May 30, 2025 Policy period: 12 months Expiration date: February 17, 2026 The policy period begins and ends at 12:01 am standard time at the premises location. FOOD SHOP POLICY Automatic renewal -If the State Farm°policy period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the MortgageelLienholder written notice in compliance with the policy provisions or as required by law. NAMED INSURED SUNNY SKY PIES LLC ENTITY Limited Liability Company POLICY PREMIUM This is not a bill.If an amount is due, then a separate statement will be sent prior to the due date. The premium(s)shown below are for the policy period and policy characteristics as described in this Declarations. Change in premium: none Discounts applied: Business Experience Rating Years in Business Improvements and Betterments REASONS FOR DECLARATIONS Your policy is amended effective May 30, 2025 due to some recent policy changes you requested. Enclosed is a copy of your new endorsements, if any. Policy number:96-KQ-8075-5 Page 1 of 5 CMP Dec 3P C0.1 ©Copyright, State Farm Mutual Automobile Insurance Company, 2008 GMP-4000 1009482 2014 153090 214 05-17-2025 Prepared:May 30,2025