HomeMy WebLinkAboutSTANTON CONSTRUCTABILITY SERVICES LLC - INSURANCE CERTIFICATE�.
PO Box 2368
8loomfngton IL 61702-2368
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002893 0093
CITY OF FORT COLLINS,
PURCHASING DIVISION
PO BUX 580
' s FORT COLLINS CO 80522-0580
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DATE OF N�TICE: JAN 15 2024
CODE:
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATiON.
AD�iTIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Campany 1902-FBBBA
NAMED INSURED: POLICY NO; 197 7465-A01-44 COVERAGE:
STANTON CONSTRUCTABILITY YR/MAKE/MODEL: 2016 FORD PICKUP BI AND PD LIABILITY
SERVICES LLC VIN/CAMPER: 1FTEW1EG1GKF83287 $� MIL
PQ BOX 581 127 AGENT NAME: MATSON 1NS AND FIN SRVCS INC $500 DED. CQMP.
SALT LAKE CTY UT 841 58-1 1 27 AGE�lT PHONE: SSoo DED. COLL.
ENDORSEMENT NO: 60P8$J� 4447 pOLICY EFFECTIVE
JAN 01 2024 UNTIL TERMINATED
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POLICY MESSAGES: This policy shown above supersedes policy# 1245810-44Z.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent ot ihe insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. UMiI such noiice
is provided, it shall be presumed that the required renewal premiums have been paid. The additionai insured must notity us wiihin 1 o days ot
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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