No preview available
HomeMy WebLinkAboutE AND L LEGG CHUCK HOFFMAN FULLER BIVENS STEELY - INSURANCE CERTIFICATE (2)ST FARN — FRONTIE TTO y.t0a%19/9A THU 14.54 FAX 1 97AW51 5470 �s \ I State Farm fnsura ,r March 19, 1998 RICH STEFFEN DBA E & L TRUCKING i 3013 FARVIEW DR FORT COLLINS CO 80524-1033 ppaanies i POLICY NUMBER S55 8278-E16-06A 1972 Ford nY STATE E44M tN SugpNCp '£"' Mountain States Office 3001 8th Avenue Greeley Colorado 80638 0001 Phone 351.5000 1 - }"- Dear Policyholder: Our records indicate we have currently added the City of Ft Collins on as additional insured. Our policy is a continuous policy, if the policy is terminated, the additional insured will be given 10 days prior written notice. Your policy currently provides coverage for $1,000,000 combine single limit of Liability/Property Damage. If you need any other information, please contact your agent. Sincerely, f , Nancy Raehal Underwriting Assistant State Farm Fire and Casualty Company cc: Gary W Cramer, 1660 1 ] ,� yyy,,, y�Yy;F T jllan/'f4�F x :j�' ff. 'i ,lei �. a • ' �f �Y.t?. MLA{, c.`�, 1 1 1, HnMF IlFrlr'F� vino 0)•18ifl9 THIS 14 19 F0, 1 14 11 14TII 3T FARM - FRONTIE ITO State Farm Insurance Companies J ;,q March 19, 1998 6 '• '� dull lln nl,lll ll rlrlu �l lllllln nr�llllll ur,lln ��l�ll nl RICH STEFFEN POLICY NUMBEF DBA E & L TRUCKING S55 8280-E16-06A 3013 FARVIEW DR 1968 Peterbuilt FORT COLLINS CO 60524-1033 Dear Policyholder: uu1 �t rV �51'FKr• ^' �'t L C c4GMuna NCF a M+ n S✓ Mountain States office 3001 eth Avenue Greeley, Colorado 80636 0001 Phone 351 5000 Our records indicate we have currently added the City of Ft Collins on as additional insured. Our policy is a continuous policy, if the policy is terminated, the additional insured will be given 10 days prior written notice. Your policy currently provides coverage for $1,000,000 combined single limit of Liability/Propecty Damage. If you need any other Information, please contact your agent. Sincerely, Nancy Raehal Underwriting Assistant State Farm Fire and Casualty Company j { cc: Gary W Cramer, 1680 ✓ Sir I 5t t t �a4 f upryr -i °ICES RlnDAir"r (n" 11111"1;1 III 03/19/98 THL 14 55 F'11 1 9i 51 5470 ST F4RN - FRONTIEPI '*',�. Y•',�kJ'�`r ,{� r"I,N7' .�,>} r�o`G 1,* y,••�, it ) 4E'�irX ,P""IY;'; :. a' 4 �' « � Ut' '.'� + i° ..'h'�a' "�c.•.�:� State Farm Insurance Companies INSUYANCC Ijj on' '� '.:.•, March 19, 1998 '- ti �r n„„• , , ' , Mountain States Oitica ' ; `• I I I I 3001 8th Avenue `�`� n 1 Inl 1 111'1'IIIIIIIIIII�III lllllllllllnll nllllllnl Greeley. Colorado 80638.0001 RICHARD STEFFEN POLICY NUMBER Phone 351.5000 DBA E & L TRUCKING S55 8277-E16-06B 3013 FARVIEW DR 1972 Mack t FORT COLLINS CO 60524-1033 Dear Policyholder: Our records indicate we have currently added the City Of Ft Collins on as additional insured, Our policy is a continuous policy, if the policy IS terminated, the additional Insured will be given 10 days prior written notice. Your policy currently provides coverage for $1,000,000 combined single limit of Liability/Property Damage. If you need any other information, please contact your agent. Sincerely, Nancy Raehal Underwriting Assistant State Farm Fire and Casualty Company I cc: Gary W Cramer, 1680 l 11 •6 - 3,. .Zr�t ,;�M dt A� -OME OFFICES 81 Dr,n,INfim, 111 lank r,+ nI'll CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THWWTEREST OF THE CERTIFICATE HOLDEQj&ILL NOT BE CANCELED OR OTHERWIS TERMINA:rED WITHOUT GIVING 10 D RIOR WRITTEN NOTICE TO THE CERT 4TE HOLDER NAMED BELOW, BUT IN N V LI EVENT SHALL THIS CERTIFICATE BE D MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF INSURANC DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. 11 This Certifies that STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois has coverage in force for th Named Insured Address of Named Insured POLICY NUMBER � KI '�� .- �i c�,��%"��1� �'�] �- �i� %h ^C �li� �Cl J��^ a�•�R%%^'�/(i� EFFECTIVE DATE OF POLICY DESCRIPTION OF VEHICLE / (� d�n.Gu.� N %off LIABILITY COVERAGE Q YES Q NO YES ED NO 'ED YES Q NO Q YES Q NO LIMITS OF LIABILITY a. Bodily Injury Each Penion / O D CD O d U ci do Each Accident b Property Damage Each Accident a Bodily Irtury 6 Prupeny Damage Siroe Uff" Each Accident PHYSICAL DAMAGE Q YES 0 NO Q YES Q NO Q YES El NO Q YES 0 NO COVERAGES a Com rene $ Deductible $ Deductible $ Deducible $ Deducible Q YES [] NO Q YES Q NO O YES [] NO 0 YES Q NO b CdOsan $ Deductible $ Deductible i $ Deductible $ Deductible NON -OWNERSHIP O YES 0 NO Q YES Q NO 0 YES Q NO Q YES Q NO COVERAGE HIRED CAR COVERAGE Q YES Q NO 0 YES 0 NO 0 YES 0 NO Q YES Q NO A� /Signature of Authorized Representative Title Agent's Code Number Date Name and Address of Certificate Holder Name and Address of Agent INSURED'S COPY CERTIFICATE OF INSURANCE --SUCH INSURANCE AS RESPECTS THEREST OF THE CERTIFICATE HOLDE ILL NOT BE CANCELED OR OTHERWIS TERMINATED- WdTHOUT GIVING 10 DA RIOR WRITTEN NOTICE TO THE CERTI (.TE HOLDER NAMED BELOW, BUT IN N EVENT SHALL THIS CERTIFICATE BE VA D MORE THAN 30 DAYS FROM THE DATE fiIITTEN. THIS CERTIFICATE OF INSURANC DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. This certifies that STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or 0 STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois has coverage in force for th Named Insured Address of Named Insured POLICY NUMBER EFFECTIVE DATE OF POLICY �. �� /(e /.n S ��o- 9k DESCRIPTION OF VEHICLE �/O 6 /.filP�.///.-! /� �? .-�FrI%A /��i��T-C<✓..� LIABILITY COVERAGE Q YES 0 NO Q_ YES Q NO Oi YES Q NO O YES ED NO LIMITS OF LIABILITY a Bodily Injury Each Person / /JrJV 00CJ Each Accident b Property Danmge Y Each Accident c Bodly Irfury & Property DemaW Single Each \ PHYSICAL DAMAGE Q YES 0 NO Q YES Q NO YES 0 NO Q YES NO COVERAGES a Com ensue $ Deductible $ Deductible Deducible $ Deductible Q YES NO 0 YES NO 0 YES En NO Q YES _ 0 NO b Collision $ Deductible E Deductible $ Deducible $ Deducible EMPLOYER S NON -OWNERSHIP 0 YES NO Q YES Q NO Q YES 0 NO Q YES Q NO COVERAGE HIRED CAR COVERAGE Q YES Q NO Q YES Q NO Q YES Q NO 0 YES 0 NO Signature of Authorized Representative `! /J-- Title Agent's Code Number Date Name and Address of Certificate Holder v Name and Address of Agent --1 f f J L INSURED'S COP