HomeMy WebLinkAbout127666 MICHAEL TRUCKING - INSURANCE CERTIFICATE (2)... STATE FARM INSURANCE COMPANIES'
U1555 PiomonNry. Circle
Greeley CO 80638-0001
20 151 A
CITY OF FORT COLLINS
PURCHASING DEPT
PO BOX 580
FORT COLLINS CO 80522-0580
DATE OF NOTICE DEC 21 2007
CODE
NOTE PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
NOTICE OF TE RMINATION OF, A THIRD PARTY INTEREST
State Farm Fire and Casualty Company
1680-F913-1
NAMED INSURED: POLICY NO 55 2176-D08 06H
COVERAGE
MICHAEL, DWIGHT YR/MAKE/MODEL 1997 PETERBILT DUMP
BI AND PD LIABILITY
t9ki3i
DBA MICHAEL TRUCKING VIN/CAMPER' D374171GL
600 ENDICOTT ST AGENT NAME GARY CRAMER
>
FORT COLLINS CO 80524-3225 AGENT PHONE (970)484-1374
3RD PARTY INTEREST TERMINATED
m
EFf EGTIVE JAN 20 2008
POLICY MESSAGES.
c Protection of the third party s interest provided by this policy Is terminated as of the effective date above for the following reason
Cancellation of Liability Coverage This advance notice is solely to protect the third patty's interests as they are affected by the ownership,
vi maintenance, or use of the car described In the policy
FRT