HomeMy WebLinkAbout112307 E & LL TRUCKING - INSURANCE CERTIFICATE (2)C�
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12/27/2007 12 32 9704930226 PAGE 01/01
ACERTIFICATE OF INSURANCE
SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER NAMED BELOW WILL NOT BE
CANCELED OR OTHERWISE TERMINATED WITHOUT GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE
CERTIFICATE HOLDER, BUT IN NO EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM
THE DATE WRITTEN THIS CERTIFICATE OF INSURANCE DOES NOT CHANGE THE COVERAGE PROVIDED BY
ANY POLICY DESCRIBED BELOW,
This certifies that: ❑ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois
® STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois
❑ STATE FARM COUNTY MUTUAL INSURANCE COMPANY OF TEXAS of Dallas, Texas
❑ STATE FARM INDEMNITY COMPANY of Bloomington. Illinois, or
❑ STATE FARM GUARANTY INSURANCE COMPANY of Bloomington, Illinois
has coverage in force for the following Named Insured as shown below
NAMEDINSURED RICK s SHIRLEY STEFFEN dba E 5 LL TRUCKING
ADDRESS OF NAMED INSURED 941
E 4" ST.,
LOVELAND
CO 60537-5735
POLICY NUMBER
017 6949-n20-060
EFFECTIVE DATE
OF POLICY
10/20/07-04/20/08
DESCRIPTION OF
1993 PETERBUILT
VEHICLE Qnduding VIN)
1XPFDR9X5PD324128
LIABILITY COVERAGE
❑ YES
❑ NO
® YES
❑ NO
❑ YES
❑ NO
❑ YES
❑ NO
LIMITS OF LIABILITY
a Bodily Injury
Each Person
1 bin]
Each Accident
I My
b Property Damage
Each Accident
1 MM
c Bodily Injury &
Property Damage
Single Limit
Each Accident
1 MM
PHYSICAL DAMAGE
COVERAGES
❑ YES
❑ NO
® YES
❑ NO
[]YES
❑ NO
❑ YES
❑ NO
a Comprehensive
$
Deductible
$ 2000
Deductible
$
Deductible
$
Ded=101e
❑ YES
❑ NO
® YES
❑ NO
❑ YES
❑ NO
❑ YES
[]NO
b Collision
$
Deductible
$ 2000
Deductible
$
Deductible
$
Deductible
EMPLOYERS NON -OWNED
CAR LIABILITY COVERAGE
❑ YES
❑ NO
❑ YES
®NO
❑ YES
❑ NO
❑ YES
LINO
HIRED CAR LIABILITY
COVERAGE
YES
❑ NO
❑ YES
® NO
❑ YES
❑ NO
❑ YES
❑ NO
FLEET -COVERAGE FOR
MOTOR �H CLES��
❑YES
❑ NO
❑ YES
®NO
❑ YES
❑ NO
❑ YES
❑ NO
Licensed
Name
CITY OF FORT COLLINS CRAMER STATE FARDS
625 NINTH ST GARY CPIM-TI.R
FORE COLLINS CO 80524 1275 E MAGNOLIA ST , dI
FORT COLLINS CO 00524
INTEKNAL SPATE FARM UUL ONLY U Kequest Permanent Certificate of Insurance for liabllrty coverage
122429 3 Rev 07-26-2006 0 Request Certificate Holder to be added as an Additional Inauted