HomeMy WebLinkAboutCHUCK HOFFMAN TRUCKING - INSURANCE CERTIFICATEOSTATE FARM INSURANCE COMPANIES®
1555 Promontory Circle
Greeley CO 80638-0001
41 A
CITY OF FORT COLLINS
SNOW REMOVAL
256 W MOUNTAIN AVE
FORT COLLINS CO 80521-2711
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ADDITIONAL INSUIRED'S NOTICE OF COVERAGE
DATE OF NOTICE: OCT 21 2003
State Farm Fire and Casually Company
NAMED INSURED: POLICY NO: 850 6852-021-06L
8
COVERAGE:
HOFFMAN, CHUCK YR/MAKE/MODEL: 1988 MACK TRUCK
Ir
BI AND PD LIABILITY
DBA CHUCK HOFFMAN TRUCKING VIN/CAMPER: 2M2N187Y2JCO25615
$1 MIL
e 1901 LONGWORTH RD AGENT NAME: GARY CRAMER
FORT COLLINS CO 80526.1516 AGENT PHONE: (970)484-1374
_ ENDORSEMENT NO: 6028E.5
POLICY EFFECTIVE
POLICY MESSAGES: This policy shown above supersedes policy# S506852-06K.
OCT 01 2003 UNTIL TERMINATED
The policy includes a loss payable clause protecting the third party's interest in the described car to the
extent of the insurance provided and
subject to all policy provisions. The third party will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be
i presumed that the required renewal premiums have been paid. The third party must notify us within 10
days of any change of interest or
7 ownership coming to their attention. Failure to do so will render this policy null and void.
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