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HomeMy WebLinkAbout112307 E & LL TRUCKING - INSURANCE CERTIFICATE (13)OSTATE FARM INSURANCE COMPANIES®
1555 Promontoryry Circle
Greeley CO 80638.0001
27A A
CITY OF FT COLLINS
PURCHASING DEPT
256 W MOUNTAIN
FORT COLLINS CO 80521-2711
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DATE OF NOTICE: NOV 17 2003
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Fire and Casualty Company
NAMED INSURED: POLICY NO: 855 8277-E16.06M COVERAGE:
STEFFEN, RICKY D & SHIRLEY YR/MAKE/MODEL: 1972 MACK DUMP BI AND PD LIABILITY
N LEGG VIN/CAMPER: R5711 LS12978 $1 MIL
e DBA E & LL TRUCKING AGENT NAME: GARY CRAMER
941 E 4TH ST AGENT PHONE: (970)484-1374
¢ LOVELAND CO 80537-5735 ENDORSEMENT NO: 6028E.5 POLICY EFFECTIVE
u NOV 16 2003 UNTIL TERMINATED
N POLICY MESSAGES: This policy shown above supersedes policy# 6558277-06L.
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
w any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
OSTATE FARM INSURANCE COMPANIES®
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1555 Promontory Circle
Greeley CO 80638-0001
42 A
CITY OF FT COLLINS
PURCHASING DEPARTMENT
256 W MOUNTAIN
FORT COLLINS CO 80521-2711
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DATE OF NOTICE: OCT 21 2003
[ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Fire and Casualty Company
NAMED INSURED: POLICY NO: 17 6949-D20.061 COVERAGE:
8 STEFFEN, RICKY D & YR/MAKE/MODEL: 1993 PETERBUILT BOX BI AND PO LIABILITY
r'+ LEGG-STEFFEN, SHIRLEY VIN/CAMPER: 1XPFDR9X5PD324128 1 MIL
e DBA E & LL TRUCKING AGENT NAME: GARY CRAMER 1000 DED. COMP.
i 941 E 4TH ST AGENT PHONE: (970)484.1374 1000 DED. COLL.
LOVELAND CO 80537.5735 ENDORSEMENT NO: 6028E.5 POLICY EFFECTIVE
POLICY MESSAGES: This policy shown above supersedes policyi 0176949-06H. OCT 20 2003 UNTIL TERMINATED
The policy includes a loss payable clause protecting the third party's interest in the described oar 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
presumed that the required renewal premiums have been paid. The third party must notify us within 10 days of 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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STATE FARM INSURANCE COMPANIES®
1555 Promontory Circle
Greeley CO 80638-0001
35A A
CITY OF FT COLLINS
PURCHASING DEPT
256 W MOUNTAIN
FORT COLLINS CO 80521-2711
II�JdIuuLIu�LIuJL�IiILulu�IluJIJrlulluuLll
ADDITIONAL INSURED'S NOTICEOF COVERAGE
State Farm Fire and Casualty Company
DATE OF NOTICE: DEC 15 2003
NAMED INSURED: POLICY NO: S55 8277-E16.06M COVERAGE:
STEFFEN, RICKY D & SHIRLEY YR/MAKE/MODEL: 1972 MACK DUMP BI AND PD LIABILITY
LEGG VIN/CAMPER: R5711 LS12978 $1 MIL
DBA E & LL TRUCKING AGENT NAME: GARY CRAMER
941 E 4TH ST AGENT PHONE: (970)484-1374
LOVELAND CO 80537-5736 ENDORSEMENT NO: 6028E.5 POLICY EFFECTIVE
POLICY MESSAGES: This policy shown above supersedes policyi 5558277-06L. NOV 16 2003 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.