HomeMy WebLinkAboutSIPES CONCRETE CONSTRUCTION - INSURANCE CERTIFICATEUNITED FIRE & CASUALTY COMPANY
7301 N. FEDERAL SUITE #302
PO BOX 850
WESTMINSTER CO 80030
NOTICE OF NONRENEWAL OF INSURANCE
Named Insured & Mailing Address:
SIPES CONCRETE CONSTRUCTION INC
PO BOX 272455
FORT COLLINS CO 80527-2455
Producer: 020141
BROWN & BROWN OF CO INC
125 SO HOWES 5TH FLOOR
PO BOX 2226
FT COLLINS CO 80522
Policy No.: 104 60066014
Type of Policy: PACKAGE INCLUDING AUTO
Date of Expiration: 07/0112004; 12:01 A.M. Local Time at the mailing address of the Named Insured.
We will not renew this policy when it expires. Your insurance will cease on the Expiration Date shown above.
The reason for nonrenewal is CLAIM FREQUENCY, NON US LICENSED DRIVERS.
This policy provides auto liability coverage. You should contact your agent or any licensed agent about your
possible eligibility for coverage through the Colorado Assigned Risk Plan.
Additional Insured
104 60066014 PCN
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522
Date Mailed:
13t ay of April, 2004
S.rr� rod"
NLUAM BURK JR
COCN36NONE APP
FORM# CN969701CO51995 04132004MYNN
ODEN 3.0.04.02a Copy for Additional Insured Page 1 of 1