HomeMy WebLinkAbout112307 E & LL TRUCKING - INSURANCE CERTIFICATECERTIFICATE 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
NAMED INSURED RICK S SHIRLEY STEFFEN
dba E & LL TRUCKING
ADDRESS OF NAMED INSURED 941
E 4T" ST
LOVELAND
CO 80537-5735
POLICY NUMBER
S55 8277-E16-06V-
017 6949-D20-06Q
EFFECTIVE DATE
OF POLICY
11/05/07-05/05/08
10/20/07-04/20/08
DESCRIPTION OF
VEHICLE (including VIN)
1988 PETERBUILT
1993 PETERBUILT
1XPFD29X3JD264445
1XPFDR9X5PD324128
LIABILITY COVERAGE
® YES
❑ NO
® YES
❑ NO
❑ YES
❑ NO
❑ YES
❑ NO
LIMITS OF LIABILITY
a Bodily injury
Each Person
1 MM
1 MM
Each Accident
1 MM
I MM
b Property Damage
Each Accident
1 MM
1 MM
c Bodily Injury &
Property Damage
Single Limrt
Each Accident
1 MM
I MM
PHYSICAL DAMAGE
COVERAGES
❑ YES
® NO
® YES
❑ NO
❑ YES
❑ NO
❑ YES
❑ NO
a Comprehensive
$
Deductible
$ 2000
Deductible
$
Deductible
$
Deductible
❑ YES
® NO
® YES
❑ NO
❑ YES
❑ NO
❑ YES
❑ NO
b Collision
$
Deductible
$ 2000
Deductible
$
Deductible
$
Deductible
EMPLOCAR LIjAYBILI Y COVERAGE �cG,EE
❑ YES
® NO
❑ YES
® NO
❑ YES
❑ NO
❑ YES
❑ NO
COVERAGE
❑ YES
® NO
❑ YES
®NO
❑ YES
❑ NO
❑ YES
❑ NO
FLEET cOVERAGEFOR
MpT�VVEEHIjL LIFLSCENSED
❑ YES
® NO
❑ YES
® NO
❑ YES
❑ NO
❑ YES
❑ NO
11RI41 filwol
CITY OF FORT COLLINS
625 NINTH ST
FORT COLLINS CO 80524
Licensed
06-1680 01/30/2008
CRAMER STATE FARM
GARY CRAMER
1275 E MAGNOLIA ST #I
FORT COLLINS CO 80524
INTERNAL STATE FARM USE ONLY ❑ Request permanent Certificate of Insurance for liability coverage
122429 3 Rev 07 26 2005 0 Request Cenrficate Holler to be added as an Additional Insured