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Home My WebLink AboutSTEVEN WINICK - INSURANCE CERTIFICATE (2)STATE FARM INSURANCE COMPANIESO 1555 Promontorryy Circle Greeley CO 80638-0001 12A AT1 20 A 000470 CITY OF FT COLLINS PO BOX 580 FORT COLLINS CO 80522-0580 I'll'lllll lil l'llllllll'1'�'llilllllf ll'1'I ltllrllrlllllilll'I DATE OF NOTICE: OCT 10 2008 CODE: NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Fire and Casualty Company 1623-F913-I NAMED INSURED: POLICY NO: 102 2241 -D25-06H COVERAGE: WINICK, STEVEN J YR/MAKE/MODEL: 1978 PETERBILT DUMP BI AND PD LIABILITY t 11083 HIGHWAY 14 VIN/CAMPER: 112296N $1 MIL AULT CO 80610-9573 AGENT NAME: BILL COFER $1000 DED. COMP. $1000 UED. COLL. AGENT PHONE: (970)223-7900 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policyC 1022241-06G. OCT 062008 UNTIL TERMINATED 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 Stroh 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. Fiir STATE FARM INSURANCE COMPANIESO 1555 Promontorryy Circle Greeley CO 80638-0001 12A AT1 20 A 000470 CITY OF FT COLLINS PO BOX 580 FORT COLLINS CO 80522-0580 I'll'lllll lil l'llllllll'1'�'llilllllf ll'1'I ltllrllrlllllilll'I DATE OF NOTICE: OCT 10 2008 CODE: NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Fire and Casualty Company 1623-F913-I NAMED INSURED: POLICY NO: 102 2241 -D25-06H COVERAGE: WINICK, STEVEN J YR/MAKE/MODEL: 1978 PETERBILT DUMP BI AND PD LIABILITY t 11083 HIGHWAY 14 VIN/CAMPER: 112296N $1 MIL AULT CO 80610-9573 AGENT NAME: BILL COFER $1000 DED. COMP. $1000 UED. COLL. AGENT PHONE: (970)223-7900 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policyC 1022241-06G. OCT 062008 UNTIL TERMINATED 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 Stroh 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. Fiir STATE FARM INSURANCE COMPANIES® 1555 Promontoryry Circle Greeley CO 80638-0001 10A All 20 A 000468 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522-0580 Ilnlrlluu�t�mlr�u�rll�rmlr�t�ulr�lur�nlrlluur�rl� DATE OF NOTICE: OCT 10 2008 CODE: NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Fire and Casualty Company 1623-F913.1 NAMED INSURED: POLICY NO: 132 3874-DO2-06D COVERAGE: 7 1: WINICK, STEVENJ YR/MAKE/MODEL: 1990 PETERBILT DUMP BI AND PD LIABILITY 11083 HIGHWAY 14 VIN/CAMPER: 1 XPOD29XOLD293391 $1 MIL �. AULTCO 80610-9573 AGENT NAME: BILL COFER $1000 DIED COMP AGENT PHONE: (970)223-7900 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policyS 1323874-060. OCT 06 2008 UNTIL TERMINATED 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 any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT STATE FARM INSURANCE COMPANIES® 1555 Promontoryry Circle Greeley CO 80638-0001 10A All 20 A 000468 CITY OF FORT COLLINS PO BOX 580 FORT COLLINS CO 80522-0580 Ilnlrlluu�t�mlr�u�rll�rmlr�t�ulr�lur�nlrlluur�rl� DATE OF NOTICE: OCT 10 2008 CODE: NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Fire and Casualty Company 1623-F913.1 NAMED INSURED: POLICY NO: 132 3874-DO2-06D COVERAGE: 7 1: WINICK, STEVENJ YR/MAKE/MODEL: 1990 PETERBILT DUMP BI AND PD LIABILITY 11083 HIGHWAY 14 VIN/CAMPER: 1 XPOD29XOLD293391 $1 MIL �. AULTCO 80610-9573 AGENT NAME: BILL COFER $1000 DIED COMP AGENT PHONE: (970)223-7900 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policyS 1323874-060. OCT 06 2008 UNTIL TERMINATED 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 any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT