HomeMy WebLinkAboutADVANCED PEST MANAGEMENT INC - INSURANCE CERTIFICATESTATE FARM INSURANCE COMPANIES®
1555 Promontoryy Circle
Greeley CO 80838-0001
121
Al 20 A
002098
CITY OF FOR1 COLLINS
CITY HALL WEST
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
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DATE OF NOTICE: OCT 16 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.
NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company
NAMED INSURED:
1983-F626-8
POLICY NO:
D ADVANCEPEST MANAGEMENT INC YR/MAKE/MODEL:
F60 1683-001-06J
2003 FORD PICKUP
CAR 080 COVERAGE: r "rriFF""
BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1FTYR10D63PB51826
7TH AVE AGENT NAME:
DORIS STIPECH
BRIN
BRIGHTON CO 80601-1559 AGENTPHONE:
(303)421-2191
3RD PARTY INTEREST TERMINATED
POLICY MESSAGES:
EFFECTIVE OCT 29 2008
Protection of the third paily's interest provided by this policy is terminated as of the effective date above for the following reason:
Cancellation of Liability Coverage. This advance notice is solely to protect the third party's interests as they are affected by the ownership,
maintenance, or use of the car described in the policy.
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