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HomeMy WebLinkAbout112307 E & LL TRUCKING - INSURANCE CERTIFICATE (3)10/30/2000 09:44 970493022E PAGE 02/02 ACERTIFICATE 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 $HALL 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 rrnrarnna in fr% r . for the fniinwino Named Insured as shown below: NAMED INSURED: RICK & 9HIRLEY STEFFEN, dba E & LL TRUCKING ADDRESS OF NAMED INSURED: 941 E 4' ST., LOVELAND CO 80537-5735 POLICY NUMBER 153 5987-F24-006- .153 5990-_F24-06-µ. EFFECTIVE DATE OF POLICY 06/;dn/09-12/24/08 06/24/08-12/24108 DESCRIPTION OF 1988 FETERB171LT 1993 PETERBU.ILT VEHICLE(lnduding VIN) 1XPFD29X3Jl)264445 1XPVUR9X5PD324128 LIABILITY COVERAGE ® YES ❑ NO M YES ❑ NO ❑ YES © NO ❑ YES ❑ NO LIMITS OF LIABILITY a. Bodily Injury Each Person I NN 1 NM .�, .. Each Accident 1 MM_, b. Property Damage Each Accident 1 c. Bodily Injury & Property Damage Single Limit Each Accident 1 MM 1. MM PHYSICAL DAMAGE COVERAGES ❑ YES _ Z NO ❑ YES ONO ❑ YES ❑ NO ❑ YES ❑ NO a. Comprehensive $ Deductible $ Deductible $ Deductible �❑ $ Deductible _ ❑ YES ® NO © YES © NO ❑ YES NO ©YES ❑ NO b. Collision $ $ Deductible $ Deductible $ Deductible EMPLOYERS NON -OWNED _ _Deductible YES NO ❑ YES ONO ❑ YES ❑ NO ❑ YES © NO CAR OVERAGE HIRFD CAR LIABILITY ❑ YES NO ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO COVERAGE FLEET-COVERA FOR m ALLOWNEOAND CENSED ©Y S ® NO ❑ YES ® NO © YES ❑ NO © YES ❑ NO MOTOR VEH s City of Fort Collins Attn: Puzchasing PO sox Sao Fort Collins, 70 80522 122429.3 Rev. 07.26-2005 CRAMER STATE FARM GARY GRAMER 1275 E MACNOLIA ST., kI FORT COLLINS CO 80524 Request permanent Certificate of Insurance for Ilaolilty coverage. Request Certificate Holder to be added as an Additional Insured. 10-29-2