HomeMy WebLinkAboutWINICK STEVEN WINICK - INSURANCE CERTIFICATESTATE FARM INSURANCE COMPANIES@
1555 Promontorryy Circle
Greeley CO 80638-0001
11A
AT 20 A
000443
CITY OF FT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
DATE OF NOTICE: NOV 07 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 102 224D
WINICK, STEVEN J YR/MAKE/MODEL:
1- 25-OGI
1978 PETERBILT DUMP
11083 HIGHWAY 14 VIN/CAMPER:
112296N
AULTCO 80610-9573 AGENT NAME:
BILLCOFER
AGENT PHONE:
(970)223-7900
ENDORSEMENT NO:
60288F
COVERAGE.
BI AND PD UABILi ry
$ 1 MII. +,
$1000 DED. COMP.
$1000DED COLL.
POLICY EFFECTIVE
OCT 28 2008 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 1022241.06 1,
The policy includes a lose payable clause protecting the additional Insured's interest in the described car to the extent of tine insurance
provided and subjoct to all policy provisions. The additional insured will be giver, 10 days notice it the policy is tennimaed. Until such notioe
is provided, it shall be presumed that the required renewal premiums have, been paid. The additional insured moist notify us within 10 days of
any char,Ue of interest or ownership coming to their atterdion. Failure to do so will ienderthis policy null and void.
FRT