HomeMy WebLinkAbout112307 E & LL TRUCKING - INSURANCE CERTIFICATE (6)R
STATE FARM INSURANCE COMPANIES®
1555 Promontory Circle
Greeley CO 80638-0001
155
AT 1 20 A
002403
CITY OF FORT COLLINS
ATTN: PURCHASING
PO BOX 580
FORT COLLINS CO 80522-0580
DATE OF NOTICE: JAN 16 2009
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 TERMI.N..ATION OF A THIRD: PARTY: INTEREST
State Farm fire and Casualty Company' 1680-F913-1
NAMED INSURED: POLICY NO: 153 5990-F24-06A COVERAGE:
CS E & LL TRUCKING INC YR/MAKE/MODEL: 1993 PETERBILT DUMP BI AND PD LIABILITY
N 941 E 4TH ST VIN/CAMPER: 1XPFDR9X5PD324128
LOVELAND CO 80537-5735 AGENT NAME: GARY CRAMER
m AGENT PHONE: (970)484-1374
3RD PARTY INTEREST TERMINATED
o EFFECTIVE JAN 29 2009
N POLICY MESSAGES:
Protection of the third party'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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