HomeMy WebLinkAbout384033 J J'S TRUCKING - INSURANCE CERTIFICATE (15)OSTATE FARM INSURANCE COMPANIES9
'ems
1555 Promontory Circle
Greeley 00 80638-0001
DATE OF NOTICE: JAN 03 2011
CODE:
101
AT 1 20 A
001535
CITY OF FORT COLLINS
215 N MASON ST
FORT COLLINS CO 80524-4402
NOTICE..OF TERMINATION<OF A THIRD PARTY]ISITEREST
NOTE: PLEASE NOTIFY STATE FARM -AT THE
.:ADDRESS: LISTED AT THE TOP, LEFT CORNER
OF THIS 'PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
State Farm Fire and Casualty Company
1680-F913-1
NAMED INSURED:
POLICY NO:
117 3516-D10-06P
COVERAGE:
PFLIPSEN, STAN
YR/MAKE/MODEL:
1972 MACK DUMP
BI AND PD LIABILITY
DBA JJ'S TRUCKING
VIN/CAMPER:
R8711 LS12978
221 W DOUGLAS RD LOT 17
AGENT NAME:
GARY CRAMER
FORT COLLINS CO 80524.1392
AGENT PHONE:
(970)484-1374
3RD PARTY INTEREST TERMINATED
EFFECTIVE JAN 16 2011
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.
FRT