HomeMy WebLinkAboutGARY BJORKLUND - INSURANCE CERTIFICATEr CUSTOMER N0. CO-0100001
NATIONAL FARMERS UNION
H/ny PROPERTY AND CASUALTY COMPANY
5619 DTC Parkway Suite 300
!/NNAH� Greenwood Village, Colorado 80111-3136
TARGET RISK POLICY
VVM.NFUIC.COM
PERIODPOLICY NUMBER FROM TO POLICY EFFECTIVE TIME
12:01 A.M. STANDARD TIME AT THE
1CT0637621 02/22/11 02/22/12 ADDRESS OF THE NAMED INSURED C0000210
NAMED INSURED AND ADDRESS AGENT INSURED:
CITY OF FORT COLLINS JOHN C NOLAND
PURACHASING DEPT DBA NOLAND INDUSTRIES
PO BOX 580 121 E SWALLOW RD # 115
FT COLLINS CO 80522-0580 FORT COLLINS CO 80525-2568
LAPSE NOTICE - NONPAYMENT
This policy lapsed at 12:01 A.M. standard time on 02/22/11 because the premium
payment had not been received.
If a payment is processed prior to 04/15/11, the policy coverages will be continued.
THIS IS BEING PROVIDED FOR INFORMATIONAL PURPOSES ONLY.
Late payments may be subject to a processing fee.
If no payment is received, no further notice will be sent to you.
INSURED: GARRY BJORKLUND DBA LOAN NO:
THANK YOU FOR ALLOWING US TO PROVIDE THIS VALUABLE PROTECTION FOR YOU
........ .............................. - ._._._-...._....
Detach and return this portion with your payment Please write your policy number on your check.
Please remit a payment amount chosen from the options shown, prior to the due date.
A $6.00 service charge will be applied to all future installments.
Amount Enclosed
DUE DATE: 04/15/11
Farmers Union Insurance
Dept 1856
Denver, CO 80271-1856
II..I.I I.....I.I I...I...I I...I I I..I..I.I..I I....I.I I
A8 1CT0637621CO-0100001000182500000000000000000000000000000000003
04/01/11
FARMERS UNION INSURANCE: "YOU'RE NEVER ALONE - THAT'S OUR PROMISE TO YOU!"