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Home My WebLink About112297 VINEY TRUCKING INC - INSURANCE CERTIFICATE (7)STATE FARM INSURANCE COMPANIES® 1555 Promontory Circle Greeley CO 80638-0001 13A AT1 20 A 000611 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX 580 FORT COLLINS CO 80522-0580 DATE OF NOTICE: MAY 19 2011 CODE: 33380 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 Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 009 COVERAGE: S VINEY TRUCKING INC YR/MAKE/MODEL: 1996 LOWBOY TRAILER $1000 DIED. COMP. N PO BOX 1446 VIN/CAMPER: 4U181 DHX1 T1 X33033 $1000 DED. COLL. LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC > AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE m MAY 17 2011 UNTIL TERMINATED N POLICY MESSAGES: This policy shown above supersedes policy# 0571122.06K. The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice ui is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL INSUREDS NOTICE OFCOVERAGE ; ...... State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 013 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1997 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1XP5DB8X2VD433065 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: 'ZENDO! SEMEIJT-NO"60288E—POLICY -- —� T"" " POLICY EFFECTIVE"" " MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7.06L CAR 019 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1997 RANCO TRAILER $1000 DED. COMP. ' PO BOX 1446 VIN/CAMPER: 1 R9ESH509VLi)08586 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. MAY 172011 UNTIL TERMINATED The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT 'ADDITIONAL INSURED'S'NOTICE .OF COVERAGE:; State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17.06L CAR 054 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2001 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5DB9X41 D541292 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice $is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of N any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ------------------- ADDITIONAL INSUREWS NOTICE:OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 059 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2006 TRAVIS TRL DUMP $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 48X1 F392861004289 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 172011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITLONAL INSURED'S:NOTIC.E OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 060 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1999 RANCO TRL $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 R9ESB507XL008976 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 172011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. N A ADDITIONAL INSURED'S.NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 061 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2005 TRAIL KING TRL $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 TKL041275WO31044 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m am STATE FARM INSURANCE COMPANIES" 1555 Promontoryry Circle Greeley t 80638-0001 10A 20 A 000558 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX 580 FORT COLLINSLI CO 80522-0580 DATE OF NOTICE: MAY 18 2011 CODE: 33380 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'NOTICEOF COVERAGE':: State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: VINEY TRUCKING INC YR/MAKE/MODEL: PO BOX 1446 VIN/CAMPER: LAPORTE CO 80535-1446 AGENT NAME: AGENT PHONE: ENDORSEMENT NO: 057 1122-E17-06L CAR 063 COVERAGE: 2003 KENWORTH TRACTOR BI AND PD LIABILITY 1 XKWD89X13J705001 $ 2 MIL DARYL ALEXANDER INS AGCY INC $1000 DED. COMP. $1000 DED. COLL. (970)493-2196 6028BF POLICY EFFECTIVE m MAY 17 2011 UNTIL TERMINATED N POLICY MESSAGES: This policy shown above supersedes policy# 0571122.06K. The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL INSURED'S'NOTICEOF COVERAGE ' .. State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 064 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2006 TRAIL KING TRL $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 TKL0412X6W024736 $1000 DED. COLL. LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m ADDITIONAL;INSURED'SNOTICE'OFCOVERAGE— State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17.06L CAR 065 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2003 TRAVIS TRL $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 48Xt F382431002603 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of v any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT ADDITIONAL INSURED'S NOTICE OF COVERAGE`: State Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: VINEY TRUCKING INC YR/MAKE/MODEL: PO BOX 1446 VIN/CAMPER: LAPORTE CO 80535-1446 AGENT NAME: AGENT PHONE: ENDORSEMENT NO: 2157-F913-G. 057 1122-E17-06L CAR 066 COVERAGE:- 2006 TRAIL KING TRAILER $1000'DED. COMP. 1 TKLG41246WO54556 $1000 DED. COLL. DARYL ALEXANDER INS AGCY INC (970)493-2196 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice o is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of N any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m ADDITIONAL;INSURED'S_NOTICE.OF COVERAGE;:: State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 067 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2006 RANCO TRL DUMP $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 R9BSE50561-008848 $1000 DED. COLL. LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493.2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL.INSURED'SNOTICE:OF COVERAGE:;: State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 070 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2005 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5DB9X15D846500 $ 2 MIL LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COMP. AGENT PHONE: (970)493-2196 $1000 DED. LOLL. ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. N O A .-.._ _ _ ADDITIONAL:INSURED'S NOTICE.OF COVERAGE,:; State Farm Mutual Automobile Insurance ComP anY 2157-F913-G NAMED INSURED: POLICY NO: VINEY TRUCKING INC YR/MAKE/MODEL: PO BOX 1446 VIN/CAMPER: LAPORTE CO 80535-1446 AGENT NAME: AGENT PHONE: ENDORSEMENT NO 8-1 0571122-E17-06L CAR 071 COVERAGE: 2005 PETERBILT TRACTOR BI AND PD LIABILITY 1 XP5DB9X55D856513 $ 2 MIL $1000 DED. COMP. DARYL ALEXANDER INS AGCY INC $1000 DED. COLL. ' (970)493-2196 6028BF POLICY EFFECTIVE MAY 172011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. A - 0 1555 Promontory Circle Greeley CO 80638-0001 f0A 20 000558 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX FORT COLLINSLI CO 80522-0580 ADDITIONAL INSURED'S NOTICE OF COVERAGE :'.: DATE OF NOTICE: MAY 18 2011 CODE: 33380 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 Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 072 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2008 TRAIL KING TRAILER $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 TKLO41258WO38627 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. MAY 17 2011 UNTIL TERMINATED The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL INSURED'S;NOTICE ;OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 073 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2004 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5DB9X94D818538 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COMP. AGENT PHONE: (970)493-2196 $1000 DED. COLL. ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Unfit such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL INSURED'S NOTICE OF.COVERAGE , State Farm Mutual Automobile Insurance Company NAMED ENSURED: POLICY NO: VINEY TRUCKING INC YR/MAKE/MODEL: PO BOX 1446 VIN/CAMPER: LAPORTE CO 80535-1446 AGENT NAME: AGENT PHONE: ENDORSEMENT NO: 2157-F913-G 057 1122-E17-06L CAR 074 COVERAGE: 2008 TRAIL KING TRL DUMP $1000 DED. COMP. 1 TKS040228WO54961 $1000 DED. COLL. DARYL ALEXANDER INS AGCY INC (970)493-2196 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT ADDITIONAL INSURED'.S NOTICE: OF .COVERAGE: State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 075 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2005 KENWORTH TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1XKWDB9X95R096258 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COMP. AGENT PHONE: (970)493-2196 $1000 DED. COLL. ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122.06K. The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of $ any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m ;ADDITIONAL INSURED'S NOTICE OF .COVERAGE:: ` State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17.06L CAR 076 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2008 TRAIL KING TRAILER $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1TKSC40268W054963 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493.2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m ADDITIONAL INSURED'S'NOTIC.E OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 079 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2001 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XPFDB9X41 N541260 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COMP. AGENTPHONE: (970)493-2196 $t000DED.COLL. r ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. N A ADDITIONAL:INSURED'S NOTICE OF;,COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 080 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2004 KENWORTH TRACTOR $ 2 AND MIL PD LIABILITY PO BOX 1446 VIN/CAMPER: 1XKWDB9X04R065303 $1000 DED. COMP. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COLL. AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 172011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. 0 m 0 STATE FARM INSURANCE COMPANIES' 1555 Promontory Circle Greeley CO 80638-0001 f0A 20 A 000se8 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX 580 FORT COLLINSLI CO 80522-0580 51, 0 O r m N 0 N O DATE OF NOTICE: MAY 18 2011 CODE: 33380 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 Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 057 1122-El 7-06L CAR 081 COVERAGE: g VINEY TRUCKING INC YR/MAKE/MODEL: NONOWNED AUTO BI AND PD LIABILITY N PO BOX 1446 VIN/CAMPER: $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC > AGENT PHONE: (970)493.2196 ENDORSEMENT NO: 60286E POLICY EFFECTIVE g 6164OR 6165BT MAY 17 2011 UNTIL TERMINATED i POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice u1 is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. 0 M FRT ADDITIONAL INSURED'S NOTICE'OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 021 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2000 RANCID TRAILER $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 R9ESB505YL008170 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. MAY 17 2011 UNTIL TERMINATED The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of & any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m ADDITIONAL INSUREUS,NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 023 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1994 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1XP5DR9X7RD347733 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 172011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. A DITIONAL INSURED'S'NO TICE OTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 033 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1996 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XPFDB9X4TD398321 $ 2 MIL LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. N A .. ... .. .. lii�ADDITIONAL INSURED'S NOTICE OF. COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7.06L CAR 038 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1999 CMC TRAILER $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 T91 F3925X1247361 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. a W STATE FARM INSURANCE COMPANIES!�i`;�=, : O� 1555 Promontory Circle Greeley CO 80638-0001 13A 20 A 000611 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO 580 FORTOCOLLLINS CO 80522-0580 State Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: VINEY TRUCKING INC PO BOX 1446 LAPORTE CO 80535-1446 YR/MAKE/MODEL: VIN/CAMPER: AGENT NAME: AGENT PHONE: ENDORSEMENT NO: DATE OF NOTICE: MAY 19 2011 CODE: 33380 NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. 2157-F913-G 057 1122-El7-06L CAR 039 COVERAGE: 2001 PETERBILT TRACTOR BI AND PD LIABILITY 1 XP5D49X11 D550799 $ 2 MIL $1000 DED. COMP. DARYL ALEXANDER INS AGCY INC $1000 DED. COLL. (970)493-2196 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy* 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ---------------- ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 045 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2001 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XPFDB9X61 D563718 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COMP. AGENT PHONE: (970)493-2196 $1000 DED. COLL. -' - - " - ENDORSEMENT NO:-6028BF---- `- POLICY EFFECTIVE" MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy* 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. a ADDITIONAL INSURED'S.NO.TICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 054 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2001 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5DB9X41 D541292 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493.2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy* 0571122.06K. The policy includes a loss payable clause protecting.the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. a FRT State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 060 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1999 RANCO TRL $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 R9ESB507XL008976 $1000 DED. COLL. LAPORTE CO 80635-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493.2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policy* 0571122-06K. MAY 17 2011 UNTIL TERMINATED The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice $ is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of a any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m ADDITIONAL INSURED'S:NOTICE"OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 061 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2005 TRAIL KING TRL $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: ITKLG41275WO31044 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493.2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy* 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 063 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2003 KENWORTH TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XK W D89X13J705001 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COMP. AGENT PHONE: (970)493-2196 $1000 DED. LOLL. ENDORSEMENT NO: 60288E POLICY EFFECTIVE z MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy* 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. N A State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 065 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2003 TRAVIS TRL $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 48X1 F382431002603 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy* 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m 0 ASTATE FARM INSURANCE COMPANIES' 1555 Promontory Circle Greeley CO 80636-0001 13A 20 A 000611 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX COLLINS580 FORT LLICO 80522-0580 DATE OF NOTICE: MAY 19 2011 CODE: 33380 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 Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17.06L CAR 066 COVERAGE: ge VINEY TRUCKING INC YR/MAKE/MODEL: 2006 TRAIL KING TRAILER $1000 DED. COMP. N PO BOX 1446 VIN/CAMPER: 1 TKLO41246WO54556 $1000 DED. COLL. LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC > AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE m MAY 17 2011 UNTIL TERMINATEn POLICY MESSAGES: This policy shown above supersedes policy# 0571122.06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. POLICY MESSAGES: This policy shown above supersedes policy# 0571122.06K. MAY 17 2011 UNTIL TERMINATED The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. State Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: VINEY TRUCKING INC YR/MAKE/MODEL: PO BOX 1446 VIN/CAMPER: LAPORTE CO 80535.1446 AGENT NAME: AGENT PHONE: ENDORSEMENT NO: 2157-F913-G 057 1122-E17.06L CAR 079 COVERAGE: 2001 PETERBILT TRACTOR BI AND PD LIABILITY 1 XPFDB9X41 N541260 $ 2 MIL $1000 DED. COMP. DARYL ALEXANDER INS AGCY INC $1000 DED. COLL. (970)493-2196 6028BF POLICY EFFECTIVE MAY 17 2011UNTIL TERMINATEn POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT 717.7.7177.777771 ADDITIONAL INSURED'S;NOTICEOF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17.06L CAR 081 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: NONOWNED AUTO BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYLALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE 6164OR 6165BT MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. eo M a STATE FARM INSURANCE COMPANIES" ., .J 1555 Promontorryy Circle Greeley CO 80836 0 01 f0A AT1 20 A 0005M CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION t, gg PO BOX 580 FORT COLLINSLI CO 80522-0580 DATE OF NOTICE: MAY 18 2011 CODE: 33380 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'SAOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 009 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1996 LOWBOY TRAILER $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 4U181 DHX1 T1 X33033 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE o MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance a provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL INSURED'S'NOTICE;OF COVERAGE :: __.. State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 013 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1997 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5DB8X2VD433065 $ 2 MIL LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE - - MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m ADDITIONAL INSURED'SNOTIGE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7.06L CAR 019 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1997 RANCO TRAILER $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 R9ESH509VL008586 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. A FRT ADDITIONAL INSURED'S NOTICE'OF COVERAGE. State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7.06L CAR 021 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2000 RANCID TRAILER $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 R9ESB505YL008170 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policyi 0571122.06K. MAY 172011 UNTIL TERMINATED The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice v is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of N any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. 0 A ,ADDITIONAL .INSURED'S;NOTICE;OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 023 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1994 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5DR9X7RD347733 $ 2 MIL LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 172011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policyi 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within'l0 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. State Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: VINEY TRUCKING INC YR/MAKE/MODEL: PO BOX 1446 VIN/CAMPER: LAPORTE CO 80535-1446 AGENT NAME: AGENT PHONE: ENDORSEMENT NO: 2157-F913-G" 057 1122-El7-06L CAR 027 COVERAGE: 2000 CLEMENT TRAILER $1000 DED. COMP. 5C2BB32BXYM002671 $1000 DED. COLL. DARYL ALEXANDER INS AGCY INC (970)493-2196 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policyi 0571122-06K. The policy includes.a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. N O ADDITIONAL INSURED'S.NOTICE OF COVERAGE :: State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7.06L CAR 033 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1996 PETERBILT TRACTOR BI AND PD LIABILITY ' PO BOX 1446 VIN/CAMPER: 1XPFDB9X4TD398321 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policyi 0571122.06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of Nany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. m U.arrrrG rr�nrm 11\JVnMI\VG VVIr1 ■'!11•IG�pT=o: ;�y; -r�'d. +:� 1555 Promontory Circle Greeley CO 80638-0001 DATE OF NOTICE: MAY 18 2011 CODE: 33380 10A 20 000se8 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX 580 FORT COLLINSLI CO 80522-0580 NOTE: PLEASE NOTIFY STATE FARM. AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. 0-fIONAL INSURED'S NOTICE: OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-E17-06L CAR 038 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1999 CMC TRAILER $1000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1 T91 F3925X1247361 $1000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BF POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATEn POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL INSURED'S NOTICE OF COVERAGE..`.: State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 039 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2001 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5D49X11 D550799 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COMP, AGENT PHONE: (970)493-2196 $1000 DED. COLL. ENDORSEMENT NO: 60288E POLICY EFFECTIVE MAY 17 2011 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06K. The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. ADDITIONAL INSURED'SNOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7.06L CAR 045 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2001 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XPFDB9X61 D563718 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $1000 DED. COMP. AGENT PHONE: (970)493-2196 $1000 DED. COLL. ENDORSEMENT NO: 6028BF POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policyx 0571122-06K. MAY 17 2011 UNTIL TERMINATED The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. FRT