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HomeMy WebLinkAbout112297 VINEY TRUCKING INC - INSURANCE CERTIFICATE (9)STATE FARM INSURANCE COMPANIES® 1555 Promontorryy Circle Greeley CO 80638-0001 DATE OF NOTICE: JUL 28 2011 CODE: 33380 123 AT1 20 003073 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX 580 FORT COLLINS CO 80522-0580 A 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: 057 1122-El 7-06L CAR 064 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2006 TRAIL KING TRL BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 TKLC412X6W024736 LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 POLICY REINSTATED EFFECTIVE o & POLICY MESSAGES: JUN 22 2011 UNTIL TERMINATED 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 v� NN coming to their attention. Failure to do so will render this policy null and void. O W State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 061 COVERAGE: VINEY TRUCKING INC YR/MAKEIMODEL: 2005 TRAIL KING TRL PO BOX 1446 VIN/CAMPER: 1TKLO41275WO31044 LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC __AGENTPHONE:-_-1970?493:2196_-- 3RD PARTY INTEREST TERMINATED POLICY MESSAGES: EFFECTIVE AUG 10 2011 Protection of the additional insured's interest provided by this policy is terminated as of the effective date above for the following reason: Policy cancelled by insured. This advance notice is solely to protect the additional insured's interests as they are affected by the ownership, 0 maintenance, or use of the car described in the policy. FRT