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HomeMy WebLinkAbout112297 VINEY TRUCKING INC - INSURANCE CERTIFICATE (11)STATE FARM INSURANCE COMPANIESe' 1555 Promontory Circle Greeley CO 80638-0001 96 AT1 20 A 002949 0055 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION V�..W� PO BOX 580 k'3u FORT COLLINS CO 80522-0580 DATE OF NOTICE: OCT 13 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. NOTICE OF TERMINATION OF AN ADDITIONAL. INSURED INTEREST State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: ✓ 10 POLICY NO: 0571122-El7.06L CAR 009 COVERAGE: VINEY TRUCKING INC PO BOX 1446 LAPORTE CO 80535-1446 1996 LOWBOY TRAILER 4U1 81 DHX1 T1 X33033 DARYL ALEXANDER INS AGCY IND (970)493-2196 3RD PARTY INTEREST TERMINATED m EFFECTIVE OCT 26 2011 N POLICY MESSAGES: 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, maintenance, or use of the oar described in the policy. N O M YR/MAKE/MODEL: VIN/CAMPER: AGENT NAME: AGENT PHONE: NOTICE,OF TERMINATION OF AN ADDITIONAL.INSURED INTEREST 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 PO BOX 1446 VIN/CAMPER: 1 R9ESH509VL008586 LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)a93-2196 • - 3RD PARTY INTEREST TERMINATED EFFECTIVE OCT 26 2011 POLICY MESSAGES: 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, maintenance, or use of the oar described in the policy. N9 mN O R NOTICE OF TERMINATION OF AN ADDITIONAL.INSUREDINTEREST 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 RANCO TRAILER PO BOX 1446 VIN/CAMPER: 1 R9ESB505YL008170 LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 3RD PARTY INTEREST TERMINATED EFFECTIVE OCT 26 2011 POLICY MESSAGES: 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, v maintenance, or use of the car described in the policy. co N FRT NOTICE OF TERMINATION.OF AN ADDITIONALINSURED INTEREST77771 State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7.06L CAR 027 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2000 CLEMENT TRAILER PO BOX 1446 VIN/CAMPER: 5C2683213XYM002671 LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 3RD PARTY INTEREST TERMINATED POLICY MESSAGES: EFFECTIVE OCT 26 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, $ maintenance, or use of the car described in the policy. N N :. .. .. . NOT tC (?F TERMINATION OF AN ADDITIONAL' INSURED, INTEREST 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 PO BOX 1446 VIN/CAMPER: 1 T91 F3925X1247361 LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 3RD PARTY INTEREST TERMINATED EFFECTIVE OCT 26 2011 POLICY MESSAGES: 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, v maintenance, or use of the car described in the policy. N ' mN O R NOTICE OF TERMINATION OF AN. ADDITIONAL INSURED. INTEREST 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: 2157-F913-G 0571122-El7-06L CAR 060 COVERAGE: 1999 RANCO TRL 1R9ES6507XL008976 DARYL ALEXANDER INS AGCYINC (970)493.2196 3RD PARTY INTEREST TERMINATED EFFECTIVE OCT 26 2011 POLICY MESSAGES: 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, maintenance, or use of the car described in the policy. 9 N N A NOTICE OF_TERMINATION:OF AN ADDITIONAL INSURED. INTEREST 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: 2157-F913-G 057 1122-El7.06L CAR 064 COVERAGE: 2006 TRAIL KING TRL 1TKLC412X6W024736 DARYL ALEXANDER INS AGCY INC (970)493-2196 3RD PARTY INTEREST TERMINATED EFFECTIVE OCT 26 2011 POLICY MESSAGES: 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. n N O O N _a STATE FARM INSURANCE COMPANIES® �s • 1555 Promontory Circle Greeley CO 80638-0001 96 20 A 002949 0055 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX 580 FORT COLLINSLI CO 80522-0580 DATE OF NOTICE: OCT 13 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. . .. ....... NOTICE'OF TERMINATION OF'AN:ADDITIONAL INSURED INTEREST State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-El7-06L CAR 066 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2006 TRAIL KING TRAILER N PO BOX 1446 VIN/CAMPER: 1TKLO41246WO54556 IAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC > AGENT PHONE: (970)493-2196 3RD PARTY INTEREST TERMINATED m EFFECTIVE OCT 26 2011 N POLICY MESSAGES: 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, ui maintenance, or use of the car described in the policy. NOTICE OF TERMINATION OF AN ADDITIONAL INSUREWNTEREST ... State Farm Mutual Automobile Insurance Company 2157-F913-G NAMED INSURED: POLICY NO: 0571122-Ell-061- CAR 067 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2006 RANCO TRL DUMP PO BOX 1446 VIN/CAMPER: 1 R9BSE50561-008848 LAPORTE CO 80535.1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 - - - - 3RD PARTY INTEREST TERMINATED - EFFECTIVE OCT 26 2011 POLICY MESSAGES: 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. m FRT