HomeMy WebLinkAboutFORWARD CONCEPTS INC - INSURANCE CERTIFICATE67
AMERICAN FAMILY
6" American Pkwy I Madison, WI 53783-0001 I 1-800-MY AMFAM (692-6326) I amfam.com
February 7.2012
+0000067 111-306 MEP019
CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS CO 80522-0580
POLICY NUMBER 05xe5076010011
RE: BUSINESS KEY POLICY
CANCELLATION DATE: 01/28/2012
INSURED: FORWARD CONCEPTS INC
1 1395 CALGARY RD
PEYTON CO 80831-6708
LOAN NUMBER:
This letter is to notify you of an important change, indicated by the paragraph checked below, in regard to your
interest in this policy.
X I. The coverages afforded by the above -numbered policy, issued by the company as identified thereon, will
be canceled on the dates shown above at the lime stated in the policy. All liability on the part of the
company, as to your interests, if any, will cease as of that date and time. Any return premium, which
results from cancellation, has been sent to insured directly or through the agent. Please contact same if
questions arise as a result of any premium payment from an escrow account.
2. We have been informed that you no longer have an interest in the above -numbered policy because your
loan has been satisfied. Therefore, as shown above, we have removed all indications of your interest in
the pol icy.
3. We have been informed that you are no longer a co-insured under the above numbered policy.
Accordingly, we have canceled your interest as co-insured as shown above.
4. "fire collision coverage will be removed from this policy on the date shown above at the time stated in
the policy. Comprehensive coverage will remain in force. The action was taken at the request of the
nsured.
5. The comprehensive coverage will be removed front this policy on the (lute shown above at the time
stated in the policy. Collision coverage will remain in force. This action was taken at the requcsl of die
insured.
6. The comprehensive and collision covemgcs, provided by this policy. will be removed on the dale shown
above at the time stated in the policy. This action was taken at the request of the insured.
7. The policy numbered above is canceled and replaced by Policy Number:
Commercial Lines - Farm/Ranch Division
American Family Mutual Insurance Company
AGENT: I I I-306 PHONE: 719-597-4330 888-397-8837
DEAN SKARET AGENCY, INC.
2340 N ACADEMY I3LVD
COLORADO SPRINGS CO 80909-1512
U-89
Stock No. 07394 Rev. 11197
128
AMERICAN FAMILY
6000 American Pkwy I Madison, WI 53783-0001 I 1-800-MYAMFAM (692-6326) I amfam.com
February 7. 2012
+0000128 111-306 SLG040
CITY OF FORT COLLINS
PO BOX 580
FT COLLINS CO 80522
POLICY NUMBER: 05XG507604
RE: -COMMERCIAL LIABILITY UMBRELLA POLICY
CANCELLATION DATE : 02/20/2012
INSURED: Forward Concepts Inc
1965 N ACADEMY BLVD STE A
COLORADO SPRI CO 80909-2739
LOAN NUMBER:
This letter is to notify you of an important change, indicated by the paragraph checked below, in regard to your
interest in this policy.
X I. The coverages afYorded.hy the above -numbered policy, issued by the company as identified thereon. will
he canceled on the dates shown above at the time stated in the policy. All liability on the part of the
company, as to your interests, if any, will cease as of that dale and time. Any return premium, which
results from cancellation, has been sent to insured directly or Ihrough the agent. Please contact same if
questions arise as a result of any premium payment From an escrow account.
2. We have been informed that you no longer have an interest in the above-numhered policy because your
loan has been satisfied. Therefore, as shown above, we have removed all indications of your interest in
the policy.
3. We have been informed that you are no longer a co-insured under file above numbered policy.
Accordingly, we have canceled your interest as co-insured as shown above.
4. The collision coverage will he removed Irom [his policy on the date shown above at the Iime stated in
the policy. Physical clantage other than collision coverage will remain in force. The action was taken at
the roqucst of the insured.
5. The physical damage other than collision coverage will be removed front this vehicle(s) on [he (late
shown above at the Iime stated in the policy. Collision covera,-e will remain in force. This action was
taken at the request of [he insured.
6. The physical damage other than collision and collision coverages, provided by this vehicle(s). will be
removed on the date shown above at the time stated in the policy. '['his action was taken at the request of
the insured.
7. The policy numbered above is canceled and replaced by Policy Number:
Commercial Lines - Fann/Ranch Division
American Family Mutual Insurance Company
AGENT: III-306 PHONE: 719-597-4330 888-397-8837
DEAN SKARET AGENCY, INC.
2340 N ACADEMY 131-VD
COLORADO SPRINGS CO 80909-1512
U B L-89-4
Stock No. 17764