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Home My WebLink About206064 ARNOLD BURNS DBA A & B TRUCKING - INSURANCE CERTIFICATE (6)INTERLINE WI 00 97 07 06 DATE: 07/13/2012 ,`/•. WILSHIRE INSURANCE COMPANY P.O. Box 7006, Lancaster, California 93539-7006 NOTICE OF DELETION OF ADDITIONAL INTEREST Additional Interest Policy Number: CITY OF FORT COLLINS BA2480056 57 02 256 W. MOUNTAIN AVE. PO BOX 580 FORT COLLINS. CO 80524-0000 PLEASE BE ADVISED: You are hereby notified, in accordance with the terms and conditions of the referenced policy, that your interest as: 0 Additional Insured - Designated Person or Organization 0 Loss Payee Additional Insured - Lessor Named Lessee as Insured Additional Insured - Overline Carrier Additional Insured - Owner Of Goods X Additional Insured - Other: has been eleted from the captioned policy effective on the date and time noted below: If your interest appears as Loss Payee or Lessee, this Notice concerns coverage for the following vehicle: Year: Vehicle Description: Serial No.: If you feel that this Notice of Deletion has been issued in error, please contact the Named Insured, listed below. Countersigned at Lancaster. California this day 07/13/12 AuOonze4 Representative Policy Issued through Agency: HUB INTERNATIONAL TRANSP. 6075 EAST 60TH AVENUE COMMERCE CITY. CO 80022-0000 Named Insured: ARNOLD &BEVERLY BURNS DBA: A & B TRUCKING 420 E'VTH #55 LOVELAND„ C0 80538-00.00 ._ WI 00 97 07 06 Countersignature ADD'L INSURED 11110111111111Ell III III Ell 11111110I1111E011111101110 El III III Ell Ell IllIT] III IIIIIIIII Ell III 110IIUI1111aIlI11011111111113Ell III III Ell III Page 1 of 1 ❑W INTERLINE WI 00 97 07 06 DATE: 07/13/2012 WILSHIRE INSURANCE COMPANY P.O. Box 7006, Lancaster, California 93539-7006 NOTICE OF DELETION OF ADDITIONAL INTEREST Additional Interest Policy Number: CITY OF FORT COLLINS BA2480056 57 02 256 W. MOUNTAIN AVE. PO BOX 580 FORT COLLINS, CO 80524-0000 PLEASE BE ADVISED: You are hereby notified, in accordance with the terms and conditions of the referenced policy, that your interest as: FX-X-1 Additional Insured - Designated Person or Organization Loss Payee Additional Insured - Lessor 0 Named Lessee as Insured Additional Insured - Overline Carrier Additional Insured - Owner Of Goods Additional Insured - Other: has been deleted from the captioned policy effective on the date and time noted below: ->i n I I . .; If your interest appears as Loss Payee or Lessee, this Notice concerns coverage for the following vehicle: Year: , - Vehicle Description: Serial No.: If you feel that this Notice of Deletion has been issued in error, please contact the Named Insured, listed below. Countersigned at Lancaster California this day 07/13/12 AuNortzed Representagv Policy Issued through Agency: HUB INTERNATIONAL TRANSP. 6075 EAST 60TH AVENUE COMMERCE CITY, CO 80022-0000 Named Insured: ARNOLD & BEVERLY BURNS DBA: A & B TRUCKING - 420 E''-57TH #55 ` LOVELAND, CO 80538-0000 W1 00 97 07 06 Countersignature ADD'L INSURED 1111111111111111111111111111111 Hill HE 1111111111111 IIIII II Hill Hill 111111 It 111111111111 IIII III IN 11111 II11111111111111111111111111111110111111111IIII IIIII IIEI Hill 1111111111111111111 It Page 1 of 1 R INTERLINE WI 00 97 07 06 DATE: 07/13/2012 ►�1��I WILSHIRE INSURANCE COMPANY P.O. Box 7006, Lancaster, California 93539-7006 NOTICE OF DELETION OF ADDITIONAL INTEREST Additional Interest Policy Number: CITY OF FORT COLLINS BA2480056 57 02 256 W. MOUNTAIN AVE. PO BOX 580 FORT COLLINS, CO 80524-0000 PLEASE BE ADVISED: You are hereby notified, in accordance with the terms and conditions of the referenced policy, that your interest as: F—XX1 Additional Insured - Designated Person or Organization Loss Payee Additional Insured - Lessor Named Lessee as Insured Additional Insured - Overline Carrier Additional Insured - Owner Of Goods Additional Insured - Other: has been eleted from the captioned policy effective on the date and time noted below: If your interest appears as Loss Payee or Lessee, this Notice concerns coverage for the following vehicle: Year: Vehicle Description: Serial No.: If you feel that this Notice of Deletion has been issued in error, please contact the Named Insured, listed below Countersigned at Lancaster. California this day 07/13/12 Auftnze RepresenWhve Policy Issued through Agency: HUB INTERNATIONAL TRANSP. 6075 EAST 60TH AVENUE COMMERCE CITY, CO 80022-0000 Named Insured: ARNOLD & BEVERLY BURNS DBA: A & B TRUCKING 420 E. 57TH #55 LOVELAND, CO 80538-0000 WI 00 97 07 06 INSURED COPY 11111 Ill 1101 Ell mm 03 HE Iml M B Cwntemignamre I IIII IIII'III III' I III',II Page 1 of 1 ❑W INTERLINE WI 00 97 07 06 DATE: 07/13/2012 ►'.•.I WILSHIRE INSURANCE COMPANY P.O. Box 7006, Lancaster, California 93539-7006 MOM NOTICE OF DELETION OF ADDITIONAL INTEREST Additional Interest Policy Number: CITY OF FORT COLLINS BA2480056 57 02 256 W. MOUNTAIN AVE. PO BOX 580 FORT COLLINS, CO 80524-0000 PLEASE BE ADVISED: You are hereby notified, in accordance with the terms and conditionsof the referenced policy, that your interest as: Additional Insured - Designated Person or. Organization Loss Payee Additional Insured - Lessor Named Lessee as Insured Additional Insured - Overline Carrier Additional Insured - Owner Of Goods XX Additional Insured - Other: has been deleted from the captioned policy effective on the date and time noted below: If your interest appears as Loss Payee or Lessee, this Notice concerns coverage for the following vehicle: Year: Vehicle Description: Serial No.: If you feel that this Notice of Deletion has been issued in error, please contact the Named Insured, listed below. Countersigned at Lancaster. California this day 07/13/12 (te f ffiwze Represen5five n r/ . Policy Issued through Agency: HUB INTERNATIONAL TRANSP. 6075 EAST 60TH AVENUE COMMERCE CITY, CO 80022-0000 Named Insured: ARNOLD & BEVERLY BURNS DBA: A & B TRUCKING 420 E. 57TH #55 LOVELAND, CO 80538-0000 Countersignature WI 00 97 07 06 Page 1 of 1 INSURED COPY BnauiumIUIIUEUBIEMBIiuIHBIIIUIEoumuu MMIMiBnNUIRD IMMIR MIIIMMMUIMUEMBiB