HomeMy WebLinkAbout385513 FAIRCHILD TRUCKING LLC - INSURANCE CERTIFICATEJ I"ws'I ;Mimi= irwi m iFvo1Jmmni VC �rV 1Y1rM1Y1G�'
1555 Promontorryy Circle
Greefey CO 80638-0001
DATE OF NOTICE: JAN 312013
CODE:
368
AT1 20 A
003662 0055
THE CITY OF FORT COLLINS
ATTN: PURCHASING DEPARTMENT
215 N MASON
90. FORT COLLINS CO 80524-4402
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 Fire and Casualty Company
2531-F913-G
NAMED INSURED:
POLICY NO: 111 2968-E04-06M COVERAGE:
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FAIRCHILD TRUCKING LLC
YR/MAKE/MODEL: 1993 KENWORTH DUMP
925 TURMAN DR
VIN/CAMPER: 1 XKADB9X3PJ585587
FORT COLLINS CO 80525-9312
AGENT NAME: DOUG BALDWIN
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AGENT PHONE: (970)663-3790
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3RD PARTY INTEREST TERMINATED
g
EFFECTIVE FEB 13 2013
POLICY MESSAGES:
R
Protection of the third parry'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 third parts interests as they are affected by the ownership, maintenance,
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or use of the car described in the policy.
N
O
FRT