HomeMy WebLinkAbout297024 COLORADO MOSQUITO CONTROL INC - INSURANCE CERTIFICATE (2)1555 Promontory Circle
Greeley CO 80638-0001
109
Art 20
003142 0055
CITY OF FORT COLLINS
CITY HALL WEST
311 LAPORTE AVE
FORT COLLINS CO 80521-2719
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NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
DATE OF NOTICE: JAN 09 2014
CODE:
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 1983-FB05-S
NAMED INSURED: POLICY NO: F60 1683-Col-060 CAR 125 COVERAGE:
o ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1973 HOL TRAILER
N DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 7315868
695 N 7TH AVE AGENT NAME: DORIS STIPECH
> BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
¢ 3RD PARTY INTEREST TERMINATED
m EFFECTIVE JAN 22 2014
POLICY MESSAGES:
R Protection of the third party'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 party's interests as they are affected by the ownership, maintenance,
N or use of the car described in the policy.
NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED:
POLICY NO: F60 1683-COI-060 CAR 126 COVERAGE:
ADVANCED PEST MANAGEMENT INC
YRiMAKE/MODEL: 1991 SF TRAILER
DBA COLORADO MOSQUITO CONTROL
VIN/CAMPER: SF1 901 A08LO207591
695 N 7TH AVE
AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559
AGENT PHONE: (303)421-2191
3RD PARTY INTEREST TERMINATED
EFFECTIVE JAN 22 2014
POLICY MESSAGES:
Protection of the third party'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 party's interests as they are affected by the ownership, maintenance,
or use of the car described in the policy.
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NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: F60 1683-001-060 CAR 127 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR'MAKE/MODEL: 2003 WW TRAILER
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 11 WAF08193W274204
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON00 80601-1559 AGENTPHONE: (303)421-2191
3RD PARTY INTEREST TERMINATED
EFFECTIVE JAN 22 2014
POLICY MESSAGES:
Protection of the third party'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 party's interests as they are affected by the ownership, maintenance,
or use of the car described in the policy.
FFT
NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: F60 1683-COI-060 CAR 139 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2011 FORD PICKUP
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTFX1 EFXBKD03979
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
3RD PARTY INTEREST TERMINATED
POLICY MESSAGES: EFFECTIVE JAN 22 2014
Protection of the third party'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 party's interests as they are affected by the ownership, maintenance,
or use of the oar described in the policy.
NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 1983-FBO5-S
NAMED INSURED: POLICY NO: F60 1683-COI.060 CAR 9ZZ COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: FLEET
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
3RD PARTY INTEREST TERMINATED
EFFECTIVE JAN 22 2014
POLICY MESSAGES:
Protection of the third party'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 party's interests as they are affected by the ownership, maintenance,
or use of the oar described in the policy.
BCKI