HomeMy WebLinkAboutADVANCED PEST MANAGEMENT INC DBA COLORADO MOSQUITO - INSURANCE CERTIFICATEIt
1555 Promontoryry Circle
Greeley CO 80538-0001
49A
AT2 20
000879 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
.••y FORT COLLINS CO 80521-2719
1
�Illrlrlirrllll�ll'I�"I��I'I�Irlllr��llll��l�'��Illrlillllillill
DATE OF NOTICE: JAN 06 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.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR001 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1999 FORD PICKUP $500 DED. COMP.
ti DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTRX1 BL2XKB07220
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ro° ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
m JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described carte the e9dent of the insurance
n provided and subjeot to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
v; is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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n
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOS6
NAMED INSURED: POLICY NO: 2822193-AOI.06 CAR 002 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1997 NISSAN PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 N66D11 Y9V0316054
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ET POLICY EFFECTIVE
JAN D1 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described carte the eldent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the policy is terminated. Until such note*
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05S
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 003 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1997 NISSAN PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 NGSD1687VC319958
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy Includes a loss payable clause protecting the additional insured's interest in the described car to the e9dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notes
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-A01 -06 CAR 032 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DIED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: IFTYRIOD13PB20192
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1569 AGENT PHONE: (303)421-2/91
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subjeot to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB06-8
NAMED INSURED: POLICY NO: 2822193-A01-06 CAR033 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: IFTYRlGD23PB48924
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
983-FBoss
NAMED INSURED: POLICY NO:
282 2193-A01-06
CAR 034 COVERAGE:
ADVANCED PEST MANAGEMENT INC YRIMAKE/MODEL:
2003 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR1 OD53PBSI 865
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB0,6
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 035 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10DX3PB51716
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON 0080601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 60288T POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
KK1
STATE FARM INSURANCE COMPANIES
1555 Promonrorryy Cirole
Greeley CO 80638.0001
50A
AT2 20 A
000880 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
r- FORT COLLINS CO 80521-2719
rasp
LIUM
nIIIId�PIIP�II�uII�I�IPI�IhIIhrll�rnIIIlPlllllll'llllll
DATE OF NOTICE: JAN 06 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.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-F605s
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 036 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 HONDA ATV $100 DED. COMP.
c� DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 478TE260734214153
695 N 7TH AVE AGENT NAME: DORIS STIPECH
> BRIGHTON 0080601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
m JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
R The policy inoudes a loss payable clause protecting the additional insured's interest in the described car to the ardent of the insurance
M1 provided and subject to all pohoy provisions. The additional insured will be given 10 days notice If the policy is terminated. Until such notice
v� is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
n any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB056
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 037 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2000 GMC PICKUP $500 DED. COMP.
DBA COLORADO M08OUITO CONTROL VIN/CAMPER: 1GTEK14V9YE247740
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the ardent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBOSS
NAMED INSURED: POLICY NO:
282 2193-AOI-06
CAR 038 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
1998 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTZF1724WNB89508
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice lithe policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
$ FRT
LADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-Pets S
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR 039 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1997 FORD PICKUP $500 DED. COMP,
DBA COLORADO MOSQUITO CONTROL VINICAMPER: 1 FTCR10A4VUA38042
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause proteoting the additional insured's interest in the described oar to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice If the policy is terminated. Until such notes
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBO&S
NAMED INSURED: POLICY NO:
282 2193-AOI-06 CAR 040 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR10DX4PB23125
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the a)dent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FE058
NAMED INSURED: POLICY NO:
282 2193-Ao1-06 CAR 041 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR1 OD44PA74231
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional Insured's interest in the described car to the e)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBOS-8
NAMED INSURED: POLICY NO:
282 2193-AOI -06 CARo42 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR10D94PA47820
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421.2191
ENDORSEMENT NO:
6028ST POLICY EFFECTIVE
POLICY MESSAGES: JAN Ot 2014 UNTIL TERMINATED
The policy includes a lose payable clause proteoting the additional insured's interest in the described oar to the a#ant of the Insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice it the policy is terminated. Unfl suoh nolm
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do Be will render this policy null and void.
BCK1
STATE FARM INSURANCE COMPANIES
1555 Promontoryry Circle
Greeley CO 80638-0001
DATE OF NOTICE: JAN 06 2014
CODE:
50A
20
000880 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 043 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
rev DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D64PBO5558
695 N 7TH AVE AGENT NAME: DORIS STIPECH
> BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
r' JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
is The policy Includes a loss payable clause protecting the additional insured's interest in the described car to the sAgnt of the insurance
A provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
v� Is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify we within 10 days of
N any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-5
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 044 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR,MAKE/MODEL: 2004 FORD PICKUP $5DO DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD94PB19907
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the s4ent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums hew been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
0
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB06S
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 045 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD74PB31229
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN Ot 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the erdent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
q FRT
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO5 S
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR046 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 ODX4PB31970
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the e)dent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. UnIll such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-AOI.06 CAR 047 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 DD04PB31220
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN Ot 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the e)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of Interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBO58
NAMED INSURED: POLICY NO:
2822191-06
CAR 048 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2004 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR10D64PS31223
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421.2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional Insured's interest In the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do to will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 049 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: IFTYRIOD14PB31226
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the desodbed oar to the ardent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
WKI
STATE FARM INSURANCE COMPANIES
1555 Pmmcntoryry Circle
Greeley CO 80638-0001
DATE OF NOTICE: JAN 06 2014
CODE:
6Y87al
20
0008M 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FB05-6
NAMED INSURED: POLICY NO:
282 2193-AO1-06
CAR 050 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2004 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR1 OD24PB31221
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601.1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the desoribed oar to the ardent of the insurance
provided and subjectto all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBO5 S
NAMED INSURED: POLICY NO:
282 2193-AOI-06
CAR 051 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2004 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL YIN/CAMPER:
1 FTYRIOD54PB31228
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO BDGDI.1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice If the policy is terminated. Until such nolice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will renderthis policy null and void.
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 19B3-FBOSS
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR052 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRIOD34PB31230
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the ardent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, It shall be presumed that the required renewal premiums haw been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will ender this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 053 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRl OD04PA40593
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES:
JAN 012014 UNTIL TERMINATED
The policy Includes a loss payable clause protecting the additional insured's interest in the described car to the eldent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AOI.06 CAR 054 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP BI AND PO LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRI OD14PA03181 $1 MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 500 DIED. COMP.
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191 500 DED.COLL.
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause proteotlng the additional insured's interest in the described car to the edent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notioe
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBo5-8
NAMED INSURED: POLICY NO: 2822193-AOI.06 CAR 055 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP,
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRl OD54PB31231
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421.2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause proteotlng the additional insured's interest in the described car to the edent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice If the policy Is terminated. Until such notice
1s provided, It shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO56
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR056 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRIOD34PB31227
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable cause proteotlng the additional insured's Interest in the described car to the edent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the policy is terminated. Until such not"
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
BCK1
STATE FARM INSURANCE COMPANIES
1555 Promontorryy Circle
Greeley 00 80838-0001
DATE OF NOTICE: JAN 06 2014
CODE:
VOT-1
20
0003a) 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB06S
NAMED INSURED: POLICY NO: 282 2193-AO 1 -06 CAR057 COVERAGE:
CEP ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED COMP.
rT,+ DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD44PB31222
695 N 7TH AVE AGENT NAME: DORIS STIPECH
r BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
e JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
R The policy includes a lose payable clause protecting the additional insured's interest in the described carte the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
v� is provided, tonal be presumed that the required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
re
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 058 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR11 U04PB31233
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy inoludes a loss payable clause protecting the additional insured's interest in the described carte the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
0
ry
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 059 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR11 U24PB31234
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the desorlbed car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
PRT
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 060 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2001 POLARIS ATV $100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 4XACH33A8YO116053
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The polioy inoludes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subjectto all policy provisions. The additional Insured will be given 10 days notice if the policy is terminated. Until suoh notice
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05.8
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 061 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1973 HOL TRL $100 DIED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 7315868 250 DED. COLL,
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the e)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR062 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1991 SF TRL $100 DIED . COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: SF19OIA08LO207591 $250 DED. COLL.
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy Includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO6.8
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR063 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 WW TRL $100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 11 WAF08193W274204 $250 DIED COLL.
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 60288T POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause proteoting the additional insured's interest in the described car to the extent of the Insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
BGKi
STATE FARM INSURANCE COMPANIES®
�a
1555 Promontorryy Circle
Greeley CO 80838-0001
50A
20 A
000880 cogs
CITY OF FORT COLLINS
300 LAPORTE AVE
r• FORT COLLINS CO 80521-2719
DATE OF NOTICE: JAN 06 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.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOG6
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR064 COVERAGE:
o ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 HONDA ATV $100 DED COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 478TE2547"
695 N 7TH AVE AGENT NAME: DORIS STIPECH
> BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
e ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
m' JAN 01 2014 UNTIL TERMINATED
& POLICY MESSAGES:
$ The policy includes a lose payable clause protecting the additional insured's interest in the described car to the rodent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notice
L6 is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
/983-FB05.6
NAMED INSURED: POLICY NO:
282 2193-Ao1-06
CAR D65 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2007 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1FTYR10DX7PA69586
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO: 60288T
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a love payable clause protecting the additional insured's interest in the described carte the ardent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
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e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB056
NAMED INSURED: POLICY NO: 2822/93-A01-06 CAR066 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2007 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D97PA68025
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions, The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
r any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
FRT
R
I�
I�
i
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB0,5-S
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR004 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1991 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 2FTDF15Y9MCA56358
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO $0601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN Ot 2014 UNTILTERMINATED
The policy includes a lose payable clause protecting the additional Insured's interest in the described oar to the erdent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional insured must nctty us within 10 days o1
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBDSS
NAMED INSURED: POLICY NO: 2822193-AO1-06 CAR005 COVERAGE:
ADVANCED PEST MANAGEMENT INC YRIMAKE/MODEL: 1995 FORD PICKUP BI AND PC LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTDFI 5YXSLA90229 ¢ 1 MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 500 DED. COMP.
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191 500 DED.COLL.
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES: JAN Of 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the eldent of the Insurance
provided and sublect to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05S
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR006 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2001 MAZDA PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 4F4YR12D31TM18171
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 60288T POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy Includes a loss payable clause protecting the additional insured's interest in the described car to the erdent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1953-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AO1.06 CAR 007 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1999 FORD PICKUP $500 DED. COMP,
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OVI XUB08723
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the eldent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
BCK1
e
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FB058
NAMED INSURED: POLICY NO: 282 2193•A01-06 CAR 067 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2007 YAMAHA ATV $100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 5YRAH16Y57A001883
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1569 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the rodent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premlums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
I ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 068 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2008 CHEVROLET 4DR $500 DED. COMP
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: KL1TD66638B162230
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the witent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the policy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must natty us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05S
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 069 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2008 CHEVROLET 4DR $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: KL1 TD666X8B037872
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the eldent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOS6
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 070 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2009 GMC PICKUP $500 DED COMP
DBA C0L0RAD0 M08QUIT0 CONTROL VIN/CAMPER: 1 GTE K 14X 1 9Z1 59471
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON 0080601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable cause protecting the additional insured's interest in the described car to the eldent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice it the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
9CK1
STATE FARM INSURANCE COIN
1555 Promontorryy Circle
Greeley CO 80638-0001
59A
AT2 20
001015 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
rh�llllilll�'hNlll�lrll��lllpN�llllulllllrll��l�llllllhl
DATE OF NOTICE: JAN 07 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.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR036 COVERAGE:
o ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 HONDA ATV $100 DED. COMP.
'a DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 47STE250734214153
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
u' JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
S The policy includes a loss payable clause protecting the additional insured's Interest in the desoribed car to the exent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
A Is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
Rany change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
d
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBOSS
NAMED INSURED: POLICY NO:
282 2193-AOI.06
CAR 037 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2000 GMC PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 GTEK14V9YE247740
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO: 6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
6 is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
a
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 038 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1998 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTZF1724WNS89508
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 60288T POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
e any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
FRT
R
8
I$
D
R
f ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 039 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1997 FORD PICKUP $500 DED COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTCRI OA4VUA38042
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the eldent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice it the policy is terminated. Until suoh notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR040 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10DX4PB23125
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the e)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notioe
is provided, it shall be presumed that the required renewal premiums have been paid. The addilonal insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FB05 S
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 041 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D44PA74231
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the a#ant of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additonal insured must notity us within 1 D days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 2822193-A01-06 CAR042 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD94PA47820
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the eldent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed thatthe required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
BCK1
'1 DATE OF NOTICE: JAN 07 2014
Greeley CO 80638-0001 Promontoryry Circle CODE:
ree
59A
20 A
001015 0093
CITY OF FORT COLLINS NOTE: PLEASE NOTIFY STATE FARM AT THE
300 LAPORTE AVE ADDRESS LISTED AT THE TOP, LEFT CORNER
FORT COLLINS CO 80521-2719 OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
rn
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSs
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 043 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D64PBO5558
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
e JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable dause protecting the additional insured's interest in the described car to the rodent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice lithe policy Is terminated. Until such notice
,nn is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do to will render this policy null and void.
e
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO58
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 044 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D94PB19907
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the polloy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Fallure to do so will renderthis policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO58
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR o45 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DIED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRIOD74PB31229
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the polloy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notty us within 10 days of
v any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
FFT
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB068
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 046 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10DX4PB31970
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421.2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN Ot 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the e)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will tender this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOS8
NAMED INSURED: POLICY NO: 282 2193-AOI.06 CAR 047 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRlOD04PB31220
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6020BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the rodent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional insured must natty us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO5.8
NAMED INSURED: POLICY NO: 282 2193-AD1-06 CAR 048 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKEIMODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRIOD64PB31223
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 60286T POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the a)dent of the Insurance
provided and subject to all polioy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do to will tender this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 049 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10014PB31226
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 012014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest In the described oar to the cadent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice If the policy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional Insured must notify us within 10 days of
any change of Interest or ownership coming to their attention. Failure to do so will render this policy null and void.
6CK1
STATE FARM INSURANCE COMPANIES
t DATE OF NOTICE: JAN 07 2014
1555 Promonlory Circle CODE:
Greeley CO 830638-0001
59A
20 A
GIB LLINSS NOTE: PLEASE NOTIFY STATE FARM AT THE
CITY OF FORT COCOLLINSDDRESS LISTED AT THE TOP, LEFT CORNER
300 LAVEACE OF THIS PAGE REGARDING ANY CHANGE OF
FORT COLLINCO 80521-2719 ADDRESS INFORMATION.
N
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 050 COVERAGE:
QaQ ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
F DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D24PB31221
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON 00 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
& POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's Interest in the desoribed oar to the &:dent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
,d Is provided, it shall be presumed that the required renewal premiums haw been paid. The addltional Insured must notify us within 10 days of
11 any change of interest or ownership coming to their attention. Failure to do to will render this polioy null and void.
T
w
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FB056
NAMED INSURED: POLICY NO:
282 2193-Ao1-06
CAR 051 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2004 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR10D54PB31228
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
I ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR052 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP,
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD34PB31230
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1569 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do to will render this policy null and void.
& FRT
R
I�
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBOSS
NAMED INSURED: POLICY NO:
282 2193-AOI-06
CAR 053 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2004 FORD PICKUP
$500 DED COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR1 OD04PA40593
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601.1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TER
POLICY MESSAGES:
MINATED
The policy includes a loss payable clause protecting the additional insured's Interest in the described oar to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR 054 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTYRIOD14PA03181 1 MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 500 DED. COMP.
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191 500 DED. COLL.
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until suoh notios
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 055 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD54PB31231
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do to will renderthis policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOS8
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 056 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRI OD34PB31227
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause proteoting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coning to their attention. Failure to do so will render this policy null and void.
BW
DATE OF NOTICE. JAN 07 2014
y
Promontorryy Circle
Gme W CODE:
Greeley80638-0001
59A
20 A
001015 0093NOTE: PLEASE NOTIFY STATE FARM AT THE
CITY OF FORT COLLLINSS
300 LAPORTE AVE ADDRESS LISTED AT THE TOP, LEFT CORNER
FORT COLLINS CO 80521-2719 OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 057 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DIED. COMP.
it DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D44PB31222
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
a ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
o JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
8 The policy includes a lose payable clause protecting the additional insured's interest in the described car to the edent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
ui is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
7 any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ro
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 058 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR11 U04PB31233
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the eldent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coaling to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 059 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR11 U24PB31234
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1659 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes, a loss payable clause protecting the additional insured's interest in the desoribed car to the eldent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is, terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
FRT
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO&S
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 060 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2001 POLARIS ATV $100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 4XACH33A8YD116053
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421.2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable cause protecting the additional insured's interest in the described oar to the sldent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-A01.06 CAR 061 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1973 HOL TRL 100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 7315868 250 DED. COLL.
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 0/ 2014 UNTIL TERMINATED
The policy includes a loss payable cause protecting the additional insured's interest in the described oar to the adent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 2822193-A01-06 CAR062 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1991 8F TRL $100DED.COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 81`1901A081-0207591 $250 DED. COLL.
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable cause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until ouch notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO5S
NAMED INSURED: POLICY NO: 262 2193-AOI-06 CAR 063 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 WIN TRL $100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 11 WAF08193W274204 $250 DED. COLL.
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable cause protecting the additional insured's interest in the described car to the ardent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
BCK1
1555 Promontory Circle
Greeley CO 80638-0001
DATE OF NOTICE: JAN 07 2014
CODE:
59A
20
001015 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 064 COVERAGE:
o ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2004 HONDA ATV $100 DED. COMP.
ram:+ DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 478TE254744
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
m JAN 012014 UNTIL TERMINATED
& POLICY MESSAGES:
m The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
8 provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must natty us within 10 days of
any change of interest or ownership coming to their attention. Failure to do to will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FB05-S
NAMED INSURED: POLICY NO:
2822193-Ao1-06
CAR065 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2007 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1FTYR10Dx7PA69586
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE:
(303)421-2191
ENDORSEMENT NO: 6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subjectto all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05S
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 066 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2007 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD97PA68025
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all polioy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
FRT
STATE FARM INSURANCE COMPANIES
1555 Promontorryy Circle
Groeley CO 806.48-0001
DATE OF NOTICE: JAN 06 2014
CODE:
59
49A
20
000879 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 008 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1998 CHEVROLET PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1GCGK29R6WE153029
695 N7TH AVE AGENT NAME: DORIS STIPECH
> BRIGHTON GO 80601-1559 AGENTPHONE: (303)421-2191
tce ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
o JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's intsrosl in the described car to the oident of the Insurance
" provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
,i is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do to will render this policy null and void,
b
a
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO56
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR 009 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2002 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD32PA70507
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The polioy includes a loss payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice lithe policy is terminated. Until such notice
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR 010 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2002 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTYRIDD12PA70473
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
v any change of interest or ownership coming to their attention. Failure to do to vnll render this policy null and void.
FRT
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO"
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 067 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKEIMODEL: 2007 YAMAHA ATV $100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 5YRAH16Y57A001883
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the ardent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR068 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2008 CHEVROLET 4DR $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: KLl TD66638B162230
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional Insureds interest in the described oar to the erdent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 069 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2008 CHEVROLET 40R $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: KL1TD666X8B037872
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums haw been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOS8
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR 070 COVERAGE:
ADVANCED PEST MANAGEMENT INC YRIMAKE/MODEL: 2009 GMC PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 GTEK14X19Z159471
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the ardent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, It shall be presumed that the required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
WKI
1555 Promonl0rryy Circle
Greeley CO 83L 38-0001
DATE OF NOTICE: JAN 07 2014
CODE,
58A
AT2 20
001014 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
�I�I�i�llllllll'�11111111�11�111�1�1111111111111�111111111�111�11
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOS8
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 001 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1999 FORD PICKUP $500 DED. COMP.
ry DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTRX1 BL2XK807220
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the cadent of the insurance
" provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until suoh notice
ui is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
R9any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 002 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1997 NISSAN PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 N6SD11 Y9V0316054
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON 0080601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The addltional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
0
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 003 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1997 NISSAN PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 N6SD1667VC319958
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1659 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 012014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause proteoting the additional Insured's Interest In the described carte the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
oe Fqr
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 2822193-A01.06 CAR 004 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1991 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 2FTDF16Y9MCA56358
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the desoribed oar to the extent of the insurance
provided and subjectto all polloy provisions. The additional insured will be given 10 days notice if the polioy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
Stale Farm Mutual Automobile Insurance Company 1983-FB06S
NAMED INSURED: POLICY NO: 2822193-A01-06 CAR005 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1995 FORD PICKUP BI AND PO LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTDFI 5YXSLA90229 $1 MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 5500 DIED. COMP.
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191 E500 DIED. COLL.
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy inoludes a lose payable clause protecting the additional insured's interest in the described car to the extent of the Ineuranos
provided and subjectto all policy provisions. The additional Insured will be given 10 days notice if the polioy is terminated. Until suoh notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 006 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2001 MAZDA PICKUP $500 DED COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 4F4YR12D31TM18171
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subjectto all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-6
NAMED INSURED: POLICY NO: 282 2193-A01.06 CAR 007 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1999 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRIOVl XUB08723
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable cause protecting the additional msursd's interest in the described car to the extent of the insurance
provided and subjectto all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any ohange of interest or ownership coming to their attention. Failure to do so will renderthis policy null and void.
B K1
77--
STATE
1555Promont ry Cirole
Greeley CO 50638-0001
DATE OF NOTICE: JAN 07 2014
CODE:
N
58A
20
001014 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB056
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 008 COVERAGE:
o ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1998 CHEVROLET PICKUP $500 DIED . COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: IGCGK29R6WE153029
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENTPHONE: (303)421.2191
ce ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
o JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
-' provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed thatthe required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ro
I ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FBO5S
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 009 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2002 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D32PA70507
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the rodent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify, us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FB05 S
NAMED INSURED: POLICY NO:
282 2193-AO1-06
CAR 010 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2002 FORD PICKUP
$500 DED. COMP
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR1 OD12PA70473
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601.1559 AGENTPHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
q FRT
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 2822193-A01-06 CAR011 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: IFTRXl BL83NB67494
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the e)dent of the Insurance,
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it $hall be presumed that the required renewal prensums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB06S
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 012 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD93PB35488
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest In the described car to the extent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice If the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB056
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR 013 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10003PS35489
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
v' any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
A
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO5.8
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR 014 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTYRlOD73PB35490
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable olauee protecting the additional insured's interest in the described oar to the ardent of the Insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice lithe policy is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
R
BCKI
DATE OF NOTICE. JAN 07 2014
f 555 Pmmontorryy Circle CODE:
Greeley CO 30838-0001
56A
20 A
001014 0093
CITY OF FORT COLLINS NOTE: PLEASE NOTIFY STATE FARM AT THE
300 LAPORTE AVE ADDRESS LISTED AT THE TOP, LEFT CORNER
FORT COLLINS CO 80521-2719 OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR015 COVERAGE:
g ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
N DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD43PB35494
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
m' JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
ui is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-F80Ss
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 016 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRlOD23PS35493
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 2822193-A(11-06 CAR017 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D93PB35491
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTONCO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 60288T POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional Insured's Interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notes if the polioy is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notfy us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
FRT
R
9 N
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e
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO56
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 018 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD73PB35487
695 N 7TH AVE AGENT NAME: DORIS 6TIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 60288T POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described carto the extent of the insurance
provided and subject to all polioy provisions. The additional insured will be given 10 days notice if the polioy is terminated. Untll such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 019 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRIOD53PB35486
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy proveions. The additional insured will be given 10 days notice if the policy Is terminated. Until such notice
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must natty us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 020 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTYR10033PB35485
695 N 7TH AVE AGENT NAME: DORI8 8TIPECH
BRIGHTON CO 80601-1669 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy Includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such nodes
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO5S8
NAMED INSURED: POLICY NO: 282 2193-A01 -06 CAR 021 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10DX3PB35483
695 N 7TH AVE AGENT NAME: DORIS 8TIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described carto the extent of the Insurance
provided and subjectto all policy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such notice
to provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must natty us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
I
KKI
1555 Promontorryy Circle
Greeley CO 80638-0001
DATE OF NOTICE: JAN 07 2014
CODE:
58A
20
001014 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 81521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
I ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR 022 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
ry DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRI OD83PB35482
695 N 7TH AVE AGENT NAME: DORIS STIPECH
3 BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
e ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
m JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the e#ent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notioe if the policy is terminated. Until such notice
n is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership ooming to their attention. Failure to do so will render this policy null and void.
0
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FB05-S
NAMED INSURED: POLICY NO:
282 2193-AOI-06
CAR 023 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE)MODEL:
2003 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR10D63PB35481
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO: 6028BT
POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described carto the eldent of the Insurance
provided and subject to all polloy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
�y any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
n
ADDITIONAL INSURED'S NOTICE OF COVERAGE J
State Farm Mutual Automobile Insurance Company 1983-FBO58
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR 024 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OMPB35480
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENT PHONE: (303)421.2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the desodbed oar to the eldent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice If the polioy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any ohange of interest or ownership Doming to their attention. Failure to do so will render this policy null and void.
FRT
S1
19
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is
e
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR025 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D83PB36479
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON 0080601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 602BBT POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR026 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRIOD63PS35478
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid, The additional insured must notify us within 10 days of
any ohange of interest or ownership coning to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-6
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR027 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D03PB35492
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the desoribed car to the a#ant of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice lithe policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOS S
NAMED INSURED: POLICY NO: 282 2193-AO1-08 CAR 028 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD93PB48953
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The pollcy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
[ K1
1555 Promontoryry Circle
Greeley CO so 36-0001
58A
20
001014 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
N
DATE OF NOTICE: JAN 07 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.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05 S
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 029 COVERAGE:
o ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
ry DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD83PB51603
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
o JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
S The policy inoludes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notice
v� is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
w any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO5-6
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 030 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D23PS51757
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 031 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKF/MODEL: 2003 FORD PICKUP $500 DIED . COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10063PB51826
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON 0080601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until suoh notioe
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
�s FRT
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Form Mutual Automobile Insurance Company 1993-FBO56
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 011 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTRX18L83NB67494
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 012014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice It the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO&8
NAMED INSURED: POLICY NO: 282 2193-AOI.06 CAR 012 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTYRlDD93PB35488
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the Insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice If the policy is terminated. Until such notlos
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR013 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: IFTYRlOD03PB35489
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additonal insured will be given 10 days notice if the policy is terminated. Until such not"
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership oomi ng to their attention. Fallu re to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO&S
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 014 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10073PB35490
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN Ot 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until cuoh notice
is provided, It shall be presumed that the required renewal premiums haw been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
SCK1
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR032 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED COMP
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRI OD13PB20192
695 N 7TH AVE AGENT NAME: DORM STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notioe
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 2822193-A01-06 CAR033 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRlOD23PB48924
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy inoludes a lose payable clause protecting the additional insured's interest in the described car to the extent of the Insurance
provided and subject to all policy provisions. The addifional insured will be given 10 days notice if the policy is terminated. Until suoh notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
Slate Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 034 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTYR10053PBS1865
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN Ot 2014 UNTIL TERMINATED
The polioy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Unfit such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
Stale Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 035 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DSA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10DX3PB51716
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6026ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all polioy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any ohange of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
STATE FARM INSURANCE COMPANIES
1555 Promontory Circle
Greeley CO 80638-0001
DATE OF NOTICE: JAN 06 2014
CODE:
M
51A
AT1 20
000881 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
�Id�n'I��I��ilirl'll�ll'�'III'�I'�"�I'��illlill11111�ri111111
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-A01 -06 CAR071 COVERAGE:
o ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2008 FORD PICKUP BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: IFTPX14VIBKC77794 tMIL
500 DED. COMP.
695 N 7TH AVE AGENT NAME: DORIs STIPECH 500 DED. COLL.
i BRIGHTON CO 80601-1559 AGENTPHONE: (303)421.2191
¢ ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
g POLICY MESSAGES: JAN Ot 2014 UNTIL TERMINATED
�
R The policy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional Insured will be given 10 days notice if the policy is tem mated. Until such notice
v�g is provided, it shall be presumed that the required renewal prom!ums have been paid. The additional insured must notify us within 10 days of
SN any change of interest or ownership coming to their attention. Failure to do so will tender this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO&S
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 072 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2010 FORD PICKUP BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTLR4FEOAPA40570 1 MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 500 DED. COMP.
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191 $500 DED. COLL.
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO5-S
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR073 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2011 FORD PICKUP BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTFX1 EFXBKOD3979 f 1 MIL
695 N 7TH AVE AGENT NAME: DORI8 STIPECH 500 DED. COMP.
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191 S00 DED. COLL.
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the desorlbed oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the polloy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO&S
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR074 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2002 SPORT TRIA TRL UTLY s100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 5APUF10192LOGI 736 5250 DED. COLL.
695 N 7TH AVE AGENT NAME: DORI8 STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421.2191
ENDORSEMENT NO: 60288T POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the exdent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 2822193-AOI.06 CAR075 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2011 FORD PICKUP BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTFX1EF2BFD30196 $ 1 MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 500 DED. COMP.
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191 500 DED. COLL.
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the ®)dent of the Insurance
provided and subject to all polioy provislons. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
Stale Farm Mutual Automobile Insurance Company 1983-FB05-6
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 076 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2012 YAMAHA ATV $1 CODED COMP.
OSA COLORADO MOSQUITO CONTROL VIN/CAMPER: 5Y4AH29Y8CAO08998
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do to will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AO 1 -06 CAR077 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1997 STARLITE TRL UTLY 6100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 13YF60813VO064491 250 DED. COLL.
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 012014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
BCK1
1555 Promontorryy Ci cfe
Greeley CO 80638-0001
60A
AT1 20
001016 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
nlll4hl��r�lllrhl�lllllnllllnll��rvl�lll��ll�lrlll�nll
DATE OF NOTICE. JAN 07 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.
I ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FBOS-8
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR071 COVERAGE:
o ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2008 FORD PICKUP BI AND PD LIABILITY
ry DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTPX14V18KC77794 $1 MIL
$500 DED. COMP.
695 N 7TH AVE AGENT NAME: DORIS STIPECH $500 DED. COLL.
> BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
¢ ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
m JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice If the policy is terminated. Until such notioe
v; is provided, it shall be presumed thatthe required renewal premiums have been paid. The additional insured must notify us within 10 days of
ry any change of Interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
I ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 072 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2010 FORD PICKUP BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTLR4FEOAPA40570 1 MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 500 DED, COMP.
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191 500 DED COLL.
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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I ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FB05 S
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR073 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2011 FORD PICKUP BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTFXI EFXBKD03979 1 MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 500 DED. COMP.
500 DED. COLL.
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN Ot 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
Provided and subject to all policy provisions. The additional Insured will be given 10 days notice If the policy is terminated. Until such notice
Is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBOSS
NAMED INSURED: POLICY NO:
282 2193-AOI-06
CAR 074 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2002 SPORT TRIA TRL UTLY
$100DED.COMP.
OBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
5APUF1 01 92LOOl 735
$250 DED. COLL.
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FBOS6
NAMED INSURED: POLICY NO: 282 2193-AOI.06 CAR 075 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2011 FORD PICKUP BI AND PD LIABILITY
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTFX1EF2BFD30196 1MIL
695 N 7TH AVE AGENT NAME: DORIS STIPECH 500 DED. COMP.
BRIGHTON CO 80601-1559 (303)421-2191 500 DEC. COLL,
ENDORSEMENT NO: 6028BT
POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is temunated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must natty us within 10 days of
any change of Interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FB05.S
NAMED INSURED: POLICY NO: 2822193-Ao1.06 CAR 076 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2012 YAMAHA ATV $100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 5Y4AH29YBCA008998
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy inoludes a loss payable clause protecting the additional insured's interest in the desorbed car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
I ADDITIONAL INSURED'S NOTICE OF COVERAGE I
State Farm Mutual Automobile Insurance Company 1983-FBI
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 077 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 1997 STARLITE TRL UTLY $100 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 13YF60813VO064491 $250 DED. COLL.
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTILTERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the desorbed ao r to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice If the policy Is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
BCK1
1555 Promontorryy Circle
Greeley CO 80638-0001
DATE OF NOTICE: JAN 06 2014
CODE:
49A
20
000879 0093
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05.S
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 015 COVERAGE:
'e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
N DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD43PB35494
695 N 7TH AVE AGENT NAME: DORIS STIPECH
i BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
g JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
$ The policy includes a loss payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
v� is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
n any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
ee
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-S
NAMED INSURED: POLICY NO: 282 2193-AO1-06 CAR 016 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD23PB35493
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
S, is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOGS
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR On COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRt OD93PB35491
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601.1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described car to the a)dent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSB
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CARD18 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1FTYRIOD73PI335487
695 N 7TH AVE AGENT NAME: DORIS 6TIPECH
BRIGHTON CO 80601.1559 AGENTPHONE: (303)121.2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a lose payable clause protecting the additional insured's interest in the described oar to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-e
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR019 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRlOD53PB35486
695 N 7TH AVE AGENT NAME: DORIS BTIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN Ot 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the Insurance
provided and subject to all policy provieions. The additional insured will be given 10 days notice it the policy is terminated. Until such notioe
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notily us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSLIFIED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSB
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR 020 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD33PB35485
695 N 7TH AVE AGENT NAME: DORIS 6TIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice lithe policy is terminated. Until such notice
is provided,11 shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05 S
NAMED INSURED: POLICY NO: 2822193-A01-06 CAR 021 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR10D%3PB35483
695 N 7TH AVE AGENT NAME: DORIS 6TIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The polioy includes a lose payable clause protecting the additional insured's interest in the desodbed car to the extent of the Insurance
provided and subjeot to all polloy provisions. The additional insured will be given 1 D days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
STATE FARM INSURANCE COMPANIES
1555 Promontorryy Comte
Greetey CO 80638-0001
DATE OF NOTICE: JAN 06 2014
CODE:
WX
49A
20
DODS79 009.9
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO"
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 022 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRI OD83PB35482
695 N 7TH AVE AGENT NAME: DORIS STIPECH
> BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
H POLICY MESSAGES:
nThe policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
n is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBO5 6
NAMED INSURED: POLICY NO: 282 2193-AO1 -06 CAR023 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRI OD63PB36481
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed thatthe required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
e
I ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOS S
NAMED INSURED: POLICY NO: 282 2193-Ao1-06 CAR 024 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD43PB35480
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON 0080601-1669 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
JAN Ot 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable clause protecting the additional insured's interest in the described car to the a#ant of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
rp any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
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ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FBOSS
NAMED INSURED: POLICY NO:
282 2193-AO1 -06
CAR025 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2003 FORD PICKUP
$500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYRt OD83PS35479
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
POLICY MESSAGES:
JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's intersst in the described car to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Urftitsuoh notlos
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FBOSS
NAMED INSURED: POLICY NO: 282 2193-AOI -06 CAR 026 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRl OD63PB35478
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the Insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice If the policy is terminated. Until such nodes
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company
1983-FB05 S
NAMED INSURED: POLICY NO:
282 2193-AO1-06 CAR 027 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL:
2003 FORD PICKUP $500 DED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER:
1 FTYR1 OD03PB35492
695 N 7TH AVE AGENT NAME:
DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE:
(303)421-2191
ENDORSEMENT NO:
6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 01 2014 UNTIL TERMINATED
The polioy includes a lose payable clause protecting the additional insured's interest in the described car to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice it the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
LADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FS05-8
NAMED INSURED: POLICY NO: 2822193-Ao1-06 CAR028 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP,
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRI OD93PB48953
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
POLICY MESSAGES: JAN 012014 UNTIL TERMINATED
The policy includes a loss payable clause protecting the additional insured's interest in the described oar to the extent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy Is terminated. Until such nodes
is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notity us within 10 days of
any change of interest or ownership coming to their attention. Fall ure to do so will render this policy null and void.
SCK1
STATE FARM INSURANCE COMPANIES
1555 Promontoryry Circle
Greeley CO B0636-0001
DATE OF NOTICE: JAN 06 2014
CODE:
49A
20
000879 0099
CITY OF FORT COLLINS
300 LAPORTE AVE
FORT COLLINS CO 80521-2719
NOTE: PLEASE NOTIFY STATE FARM AT THE
ADDRESS LISTED AT THE TOP, LEFT CORNER
OF THIS PAGE REGARDING ANY CHANGE OF
ADDRESS INFORMATION.
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05S
NAMED INSURED: POLICY NO: 282 2193-A01-06 CAR 029 COVERAGE:
e ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DED. COMP.
N DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD83PBSI 603
695 N 7TH AVE AGENT NAME: DORIS STIPECH
> BRIGHTON CO 80601-1559 AGENT PHONE: (303)421-2191
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
e JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
R The policy includes a loss payable clause protecting the additional insured's interest in the described car to the eident of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
v� is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
N any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
0
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB05-8
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 030 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DIED. COMP.
DSA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYR1 OD23PB51757
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENTPHONE: (303)421-2191
ENDORSEMENT NO: 60286T POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy includes a loss payable cause protecting the additional insured's interest in the described car to the e#ent of the insuranoe
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, it shall be presumed that the required renewal premiums have been paid. The additional Insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
m
0
e
ADDITIONAL INSURED'S NOTICE OF COVERAGE
State Farm Mutual Automobile Insurance Company 1983-FB06S
NAMED INSURED: POLICY NO: 282 2193-AOI-06 CAR 031 COVERAGE:
ADVANCED PEST MANAGEMENT INC YR/MAKE/MODEL: 2003 FORD PICKUP $500 DIED. COMP.
DBA COLORADO MOSQUITO CONTROL VIN/CAMPER: 1 FTYRI OD63PBS1826
695 N 7TH AVE AGENT NAME: DORIS STIPECH
BRIGHTON CO 80601-1559 AGENT PHONE: (303)421.2191
ENDORSEMENT NO: 6028ST POLICY EFFECTIVE
JAN 01 2014 UNTIL TERMINATED
POLICY MESSAGES:
The policy Includes a loss payable clause protecting the additional insured's interest in the desoribed car to the ardent of the insurance
provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice
is provided, It shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of
any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void.
FRT