HomeMy WebLinkAboutGREENSHIRE STABLES LLC/ CRAIG AND BARBARA NORRIS - INSURANCE CERTIFICATEStateF&M STATE FARM®
so.
1555 Promontory Circle
Greeley CO 80638-0001
DATE OF NOTICE: JUL 16 2015
CODE:
9
v
N
AT1 20
CITY OF FORT
PO BOX 500
FORT COLLINS
18A
000611 0093
COLLINS
CO 80522-0500
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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
2511-FAF1-A
NAMED INSURED: POLICY NO:
3654461-D01-06A
COVERAGE:
NORRIS, BARBARA LYNN & H CRAIG YR/MAKE/MODEL:
2002 FORD PICKUP
81 AND PD LIABILITY
4205 S COUNTY ROAD 7 VIN/CAMPER:
1 FTSW31 F42EB85607
$,IED 500,000f$100,000
$5000 DIED COMP.
FORT COLLINS CO 80525-9610 AGENT NAME:
MARINDA SIMPSON
$500 DED. COLL.
AGENT PHONE:
(970)223-7800
ENDORSEMENT NO:
6028BT
POLICY EFFECTIVE
MAY 05 2015 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 3654461-06.
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 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