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Home My WebLink About112297 VINEY TRUCKING INC - INSURANCE CERTIFICATE (25)StateFarm STATE FARM® QW. PO Box 853922 Richardson, TX 75085-3922 17A AT1 20 000858 0093 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX 580 FORT COLLINS CO 80522-0580 ILIIII"IIII"IIIIIIIIIIIIIIIIIIIIIIIII+�IIII'I�III�I�JIIII'll� 0 0 s N O O A DATE OF NOTICE: MAY 17 2018 CODE: 33380 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 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 017 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2008 PETERBILT SEMI TRK BI AND PD LIABILITY v PO BOX 1446 VIN/CAMPER: 1XPXD49X78D755529 $ 2 MIL $2000 DED. COMP. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $2000 DED. COLL. AGENT PHONE: (97 o ENDORS M NT NO: 6028BT3 2196 POLICY EFFECTIVE MAY 17 2018 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06R. 00 The policy includes a loss payable clause protecting the additional insured's interest in the described car to the extent of the insurance o provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Until such notice co is provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify us within 10 days of g 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 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 059 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2006 TRAVIS TRL DUMP $2000 DED. COMP. PO BOX 1446 VIN/CAMPER: 48X1 F392861004289 $2000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BT POLICY EFFECTIVE MAY 17 2018 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06R. 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 0 ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 063 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2003 KENWORTH TRACTOR el AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XKWD89X1 3J705001 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $2000 DED. COMP. $2000 DED. LOLL. AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BT POLICY EFFECTIVE MAY 17 2018 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06R. 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. a FRT ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 065 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2003 TRAVIS TRL $2000 DED. COMP. PO BOX 1446 VIN/CAMPER: 48X1 F382431002603 $2000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BT POLICY EFFECTIVE MAY 17 2018 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06R. 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. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 070 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2005 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1XP5DB9X15D846500 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $2000 DED. COMP. AGENT PHONE: (970)493-2196 $200o DED. LOLL. ENDORSEMENT NO: 6028BT POLICY EFFECTIVE MAY 17 2018 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06R. 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. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-FAFl-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 072 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2008 TRAIL KING TRAILER $2000 DED. COMP. PO BOX 1446 VIN/CAMPER: 1TKLC41258WO38627 $2000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 ENDORSEMENT NO: 6028BT POLICY EFFECTIVE MAY 17 2018 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06R. 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. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 097 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2005 PETERBILT SEMI TRK BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5DB9X55D856513 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $2000 DED. COMP. AGENT PHONE: (970)493-2196 $2000 DED. LOLL. ENDORSEMENT NO: 6028BT POLICY EFFECTIVE MAY 17 2018 UNTIL TERMINATED POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06R. 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