The URL can be used to link to this page

Home My WebLink About112297 VINEY TRUCKING INC - INSURANCE CERTIFICATE (26)StateFWM STATE FARM® PO Box 853922 Richardson, TX 75085-3922 17A 20 000858 0093 CITY OF FORT COLLINS FINANCIAL SERVICES PURCHASING DIVISION PO BOX 580 R FORT COLLINS CO 80522-0580 0 0 8 r N O N O 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 099 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2014 SIDUMP R TRL DMP $2000 DED. COMP. v PO BOX 1446 VINJCAMPER: 1 D9FS4026EC688179 $2000 DED. COLL. LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC AGENT PHONE: (970)493-2196 c ENDORSEMENT NO: 6028BT POLICY EFFECTIVE MAY 17 2018 UNTIL TERMINATED N 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 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 gany 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 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR too COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2014 SIDUMP R TRL DMP $2000 DIED. COMP. PO BOX 1446 VIN/CAMPER: 1 D9FS4026EC688117 $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-FAFl-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 116 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2004 KENWORTH SEMI TRK BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XKWDB9X04R065303 $ 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 N any change of interest or ownership coming to their attention. Failure to do so will render this policy null and void. co FRT I 'Ir N F I � ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 117 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 1994 PETERBILT TRACTOR BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1XP5DR9X7RD347733 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $2000 DED. COMP. AGENT PHONE: (970)493-2196 $2000 DED. COLL. ENDORSEMENT NO: 6028BT POLICY EFFECTIVE POLICY MESSAGES: This policy shown above supersedes policy# 0571122-06R. MAY 17 2018 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. ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company 2157-FAF1-A NAMED INSURED: POLICY NO: 057 1122-E17-06S CAR 118 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2012 PETERBILT SEMI TRK BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1XPXD49X5CD163569 $ 2 MIL LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC $2000 DED. COMP. AGENT PHONE: (970)493-2196 $2000 DED. COLL. 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 123 COVERAGE: VINEY TRUCKING INC YR/MAKE/MODEL: 2001 PETERBILT SEMI TRK BI AND PD LIABILITY PO BOX 1446 VIN/CAMPER: 1 XP5DB9X41 D541292 $ 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