HomeMy WebLinkAbout123807 PROFESSIONAL FINANCE COMPANY INC - INSURANCE CERTIFICATE (2)StateFarm STATE FARM®
PO Box 853922
Richardson, TX 75085-3922
DATE OF NOTICE: NOV 20 2017
CODE:
IT
N
td
9
0
co
R
0
m
0
s
ti
AT1 20
CITY OF FORT
PO BOX 580
FORT COLLINS
27A
000720 0093
COLLINS
CO 80522-0580
IIIIIII'III'1II111"IIIII"'IIIIIIIIIII'll'llllll'IIIIIIII'llll'I
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 2419-FAF1-A
NAMED INSURED: POLICY NO: 291 8814-A15-06C COVERAGE:
PROFESSIONAL FINANCE COMPANY YR/MAKE/MODEL: NONOWNED AUTO BI AND PD LIABILITY
INC VIN/CAMPER: $ 2 MIL
PO BOX 1686 AGENT NAME: LARSON INS AGENCY INC $500 DED. COMP/COLL.
GREELEY CO 80632-1686 AGENT PHONE: (970)356-8700
ENDORSEMENT NO: 6028BT POLICY EFFECTIVE
6164CR 6165BT NOV 15 2017 UNTIL TERMINATED
POLICY MESSAGES: This policy shown above supersedes policy# 2918814-06B.
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.
FRT