HomeMy WebLinkAbout112297 VINEY TRUCKING INC - INSURANCE CERTIFICATE (24)StateeQrWM STATE FARM®
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PO Box 853922
Richardson, TX 75085-3922
120
AT 1 20
003066 0055
CITY OF FORT COLLINS FINANCIAL
SERVICES PURCHASING DIVISION
PO BOX 580
FORT COLLINS CO 80522-0580
111111111111111111Jill
DATE OF NOTICE: AUG 07 2017
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.
!'wIOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 2157-FAF1-A
NAMED INSURED: POLICY NO: 057 1122-E17-06R CAR 081 COVERAGE:
VINEY TRUCKING INC YR/MAKE/MODEL: NONOWNED AUTO
c PO BOX 1446 VIN/CAMPER:
S' LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC
tO AGENT PHONE: (970)493-2196
c 3RD PARTY INTEREST TERMINATED
EFFECTIVE AUG 20 2017
POLICY MESSAGES:
00
(00 Protection of the third party's interest provided by this policy is terminated as of the effective date above for the following reason: Third party
o interest terminated. This advance notice is solely to protect the third party's interests as they are affected by the ownership, maintenance, or
co use of the car described in the policy.
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NOTICE OF TERMINAMN OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 2157-FAF1-A
NAMED INSURED: POLICY NO: 057 1122-E17-06R CAR 075 COVERAGE:
VINEY TRUCKING INC YR/MAKE/MODEL: 2005 KENWORTH TRACTOR
PO BOX 1446 VIN/CAMPER: 1XKWDB9X95R096258
LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC
AGENT PHONE: (970)493-2196
3RD PARTY INTEREST TERMINATED
EFFECTIVE AUG 20 2017
POLICY MESSAGES:
Protection of the third party's interest provided by this policy is terminated as of the effective date above for the following reason: Third party
interest terminated. This advance notice is solely to protect the third party's interests as they are affected by the ownership, maintenance, or
use of the car described in the policy.
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LNOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 2157-FAFl-A
NAMED INSURED: POLICY NO: 057 1122-E17-06R CAR 079 COVERAGE:
VINEY TRUCKING INC YR/MAKE/MODEL: 2001 PETERBILT TRACTOR
PO BOX 1446 VIN/CAMPER: 1XPFDB9X41N541260
LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC
AGENT PHONE: (970)493-2196
3RD PARTY INTEREST TERMINATED
EFFECTIVE AUG 20 2017
POLICY MESSAGES:
Protection of the third party's interest provided by this policy is terminated as of the effective date above for the following reason: Third party
interest terminated. This advance notice is solely to protect the third party's interests as they are affected by the ownership, maintenance, or
use of the car described in the policy.
R FRT
NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 2157-FAF1-A
NAMED INSURED: POLICY NO: 057 1122-E17-06R CAR 098 COVERAGE:
VINEY TRUCKING INC YR/MAKE/MODEL: 2004 PETERBILT SEMI TRK
PO BOX 1446 VIN/CAMPER: 1XP5DB9X94D818538
LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC
AGENT PHONE: (970)493-2196
3RD PARTY INTEREST TERMINATED
POLICY MESSAGES: EFFECTIVE AUG 20 2017
Protection of the third party's interest provided by this policy is terminated as of the effective date above for the following reason: Third party
interest terminated. This advance notice is solely to protect the third party's interests as they are affected by the ownership, maintenance, or
$ use of the car described in the policy.
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co
19
NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 2157-FAF1-A
NAMED INSURED: POLICY NO: 057 1122-E17-06R CAR 108 COVERAGE:
VINEY TRUCKING INC YR/MAKE/MODEL: 2008 TRAIL KING BTM TRLR
PO BOX 1446 VIN/CAMPER: 1T8LC412X8W071896
LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC
AGENT PHONE: (970)493-2196
3RD PARTY INTEREST TERMINATED
POLICY MESSAGES: EFFECTIVE AUG 20 2017
Protection of the third party's interest provided by this policy is terminated as of the effective date above for the following reason: Third party
interest terminated. This advance notice is solely to protect the third party's interests as they are affected by the ownership, maintenance, or
use of the car described in the policy.
N
0
17
0
NOTICE OF TERMINATION OF A THIRD PARTY INTEREST
State Farm Mutual Automobile Insurance Company 2157-FAF1-A
NAMED INSURED: POLICY NO: 057 1122-E17-06R CAR 112 COVERAGE:
VINEY TRUCKING INC YR/MAKE/MODEL: 2016 TRAIL KING BTM TRLR
PO BOX 1446 VIN/CAMPER: 1TKL04124GWO31546
LAPORTE CO 80535-1446 AGENT NAME: DARYL ALEXANDER INS AGCY INC
AGENT PHONE: (970)493-2196
3RD PARTY INTEREST TERMINATED
POLICY MESSAGES: EFFECTIVE AUG 20 2017
Protection of the third party's interest provided by this policy is terminated as of the effective date above for the following reason: Third party
interest terminated. This advance notice is solely to protect the third party's interests as they are affected by the ownership, maintenance, or
use of the car described in the policy.
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