Laserfiche WebLink
<br />FROM : COSTILLA COUNTY~OKKEEPER PHONE NO. : 719672~ <br /> <br />Cartl'lcate 0' Insurance <br />ll"1lS ceRTlFlCATE 16 16$lJED AS A ~Al TiR OF INFORUAlltp.! UNLY AND CONFERS NO RIGI1T8 uPON YOU THE CEFII IFICATE HQU)EFt THIS CI:a:T1Flt:ATE IS NOT AN INsuRANCE <br />POLlCr ANO OO!S NOT ...IItENU.I:XIl.ND, on .AlTER ~I CO\flNAUI:: Af!:onoCC'l fW THF ~lICI~9 USrED DtLOW. <br /> <br />P13 <br /> <br />Doyles Bros. Drillin& Company <br />l' .0. Box 25068 <br />Salt Lake City, DT 84125 <br /> <br />Naml and <br />Addr... of <br />1n.IIM <br /> <br />- <br />LIBER1Y <br />MUTUAL. <br /> <br />Tltl. I. to Certify that, . <br /> <br />is ai Ihl dill of thl5 ce"h:at~ Insurlld by lite Company under the policy!I..) listed below. The Insurance .Horded by the listed policy(iss) Is <br />s~JecI to aD their terms. eXcl~lon. end condhions and Is not altered by any requirement, term or condhion 01 any contract or other document <br />with ro. to which thi~ celtKleate ma be .luCld. <br />lITIFICA'TI: Ill'" DATE <br />. OCONTINUOUS <br />DElCfENCEO <br />I]j POllCY TERM <br /> <br />TYPE OF POUCY <br /> <br />POUCY NUMBER <br /> <br />UMlT OF UABIUTY <br /> <br />4/3u/ll3 <br /> <br />WC2-161-0300711-012 <br /> <br />QOVEIW>E AITOAOED UNDER <br />we V.W 0If THE Fou.OWING <br />ST1."R": AL, AZ, CA, CO <br />loju.; <br />FL, GA, 10, IN, KY, M 1 000000 <br />MI NM NY OK " <br />NC, , , , , <br />OR PA sc sn TN 1lod11y1l'lj"'l'e,.DI._ <br />'I'X: UT'V A/WI,' , 1,000,00U <br />_"''''''''110'': 00- "'an Pr"'h"~od Opa..._ <br /> <br />EMPlOYERS LIABILITY <br />l,ODO,OOO <br /> <br />fll:ll <br />- <br />PoIIGr <br />LPri' <br /> <br />WORKiRS <br />COMPENSAllON <br /> <br />fa <br />- <br /> <br />GENERAL UABIUTY <br /> <br />PoodUdalCamplolBd Opa..olon. "ag.... <br /> <br />OClAIMB MADE <br />rETRO DATE <br /> <br />"""II, Ini<BY ..., P...,.;;" Oomoo. LlobIliII' <br /> <br />Po< <br />Oocu<<oft.. <br /> <br />htlOMl .nd AdWrdling lrtlul'Y <br /> <br />DOCCURRENCE <br /> <br />PatPa_ <br />()gon~- <br /> <br />~: <br /> <br />.._J~ <br /> <br />AUTOMOBILE UABILI1Y <br /> <br />1,000,000 <br /> <br />Each _on! . SIngle Umi,- <br />B.I. 8IlII P.D. Camblnad <br /> <br />(].owNED <br />(]l.NoN-owtoIED <br /> <br />5/1/93 <br /> <br />ASl-161-030079-042 <br /> <br />Each Pet_ <br /> <br />E...._...OcQ .11'" <br /> <br />IXIHIRED <br /> <br />~.,. MciderYl CI' Ocamenc:. <br /> <br />II StQte~ Endors ment, Stop Cap <br />Coverage in the t..tes of Maine <br /> <br />'iOI'lAL COIo4t.lENTS <br /> <br />Voluntary Comp<msnti n Endorsements <br />d Rhode Island are exc uded_ <br /> <br />RE: Sanche~ Reservoir Remediation Crouring Job # 06-0364-05 <br /> <br />----.'-'---" .. . ..... _._,- <br />· IF THE CERTIFICATE EXPIRATION DATE IS CC>>lTIHUOU6 OR ElCTEHIlED TERM. YOU WIll BE NOTIFIED IF COVERAGE 16 TER_TED OR REDUCED BErol\li TIiE <br />CERTIFICATE EXPIRATION DATE, HOwEVER, YOU WILL NOT BE NOTIFIED ANNUAllY OF THE COtlTINllATIONOIf COVERACE, <br />IPlielAL NOTIeE. . OHIO: AHY PERSON WHO. WITH INTENT TO DEFRAUD OR KNOWING THAT l-CE IS FACl\.rTATING A FRAUD AGAINST AN lNSURER, SUIMrrs AN <br />APPLICATION OA ~llE$ A CV.ILtCOtlTA.NlNC A FAl.U OR DCCEPTI\II; STATJ;MENT IS CUILTY OFINSURANCf: FRAUD. <br />NonCE OF C"NC.LLA~, (NOT APPlICA8LE UNLEII A NUMBER OF DAYI IS <br />ENTERED BELOW.) 8EroRE THE &TATED EXPIRATION DATE THE COMrANV WILL NOT LIbort, Mul1la. <br />CANCEL OR IJEDUCE THE INIlUnANCE AFFOItllED UNDER THE ABOVE POllClCS uNTIL t."'..... Cro"p <br />AT LEAST ~ DAYS NOTICE 0If sUCH CANCElLATION HAS BEEN MAILED TO: <br /> <br />Cl!IlTIPlCATE <br />HOLDER <br /> <br />Sanchez Ditch CO <br />P.O. Box 215 <br />San Acacia CO 81150 <br /> <br />~-':i. ~ <br />A ~ ( <br /> <br />May l, 1992 SLC, UT <br />