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2021-04-20_PERMIT FILE - M2021027
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2021-04-20_PERMIT FILE - M2021027
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Entry Properties
Last modified
1/10/2025 5:10:16 AM
Creation date
4/21/2021 6:22:00 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2021027
IBM Index Class Name
PERMIT FILE
Doc Date
4/20/2021
Doc Name
Application
From
Oak Creek Consulting and Production Services L.L.C
To
DRMS
Email Name
PSH
JLE
AWA
Media Type
D
Archive
No
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OAK CREEK shall maintain liability insurance in an amount no less than $1 million per <br /> occurrence and$3 million in the aggregate and shall name MALONE as an additional insured. <br /> MIKE G. MALONE <br /> STATE OF COLORADO ) <br /> ss <br /> COUNTY OF WELD } <br /> The foregoing instrument was sworn to and acknowledged before me this day of <br /> 2021,by Mike G. Malone. <br /> Witn my hand a offici4 seal. <br /> AMANDA HOLT __- _ �_. <br /> NOTARY PUBLIC Notary Public <br /> State of Colorado <br /> Notary tD#202NO02306 <br /> My <br /> Comm�ssion Expires 1117M24 My Commission Expires: 1 <br /> OAK CREEK CO T G & P UCTION SERVICES, LLC <br /> By: to Smith <br /> lurManager <br /> STATE OF COLORADO ) <br /> )ss. <br /> COUNTY OF WELD } <br /> The foregoing instrument was sworn to and acknowledged before me this day of , <br /> 2021, by Justin Smith as President of Oak Creek Consulting and Production Services, LLC. <br /> Witne my hand d official seal. <br /> AMANDA HOLT �--�� . `�„ ' , -- <br /> NOTARY PUBLIC <br /> State of Colorado Notary Public <br /> NolarY ID#20204002306 <br /> M Cammission t.xpiros 1l17l2024 <br /> My Commission Expires: <br /> Page 2 of 2 <br />
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