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2024-06-10_PERMIT FILE - M2024027
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2024-06-10_PERMIT FILE - M2024027
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Entry Properties
Last modified
6/12/2024 8:54:33 AM
Creation date
6/11/2024 9:35:21 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2024027
IBM Index Class Name
Permit File
Doc Date
6/10/2024
Doc Name
Application
From
Castle Rock Construction Company of Colorado, LLC
To
DRMS
Email Name
JR2
AME
SMS
EL1
Media Type
D
Archive
No
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UULuJIIyI I CI Iveiupe IL).J/O/Lr0/1-04r U-4DO I'P1O0U-4 I I40JDOOC4U <br /> PO#:461002243 <br /> Routing#: 24-HA4-ZG-00107 <br /> IN WITNESS WHEREOF,We have hereunto set our hands and seals at Centennial and Littleton, CO the <br /> day and date above written. <br /> Contractor: Castle Rock ottsolructaoyn Co.of Colorado,LLC <br /> Sign Name: v a <br /> �Bi BJ17LEr iC 2aC0 <br /> ATTEST: Type Name: Amy Brooks <br /> Surety Co.: Liberty Mutual Insurance Company <br /> ,—DocuSigned by: Address: 175 Berkeley Street <br /> v_.- /444k-^4" Boston, Massachusetts 02116 <br /> B78302EF1C124CB124CB <br /> Amy Brooks <br /> C00 Surescape Insurance Services, LLC <br /> Bonding Agent: <br /> —DocuSgned by <br /> (Title) Sign Name: <br /> (,iik,ia At. f W1& t <br /> \--tltP.tlAYaLLA3A4M1 <br /> Type Name: Cynthia M. Burnett, Attorney-in-Fact <br /> Address: 7800 South Elati Street <br /> Suite 100 <br /> Littleton, Colorado 80120 <br /> 5/30/2024 <br /> Approved by the STATE OF COLORADO, Department of Transportation, This day of <br /> ,A.D. <br /> p Docc'uuSlgnedd by: <br /> By gt-f aaiut. <br /> '-63C1F 27D09€4B3 <br /> Keith Stefanik,P.E.,Chief Engineer,Department of Transportation <br /> Exhibit B Page 40 of 63 <br />
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