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APPCOR10412
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APPCOR10412
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Entry Properties
Last modified
8/24/2016 6:26:48 PM
Creation date
11/19/2007 2:10:20 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984067
IBM Index Class Name
Application Correspondence
Doc Date
6/26/1985
Doc Name
INSURANCE BINDER
Media Type
D
Archive
No
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<br /> <br /> III I II I II I II IIII III ~ ~ . ~ 9inder No <br /> or 999 r ... GG8 <br /> . .r. .. .. <br />~:AME sND •DDRE 550E AGENCr OMPANy <br />;-~ BITUi+:IIQOUS INSURAIdCc COI~~AiIY <br />~' IT:LA:dD ITd3URAS:Cr; AG~i~'CY -- _ <br /> 144 L1+IiJ AVEIJUE-SUIT:: 108 Ellecove n' ~ 6- 0 85 <br />3 <br />^ <br />~ <br /> DG <br />01 <br />Oii <br />1 <br />I .tg <br />] t2otam <br />Expues <br />Noon <br /> , <br />8 <br />3 <br />A <br />llLi2AirGG, CC <br /> ^ This binder is issued to extend coverage in the above named <br /> company per exDuing Dolicy e <br /> maep~ as ^Ole^_ De~o.I <br />veME AND MOILING •DDRE550c INSURED Description of OperetionlVshielssl Property <br /> F::ERI,!?SS RnSOURS.S, IidC' I~:IPiE LOCATED 4 A.ILES 77ES'i OF <br /> 5528 Iiv'DIAII ~ocl, RoD DURAiJGO-LA ~LATA couI7TY <br /> SALri' LA=:,: CI'iY, U'TA:i 84117 DURAI•IGO, COLORADO 81301 <br /> Type end Lgestion of Property Coverage) PSrIISIFOrms Amt of Insurance Ded. coy'.. <br /> _, <br />i <br />I <br />A ,)N ',~, g 185 <br />0 <br />P <br />R <br />- <br />~~~ICr <br />y . <br />E~'I_finI°F'.Tt(,iS! GI~ <br />fR <br /> . <br /> Limits of Liability <br /> Type of Insurance CoveragelForms Eeeh Occurrence Aggregate <br />L <br />I <br />^ Scheduled Form ^ Comprehensive Form Bodily Injury y - $ <br />A <br />B ^ Premises+ODeraLOns <br /> <br />I r7c <br />rx Protluct s+Completetl Operations <br />Propety Damage <br />5 - <br />S <br />L <br />I <br />T <br />^ Contractual <br />h <br />f <br />^ O Bodil In ur & <br />Y I Y <br />Damage <br />Pro <br />ert <br /> <br />s 50o E GGG <br /> <br />S 5GG E GG <br />, t <br />er (speci <br />y below) p <br />y <br />1 n Metl. Pay. E Re. E ReI Ccmbmed <br /> Pe~sa~ AcoOem <br />^ Personal Injury <br />^ A ^ B ^ C <br />Persona <br />l Injury <br />S <br /> Limits of Liability <br />~ ^ Lia Dllity ^ Non owned ^ Hired Bodily Injury (Each Person) $ <br />7 ^ Comprehen5ive~Detluctible S Bodily Injury (Each Aco~tlentl S <br />M ^ CollisiorrDetluctible S <br /> <br />O <br />B f~ <br />n Medical Payments S <br />i~ <br />n Property Damage E <br />I UmnsDred MDtDrI$t E <br />L U No Fault (specify). Bodily Injury 8 Property Damage <br />E <br />^ Other (specily)~ Combined E <br />^ WORKERS' COMPENSATION -Statutory Limits (specify slates below) ^ EMPLOYERS' LIABILITY -Limit <br />4AME AND ApDRE550F ^ MORT WGEE ^ L055 RAVEE <br />r.GIIvELAICD RF,CLAII.IIHTIOi7 <br />DIVISIOIJ OF COLORADO <br />DENVcR, COLORADO ATTi:: <br />^ Aoo~L INSURED <br />LOAN NUMBER <br />L:IIiu; LOIIG <br />of <br />AcoaD is +t+mc+ <br />
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