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APPCOR10964
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APPCOR10964
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Entry Properties
Last modified
8/24/2016 6:31:29 PM
Creation date
11/19/2007 2:16:08 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C2006085
IBM Index Class Name
Application Correspondence
Doc Date
5/18/2007
Doc Name
Additional Adequacy Response Documents
From
EAI
To
DRMS
Media Type
D
Archive
No
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05/18/2007 22:44 a03'L6I0680 tu[Klxla al•Iar:+L,r-uv uu ^~ °°• " <br />rmm; Brenda WII'wms At: Flerm/ham Au,TeOLy FaA1D, 303-7440654 To: SmR Dah: 5/t8f.'007 10:04 AM F'egE:2 bf3 <br /> <br /> <br />CERTIFICATE OF LIABILITY INSURANCE OPID B °"~"~'°°^f~"' <br />ACORD <br />_ <br />NORTH-4 05/18/07 <br />PRODUCER THIS CERTIFICATE 181SSUED Ae A MATTER OF INFORMATION <br />Henry Ham Agency, inc. ONLY AND CONFERS NO RIGNTB UPON TMECERTflCATE <br />P.O. Box 100547 HOLDER. THd3 CER7IFlCATE DOES NOT AMEND, EXTENp OR <br />695 E. EVaf1E Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver CD 80250 <br />PIIOne: 303-794-1341 F'ax:303^749-0654 INSURERS AFFORDING COVERAGE HAIC# <br />I"rouR~ ~ .'NSF.CCn burns & fPi3cox ~~(~ <br />' <br /> cCS <br />w:,lwa+9 ~ -T <br />Northfield Partners, ISC I">sl.>~T'{ .~ <br /> <br />nenver Co38 2ZZ St. Ste 910 ~ <br />I.usuRfRa <br /> MSF!ER F.. <br />COVERAGES Mini..,. ~,._~ :~ ' "°`IOn~ <br />T'c Prn 1CIES Or INaInAM;E U5rEU RFLOYJ HAVE LrEFN IgG1Ep TG Ili INSLPED P1nMFn !ROVE FON :1f aYICY FENIOD INDM.:hTEU NrtPxfrNSVM:NO <br />ANr REOUIFEUENT, IEIR,I pC CONbITpN OF NvV GONIRACTOR OT.4ER DCQ.f~EHf WRy NESPECT TD'NHI{N TN~6 LEP.TIFICAIE MAV EE Ig9~D Oit <br />MAYCERTAIN, TVE UFIpJJJCS AFFOCDEb Br ~ f OLICIES~B{FIEED FIEFEPI ~~ AB.ECi 7]~ALL 711E ;ECUs. EWLL51[NS afr {ONLVTICNg OF SLY~i <br />POUr.'ES. N.UVP{ATE LIMIT6 SWnTi MAY fNVF REEK REIXY_ED RY FaID CWMA. <br />LTP N TYPE OF TJRVRANCE PgJLY NLMBER PATE MNID DATE UNrDD UI9TT! <br /> WN@ROL LUenfIY ~ FA(YI CCCLNRF.IY.E R1,DDD,DDD <br />A 1 X t~'xw+ERClu cc+Fwu uAgluTV L0807.58966 Ob/O7/D7 06/01/08 PPEUISES IEe eearnimll f i00, D00 <br /> TLAIMSIMCL X^ OCr%y, NED ER° INry RfB R9'9onl S 5 , 0 DD <br /> <br />~- PERSONA~d.nv lNyJR° f1, 000,000 <br /> °PNERAL aOfaECwr ;2.000,000 <br /> cENti h-cacc-nrE l.lanrAFaLIE~PEP: Fomuer.coMPA,F nfc s2ro0o,DDD <br /> POLIbY Jk~Cf LOC <br /> AV IDIACBRE IfABRRY <br />'x]M6MFD 91fY{E LIMIT <br /> ' (Ed ttCI4MY1 ' <br /> +NV. N <br />0 <br /> AIL OLMIED Nnrg ~O:VLY MIJUxy f <br /> S{IEpU,Eb ALRUS <br />IFar rnon} <br /> NICER AITibi 6T~~I <br />JU <br />T T <br /> `gnWY.NED K~fO; ~ <br />' <br />_ <br />- <br />--- <br /> FRLPFPTY DAMA!,L- <br />~ T <br /> _ ._ IPArY.elECMI <br /> CIRAVE Ua6RRr _ALRO RaY. Ea M1-'ITEM f __ <br /> PMY NITO OTNFP tw,Y fNAC{ S <br /> <br />E%CE':gNBRRLA LMBMY ' aNOON.Y: nr{. <br />EA{H MC+JRksM1CE f <br />P <br /> ~ OCCUP n cuIMR NACC A[{-CEr.ATE R <br />S <br /> CECUFT'PLE ... 9 <br /> fiETETJII{N 3 1 <br /> eNORNERR OONryENSAIgN ANp <br />' TC:~Y liNI55 ~CR_ <br /> EUPLOYPi@ <br />lIAB4T' <br />Arrv rymP4FlbampmNE0.~-..IRIVE E L EACH NJ:CEVT <br />- f~ <br />_. <br /> OF~ICN+NEMttEa Cxcl ;mEp9 F L g4A5C • EA. EMPlOYEC f <br /> Iyv~ nwx:nou lender - <br /> gPE::A1 FCOVf31C1~4S Mwi F L. bISEnSt . POL:CI' LA117 1 <br />O7Nex <br />OESCRE'11aN oP oPERAnONa rI.nOATIONS / VERICLER r Ex wN!wa AWED eY gomRad@Nr r vECHLL FROVtRION3 <br />CERTIFICATE HOLDER CANCELLATION <br />T07P1D D S BNOI,f.p ANY OF 711E N3OVE DEfCRE9] pOLIC@.9 $E CANOELLEb fiEF9RE TIE E%f1PATION <br /> DATE TNEREOi, THE IReuEJ01N9UPEn MLL EnOEAWR TO MaL O OAYg WR?TFN <br />TO Wf10p7 IT NOLY CONCERN N071CEroTHE CERRROATE NOLDERN.Vd~TO THE LEFT, BUtFAILURE Tb 00303kA1L <br />if you need tv be li$tGd Dere <br /> <br />please centact our office ILppfE NO O$LpA710N OR LIABILRY OF ANT NRID UPON THE N°URER.Ife AOENIS DR <br />303-744-1391---------- RePRERaTrATro><a <br /> <br />RIrVRV Gi ICVV"1IWJ <br />m ACORD CPRPORATION 7988 <br />
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