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<br />: <br />O'F <br />AI.~1:11 <br />CERTIFICATE <br />' .' :.' DATEIMM/DD/YY) <br />tNSURANC ~~~ ~~~~~~~~~~~~~~~~ CSR:JA'. <br />. <br />; <br />; <br />: <br />; . <br />. <br />.... RLHEN 1 09/07/95 ~~~ <br /> . <br />9~9 <br />PRDDUCm~ THIS C~n.rr,s„f I e <br />JiUt:U AS A MATTER OF INFORMATION <br />+, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Haake 'Saeurance Ageacy HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3101. Broadway, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ransaa City MO 64111-9203 COMPANIES AFFORDING COVERAGE <br />RFf <br />` <br />Henry J. Haake, Jr. EIVED COMPANY <br /> A Alpine Insurance Company <br />816-753-1999 <br />1N50"~D 1995 <br />COMPANY <br /> B CNA Insurance Company <br />RLH SNGINHERS &CONBTRIICe)pR pf MIlIOf81 co CANr <br />BTAL. (SEE ATTACHED) S 8 Ci00~0 <br />7400 EAST CALHY AVSNDE,#210 <br /> <br />SNGLSWOOD CO 80111 COMPANY <br />p <br />'COVERAGES:" ~. ~.~ ... .. .. ... .. ...... .. <br />:. <br />~~ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY p[PIRATION UMRS <br /> DATE IMMR)DNYI DATE IMMIDDRYI <br /> GEN ERAL LIABILTY GENERAL AGGREGATE l2, OOO, OOO <br />B X COMMERCIAL GENERAL LIABILITY 1034977625 02/25/95 02/25/96 PRODUCTS~COMPXIP AGG l1, OOO, OOO <br /> CLAIMS MADE ^X OCCUR PERSONALb ADV INJURY il, DUD, DDD <br /> OWNER'S BCONTRACTOR'S Pi10T - EACH OCCURRENCE fl, DUD, ODO <br /> FIRE DAMAGE IAny ona Inel 1 5D, DDD <br /> MED EXP IAny one Person) f 5 , OO O <br /> AUT OMOBILE LIABILITY <br />COMBINED GINGLE LIMR <br />!$1, DOD, OOO <br />$ X ANY AUTO 1034977687 02/25/95 02/25/96 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />i <br /> SCHEDULED AUTOS IPer person! <br /> X HIRED AUi05 <br />BODILY INJURY <br />! <br /> X NDNdWNEO AUTOS IPer acciEenR <br /> <br /> PROPERTY DAMAGE ! <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT ! <br /> ANY AUTO OTHER THAN AUiO ONLY: ~ ' <br /> EACH ACCIDENT ! <br /> AGGREGATE ! <br /> EXCESS lIABILITY EACH OCCURRENCE f <br /> UMBRELU FORM AGGREGATE ! <br /> OTHER THAN UMBRELLA FORM f <br />$ WORKERS COMPENSATION pNp STATU70RY LIMBS <br /> EMPLOYERS' LIABILTTT <br />EACH ACCIDENT <br />lSOO, OOO <br /> THE PROPi11ETOR/ INCL 1034977642 02/25/95 02/25/96 DISEASE-PDLICV LIMIT s500, 000 <br /> PARTNERS/EXECVTIVE <br />OFFICERS ARE: <br />E%CL <br />DISEASE ~ EACH EMPLOYEE <br />i lOO, OOO <br /> OTHER <br />A Profesaional AEPL3853 01/10/95 01/10/96 per claim $2,000,000. <br /> Liability per claim $SO,000.Ded <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICIESISPECULL REMS <br />$2,000,000. ual aggregate -Profesaional Liability-Subject to Alpine forms& <br />excluaione, limitationa.Retro Active Datea-aee schedule attached. <br />THE STATE OF COLORADO IS LISTED AS AN ADDITIONAL INSTJRED AS RESPHCTS TO <br />WORK BEING DONE ON THEIR BEHALF BY THE NAMED INSORED. <br />CERTIFICATE HOLDER ~ ~~ ~ ~ ~ ~ ~ ~~ CANCELLATION ~ ~ ' <br /> COLORA3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE <br />STATH OF COLORADO E%PIRATION GATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />DIVISION QF MINHRALS fi GEOLOGY 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HGLDER NAMED iO THE LEFT. <br />ATTN: CHRISTINE JOHNSON <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR DABIIRY <br />1313 SHERMAN ST. ROOM 21S <br />DENVER CO SO2O3 OF ANY KIND UPON THE COMPANY, RS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Henry J. Haake, Jr. <br />ACORD.25-S (3!931 ~ ~ . ~ ~. . ~ ~ . ~... ~ . . ~ ~ mACORD CORPORATION~1993 <br />