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APPCOR12739
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APPCOR12739
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Entry Properties
Last modified
8/24/2016 6:33:07 PM
Creation date
11/19/2007 2:34:03 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
Application Correspondence
Doc Date
4/13/1981
From
FRANK HALL
To
MLRB
Media Type
D
Archive
No
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-~ .CERTIFICATE OF INSURANCi~ <br />CERTIFICATE ISSUED TO: <br />Colorado Mined Land Reclamation Board <br />1313 Sherman Street, Room 723 <br />Denver, CO 80203 <br />NAMED INSURED AND ADDRESS: <br />Sheridan Enterprises, Inc. <br />9745 E. Hampden Ave., Suite 350 <br />Denver, CO 80231 <br />REGARDING: Mc Clone Canyon Permit Application <br /> <br />This Is to certify that politics listed below have been issued to the insured named above and are in (once a[ this time. <br />NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. POLICY NO. GLAL 5]34426 <br />TYPE OF INSURANCE POLICY TERM LIMITS OF LIABILITY <br />COMPREHENSIVE GENERAL LIABILITY <br />AUTOMOBILE LIABILITY S 300, 000 Bodily Injury each person <br />(Including) 4-I-gl 500, 000 Bodily Injury each occurrence <br /> to <br /> 4-I-82 S 500, 000 Propetty Damage oath occurrence <br />Personal Injury <br />Property Damage S 500, 000 Aggregate <br />Blanket Written Contractual <br />Completed Operations E Bodily Injury & Propetty Damage <br /> Combined Single Limit <br /> Each occurrence <br /> S Aggregate <br />Products Liability 4-I-81 S Bodily Injury & Propetty Damage <br /> to Combined Single Limit <br /> 4-I-82 Each occurrence <br />E Aggregate <br />SPECIAL CONDITIONS: <br />Cancellation: The Insurer agrees to give 10 days prior written notice <br />to the Certificateholder of any substantive changes in <br />the policy, including any termination or failure to <br />renew. <br />The fullowmg is provided Ounuam to Cahforma Inaunrce Coda Senion <br />)Ar •Thn <enifnte or venficauon of insurance is not an ~murana polity <br />end does n.n amend. extend, or alter the coverage afforded by the policies <br />listed heron. Noswuhnandmg anv resluitemens. Berm or condition of any <br />co~lnc[ or other document wuh rnpm to which thn ttstifivse or vmfi- <br />tmian of insuran<e may be ivued or nuy penam, the imunnce afforded <br />h.' the policies descnbed herein is sublets to all terms. exclusions and <br />condniom of such polines.- <br />ICC-23 <br />FRANK B.y HALL & C/O~i. <br />By ~i-S~fY2~~G~~!~<~LaZ- <br />56 UTHORIZED REPRESENTATIVE <br />. FRANK B. HALLACO OF CALIFORNIA.SOUTHERN DIVISION <br />X700 wILSHIRE BOULEVARD. LOS ANGELES. CA 90010 <br />DATE ISSUED: April I. 19A1 <br />
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