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I <br />it <br />I <br />I <br />1 <br />,~ ~, .. <br />~ ~~` <br />~ <br />IBBVE DATE (MM/DDNY) <br />; <br />~ <br />,°~; <br />; <br />a1:~Ilis~i: , : CERTIFICATE <br />OF INSURANCE- <br />~ ' <br />~ ;; <br />_ <br />, ; ,, <br />. , <br />_a....~.., _.. , .. <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />Se d g,y i c k James o f Ga . Inc . CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATI <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THI <br />Suite 500, 5o u t h Tower <br />3333 P ea c h tT• e e R v . NE <br /> <br />Atlanta, Georgia 30326 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />A <br /> LETTER <br />Federal Insurance Company <br /> COMPANY B <br />INSURED LETTER Federal Insurance Company _... <br /> COMPANY <br />C <br />TERROR CREF.k C011PANy LETTER <br />Federal Insurance Company <br />1601 Forum Place <br /> COMPANY <br />D <br />West Palm Reach FL 33401 LETTER <br /> COMPANY E <br /> LETTER <br />COVERAGES__.._.,,, ~ ', ~ ~' ~'~ .'. <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 ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SH OWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />I _... _ - . -___ __.. -_ <br />CO .' TYPE OF INSURANCE POLICY NUMBER <br />TR', POLICY EFFECTIVE POLICY EXPIRATION! LIYR9 <br />'DATE (MMIDDNY) :, DATE (MM/DONY) ' <br />I GENERAL LIABILITY '71 VL~U~O 7/cS /9e~. I/~SI93 :GENERAL AGGREGATE I~^^O <br />~ <br />X:COMMERCIALOENERALLIABILITY PRODUCTSCOMPIOPA00. } OBSS <br />_ . <br />~CUIMS MADE!{ OCCUR. <br />, <br />. ~ PERSONALBADV. INJURY _~}000000 <br />_ <br />_ <br />. _ _ <br />'OWNER'Sf CONTRACTOR'S PROT. . <br />~ ,EACH OCCURRENCE ;}000000_ . <br />. ..... _, .. <br />. .., .FIRE DAMAGE (MY ms Dnl.. ~. f lO O O OO_._... <br />' MED. EI~ETISE GNI' on PeRml' f <br />!AUTOMOBILE LIABILITY A aV ._:JI3 ~ 7/21/92 //21/93 'COMBINED SINGLE <br />ANV AUTO LIMIT ~ f 1 000000 <br />' •ALL OWNED AUTOS BODILY INJURY <br />~ i <br />'SCHEDULED AUTOS (Per person) <br />HIRED AU70S BODILY MJURY <br />'i <br />k NON-0WNED AUTOS '. (Per estleenp <br />I~ 'GARAGE LIABILITY <br />, <br />- - PROPERTY DAMAGE <br />f <br />/EXCESS LIABILITY ~. ( ~ L / / c 1 / 92 / / 21 / 93 EACH OCCURRENCE <br />~}000000 <br /> <br />;~ -UMBRELLA FORM , <br />... <br />AGGREGATE ._, }000000 _ <br />'OTHER THAN UMBRELU FORM <br /> <br />WORKER'S COMPENSATION ' ~ ' STATI7TORY LIMITS I <br /> EACH ACCIDENT ~f <br />AND <br />' DISEASE-POLICY LIMB %f <br />! EMPLOYERS' LIABILITY "' - ' <br />DISEASE-EACH EMPLOYEE i i <br />OTNER <br />i <br />i <br />i <br />DEBCRIPTION OF OPERATIONSA.OCATIONSNEHICLESISPECIAL ITEMS <br />COVERAGE FOR TERROR CREEK LOAD OUT r <br />FILE i~C83054 <br />CERTIFICATE HOLDER ~ ~_.. _:.:., ,. •' _ ._ _ . ~~ . CANCELLATION, „ ~ • ~ ~. ~' ~ ' '' - <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIR <br />ON DATE THEREOF, THE ISSUING COMPANY WILL~~~; <br />TI <br />MINEG LAND RECLAMATION AIVISION 3 <br />D <br />CHRISTINE JOFINSTON i MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDEY NAMED TO THE <br />LEr~,~girf~~i{(~][biro'~r%nFlxs[>cacxm~>t;}7 <br />LKaL768s`~Woc~'e14~F76Yi$Y' <br />1313 SHERMAN ST. , RUOI.1 215 v <br />~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~ <br />DENVER, CO. 80203 ~ <br /> I <br />AUTHORIZ <br />D R <br />PRESENTATIVE <br /> I <br />E <br />E <br />/ <br /> ~/ <br />df~~ <br />~" v <br />/~ <br />• <br />-~. <br />.. r.0 <br />ACORD+46=S'T%90~ .,•:~._~.,~, ,~.,~.i: ,.~_, ,,,,1: .F..r..-'.A ~~ .i~-`''t,.~,. '~if!G <br />RP RO AT~ <br />