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CERTIFICATE' OF•INSURANCE~/'- ` . ~ _ ~:.' .~; ~ -=-~',r; IfBBE DATE (MWDDTYY; ,--
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<br />PROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />THE LINDEN COMPANY POLICIES BELOW.
<br />P.O. Dox 60130
<br />Grand Junction, Co 81506 COMPANIES AFFORDING COVERAGE
<br /> COMPANY
<br />A
<br /> LETTER
<br />EMPIAYERS_MDTUAL CASUALTY COMPANY._ _
<br />_
<br />_._ _ _ I COMPANY B
<br />INSURED 1 LETTER
<br />_. ..._. _..____._______---
<br /> ;' COMPANY
<br />C
<br />SEM CONSTRUCTION CO, i LETTER
<br />773 Valley Court ~ COMPANY
<br />D
<br />Grand Junction, CO 81505 . LETTER
<br />-___.__ _____ _ ______ __________.______-_-
<br /> COMPANY E
<br /> LETTER
<br />COVERAGES :.~-, _ _ _ _ ~~'.,_.:_:._.._...._._.~-:' '~~~:=:" ~_'`.".'..~:'"<.`~ LLw:,
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TER M OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT ITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS~BJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />CO ~
<br />'i PDLICY EFFECTIVE (POLICY EXPIRATION(
<br />TYPE OF INSURANCE POLICY NUMB
<br />LTR ER
<br />LIMITS
<br />DATE (MM/DD/YY) DATE (MM/DD/YY) I
<br />GENERAL LIABILITY , ' ~ ;GENERAL AGGREGATE
<br />~ f 't y QQp
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<br />
<br />A ' X j COMMERCIAL GENERAL LIABILITY ~. 9X9086894 __
<br />~
<br />-_
<br />OS-10-93 OS-10-94 i PRODUCTS-0OMPIOP AGO_ I f ~,~OQ.QDO_
<br />I__ i _ ;CLAIMS MADE X 'OCCUR.!
<br />L._._, j ~ PERSONAL f ADV. INIURY~ i 1,.000,000_.
<br />,
<br />~ OWNEWSBCONTRACTOR'S PROT:
<br />,.__. i ;EACH OCCURRENCE_ _fl/OOO,OOO_
<br />' ': i ~ FIRE DAMAGE (Any ona Ilro) I f 5~ I D00 ___.
<br /> i ~ (MED. EXPENSEVV7 one PN^o^) i
<br />AUT
<br />r OMOBILE LIABILITY I, I I COMBINED SINGLE
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<br />' X~ ANrAUro 9X9086894 I LIMIT
<br />; OS-10-93 OS-10-94 j____..._..._.___......_....__._.. _._ .....1,000,000__
<br />' I ALL OWNED AUTOS
<br />~ BODILY INIURY
<br />_____
<br />~ i
<br />SCHEDULED AUTOS
<br />i (Per penon)
<br />i
<br />~ i
<br />i X
<br />L HIRED AUTOS ~
<br />I .._.._ .._..-.__.____.~
<br />I i ;BODILY INJURY __ _.__.____.-_
<br />~
<br />.. _
<br />X
<br />NON-0WNED AUTOS ''
<br />~ I I (Per sccltlenU
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<br />-~-~~--~----
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<br />-- GARAGE LIABILITY ~ ~
<br />~
<br />I I PROPERTY DAMAGE I
<br />; S
<br />'EXCESS LIABILITY
<br />f j BEACH OCCURRENCE__ ~
<br />~' f1,UDD,DDD-
<br />A
<br />X UMBRELLA FORM 9X9086894
<br />I..__.. ; OS-10-93 OS-10-94 I_A_G_G_REGATE _,
<br />... __.______ ~ 1,DDD.,UGD~
<br />I OTHER THAN UMBRELLA FORM
<br />~ I )
<br />~1
<br />~
<br />WORKER'S COMPENSATION ' ~ j_ STATUTORY LIMITS
<br />''
<br />I - __ .. I .. ._
<br /> I EACH ACCIDENT i
<br />AND 1
<br />j DISEASE-POLICY LIMIT f
<br />~ ENPLOYERS'LIABILITY
<br />I i .._ .__-_..........._... _.
<br />! DISEASE-EACH EMPLOYEE __._..._.._.._...... ._ _...-.-.
<br />i
<br />I OTNER
<br />
<br />
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<br />DESCRIPTION OF OPERATIONSA.OCATIONSIVEHICLES/SPECIAL ITEMS
<br /> NORTH THOMPSON CREEK -File No. C-81-025
<br />CERTIFICATE HOL'DER' , ~ ~ ~ ~ '" .' .
<br />' . ' ~ CANCELLATION'S;` • < -~ ` ` ~,^" '" :..2=.-- "' '~
<br />
<br />& ADDITIONAL INSURED: F I SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIFl.~?ION DATE THEREOF, THE ISSUING COMPANY WILL H~B[IX®RX1IX
<br />pII~ r yZ,t~ MAIL _•:3O DAYS WRITTEN NOTICE TO THE CEflTIFICATE HOLDER NAMED TO THE
<br />~ MINED LAND RECLAMATION DIVISION ~ LEFr• )MItMMH37AE74fi~7NW[OfSMroK7p>D39CH7CIAXm7SpwpHS[l~7mB[7DN[O<D~7P3C
<br />1313 Sherman St. , Room 215 I~ABBXPS~]1-XAN6~99~C6i9DN(R3FmDNP~7CY79R9C1¢T8FRS7GSXiERP~90mCAmNEACX
<br />Denver, CO BO2O3 1 AUTHORIZED REPRESENTATIV
<br /> ~ -
<br />REV. 6-10-93
<br />2 12
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<br />~ ACORD 25=5 (7/80) ~ +~
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<br />ACOA CORPOR O 9
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