PERMFILE51034

• Permit No: C1981034
• IBM Index Class Name: Permit File
• Doc Date: 7/1/1998
• Doc Name: pg 8a to 33
• Section_Exhibit Name: SECTION 2.03 Legal, Financial, Compliance & Related Info
• Media Type: D
• Archive: No

~ell~:u.~ CERTIFICATE OF INSURANCE;' : ` ~ : ~"" ~~ IiSDEDATE,MM/DD/YY,
--~....~ .-.,..._._-..._~ _ . .. . _ _ 11/08/89
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO7 AMEND.
CONTRACTORS INSDRANCE CENTER EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
518 28 ROAD, SDITE B201 -- -- - - - -
. GRAND JDNCTION, CO 81501 COMPANIES AFFORDING COVERAGE

CODE SU6LODE
_ 8992805 _ ____ (303) .245-3526 ...
INSURED ---~- ---

SEM CONSTAIICTION, INC.

773 VALLEY COIIRT
GRAND JONCTION, CO B1SOS COMPANY
LETTER A GLOBE INDEMNITY
- . _. _ - ... __ .
coMPANY
LETTER B
_-
COMPANY
LETTER C
_----.----.---..-
COMPANY
LETTER D
COMPANY E
LETTER

. __ _ _. ..

.----.-.--. - - -
COVERAGES .._ ~ - ~ ~ ~~ ~
... ~.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAV BE ISSUED OR MAV PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE D HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.

CO ~
TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
'
ALL LIMITS IN THOUSANDS
LTR DATE (MMIDDM
) ;DATE IMM/DD/YY) ~
GENERAL LIABILRY .GENERAL AGGREGATE S 2, DOD
COMMERCIAL GENERAL LIABILITY '
A :_%____ _ GSP119395
05/10/89 :05/10/90 PRODUCTS~COMP/OPS AGGREGATE S 2 A DDO
..--..-. ...---.
:CLAIMS MADE % _ OOCUR.~ !PERSONAL 8 ADVERTISING INJURY ! i 1 ~ DDO
% 'OWNER'S 8 CONTRACTOR'S PROT.' .EACH OCCURRENCE ; i _ 1 ~ DDO

_%.. IiNDERGRODND --- -- FIRE DAMAGE IMy Pne IireJ S 50
-.._............- ----..... .--------
MEDICAL EXPENSE (Any one person) ! rj
I AUTOMOBILE OABILRY ~ COMBINED
ANYAVro GSP119395
` OS/10/89 OS/10/90 Le i 1
000
%, uMR
.
. ALL OWNED AUTOS ~ BODILY I
INJURY :S
`SCHEDULED AUTOS : (Per person) '
:HIRED AUTOS BODILY
-- !INJURY ~ i
i NON-OWNED AUTOS (P,r ¢ciEenl) :
-_--~~---~--~--
'. GARAGE LLIBILRY ~ i PROPERTY
'
-""' :DAMAGE 'i
EXCESS OABILITT
~~EACH AGGREGATE
~ OCCURRENCE
_ S S
~~ OTHER THAN UMBRELU FORM ~ '
: : STATUTORY '
WORKER'S COMPENSATION _-_.___. ___._ ___
AND '. f _ (EACH ACCIDENT,
S (DISEASE-POLICY LIMIT)
EMPLOYERS' LIABILTY _ .._-..._. ... _...._ . ... ...... _. _. .
i (DISEASE-EACH EMPLOYEEI
.OTHER - ______-.._- _ __ .
DESCRIPTION OF OPERATIONSM1OCATIONS/VEMICLESIRESTRICTIONS/SPECIAL ITEMS
HIIiREC, Inc., is named additional insured on the above stated policy.
MIIiID LAND RECLAMATION DIVISION
DEPARTlD:NT OF NATQRAT. RESOIIRCES
STATE OF COLORADO
423 CENTENNIAL BIIILDING
1313 SHERMAN STREET
DENVER, CO 80203-2273
25•S
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
E%PIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ID DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
mACORD CORPORATION 7988
FIGUP,E ?.03.9-1