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PERMFILE63121
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PERMFILE63121
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Entry Properties
Last modified
8/24/2016 11:09:19 PM
Creation date
11/20/2007 7:50:26 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981033
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
EXHIBIT 03 CERTIFICATE OF INSURANCE
Media Type
D
Archive
No
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~__. L ._ ( l' ( ' r ( ~ <br />,. <br />i~ <br /> <br />C~ <br />,.,,~AI ar:0 FGOP ~s of .:GEN^., F IvURF. 2 . 0 3 , 9 (1) -1 <br /> rCY-?Sl.~y~ ~~~(/,~' <br />j <br />; <br />;, <br />^i COflPANIES kr't=0R01NG COi'EP.AGES <br /> . <br />Y~I <br />, <br />~ COMPANY ~ <br />T-~_ <br />,t <br /> ff~ ~~~~~~.. .1 <br />LV1iLYCS, C'J bA'. 3Q2 ~ <br />O <br />~ ~ t~ ~ ~G~ <br />LETTER iilE`i4CL:fi V <br /> <br />I~~ <br />' COMPANY <br />jd <br />; LETTER <br /> <br />F'`4 Yf.ME ANO ADORESS <br />UREO <br />~~ ~ <br />wW-6.,L e^~ COMFP NY <br />r <br />• ~ ATiIIM <br /> CO 8].1,34 <br />$0062'6'. °TTEat"Y D <br />v1 <br />, <br />L <br />t.c: <br />~; q <br />Fj <br />r <br />u <br />~ <br /> <br />COMPANY <br />„ <br />' <br />F <br />d <br />~ LETTER <br />! <br />S <br />'T` 1 nis Is to certify Nat polices of insurance listed Delew have been issued to the insured named above and are in force at this time. Notwithstanding any requirement, term or condion~~ <br />h <br />T of any contract or other document with respect to which this Certiti(•ete may be issued or may pertain, the insurance afforded by the policies described herein is subject to all tl. ~ <br />` terms, evciusions and conditions of such policies. <br /> <br />gy <br />' <br />P <br />I <br />Y Limitz of Liabilit in Thousand s 1 <br />p UMPANT <br />If nrR TYPE Or INSURANCE POLICY NUMBER OL <br />C <br />E%PIRAiION DATE EPCM <br />AGGREGAY <br /> OCCURRENCE <br /> GENERAL LIABILITY <br /> BODILY INJURY f f <br />U I~ ~~Q~ <br />S <br />~ ~f <br />~~~4 <br /> ~ COMPREHENSIVE FORM J~~I ~- <br />f <br /> ~PREMISCS-OPERATIONS PROPERLY DAMAGE E S <br /> ^ EXPLOSION qN0 COLUPSE <br /> HAZPRD <br /> ^ UNDERGROUND HAZARD <br /> ^ PRODUCTS/COMPLETED <br /> OPCRAT IGNS HAZPRD BODRYINJURY AND <br />' <br /> ^CONTRACTUAL INSURANCE PROPERTY UAMACE S <br />~ S <br /> ^ BROAD EORM PROPERTY COMBINED <br /> DAMAGE <br />^ INOEPCNDENT CONTRACTORS <br /> ^ PER50Ngl INJURY PERSONAL IN JURY S <br /> AUTOMOBILE LIABILITY eooar INJURY <br />S _ <br /> (EACH PERSON) <br /> ^ COEAPRC HENSfVE PoRM BODILY INJURY S - <br /> ^ UwNCD (EACH ACCIDENT) __ <br /> <br />^ wnrn PRDFER[Y DAMAGE S <br /> BODILY INJURY AND <br /> NON WNCD <br />O PROPERTY pPMAGE s <br /> COMOIHEU <br />_ ____ EXCESS LIABILITY <br /> BOUILV INJURY AND <br /> ^ UMBRELLA rORM PROPERTY pAMAGF. S S <br /> ^ OT HER THAN UMPRFLLA COMBIN[U <br /> rORM <br /> WORKERS' COMPENSATION srgiuiogv <br /> and <br />~` EMPLOYERS' LIABILITY s ,c¢~.cuo <br /> OTHER <br /> DI SCHIPl10N Or OPERATIONS/LOCATIONSNEHICLES <br /> Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com- <br /> pany will endeavor to mail ~_ days written notice to the below named certificate holder, but failure to <br /> mail such notice shall impose no obligation or li ability of any kind upon the company. <br /> NAM <br />[A <br />N <br />p A <br />DDRE <br />OL <br />H <br />IIRCA <br />i E <br />H <br />R <br />SS <br />C <br />F <br />O <br />IDE <br /> p <br />~ <br />~ <br />~ <br />J <br />~ <br />--, v_`, <br />' <br />~ <br />e <br />, <br />- <br />• <br />_ <br />_ <br />J <br />WiVl"WN pyp~ ~ I~6YiOA <br />DATE ISSUED. <br /> G'~}09II~61 ~~ _ <br /> <br />~~ ~ ~~~ <br /> CO 80203 <br />H.a~r <br /> , AUTHORIZED EPRESENTATIVE <br />~ACORD 25 U49) REVISED Play 15, 1981 <br />
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