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CERTIFICATE' OF•INSURANCE~/'- ` . ~ _ ~:.' .~; ~ -=-'^r; ~BBBE DATE (MWDDTYY; ,--
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<br />~ R8VIS1~ t I i OS-24-
<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 :.~-, ~ ... ,,.: r, ,. ~.rt. `'. ,.w:,
<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 />LIYITS
<br />j DATE (MM/DD/YY) DATE (MM/DD/YY) I
<br />GENERAL LIABILITY ' ' GENERAL AGGREGATE
<br />~ i 2 , OOO
<br />DOO
<br />
<br />A; X;COMMERCIAL GENERAL LIABILITY '. 9X9086894 __
<br />,
<br />-_
<br />OS-10-93 i OS-10-94 iPRODUGTS-0OMPIOPAGO_If2,D~D,QDO-
<br />F
<br />I__ i _ j CLAIMS MADE X 'OCCUR.!
<br />L._._, j ~ PERSONAL i ADV. INJURY ~
<br />i 1,ADD,000_.
<br />,
<br />~ OWNEWSi CONTRACTOR'S PROT:
<br />,.__. i ;EACH OCCURRENCE_ _il/OOO,OOO_
<br />' I ': ', i ~ FIRE DAMAGE (Any ona Ilro) I f 5~ I D00 __ .
<br /> i ~ I MED. EXPENSE WIY ane PNmn) i
<br />AUT
<br />r OMOBILE LIABILITY j ~~ I COMBINED SINGLE
<br />i
<br />' X~ ANrAUro 9X9086894 ~ LIMIT
<br />OS-10-93 OS-10-94 ~____..._..._.___......_....__._.._._ ....1,000,000__
<br />' I ALL OWNED AUTOS
<br />~ BODILY INIURY
<br />_____
<br />~ i
<br />SCHEDULED AUTOS
<br />i (Per penon)
<br />~ i i
<br />i X HIRED AUTOS ~
<br />i .._.._ .._..-.__.____.-
<br />i ;BODILY INJURY __ _.__.____.-_
<br />~
<br />L..
<br />X NON-0WNED AUTOS '' I
<br />~ I I (Per sccltlenU i
<br />-
<br />I (
<br />-- GARAGE LIABILITY : ~ ~ ~~~~_
<br />~ I PROPERTY DAMAGE
<br />i ~-~-~~
<br />-~----
<br />I i
<br />' E%CESS LIABILITY
<br />f j EACH OCCURRENCE__ ~
<br />~' i1,OD0,000-
<br />A
<br />X UMBRELLA FORM 9X9086894
<br />I..__.. ; OS-10-93 OS-10-94 i GGREGATE __
<br />._... __.______ ~ 1,DDD.,UGD~
<br />I OTHER THAN UMBRELLA FORM )
<br />
<br />WORKER'S COMPENSATION '. ~ l STATUTORY LIMITS
<br />~ j _ __ .. I .. ._
<br /> ~ EACH ACCIDENT i
<br />AND L__. _.._______._-__
<br />j DISEASE-POLICY LIMIT _ __ ---
<br />f
<br />~ ENPLOYERS'LIABILITY
<br />I i .._ .__-_............_... _.
<br />! DISEASE-EACH EMPLOYEE __._..._.._.._...... ._ _...-.-.
<br />i
<br />I OTNER
<br />
<br />
<br />I I
<br />~ i
<br />i
<br />i I
<br />DESCRIPTION OF OPERATIONSA.OCATIONSIVEHICLES/SPECIAL ITEMS
<br /> NORTH THOMPSON CREEK -File No. C-81-025
<br />CERTIFICATE HOL'DER', ~ ~ ~ ~ '" .'.
<br />' .' ~ CANCELLATION':;` •< .~` ` " :,,."'" .._=._".-' '.~.
<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 CERTIFICATE HOLDER NAMED TO THE
<br />~ MINED LAND RECLAMATION DIVISION ~ LEFr• )MItMMH37AE74fi~7NW[OfSMroK7p>D39CH7CIAXm7SpwpHS[l~7mB[X~7[O<p~3{
<br />1313 Sherman St. , Room 215 I~ABBXPS~]1-XAN6~99~C6i9DN(R3FXaDNP~7CY79R9C1¢T8FRS7msXiERP~90mCAmNEACX
<br />Denver, CO BO2O3 1 AUTHORIZED REPRESENTATIV
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<br />REV. 6-10-93
<br />2 12
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<br />~ ACORD 25=5 (7/80) - ' ~ M
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<br />»'.,~.,,g~,?;~._ 4,;. ~Nr,m- 1. `s`,3.. ACOA CORPOR O 9
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