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PERMFILE64863
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PERMFILE64863
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Entry Properties
Last modified
8/24/2016 11:10:45 PM
Creation date
11/20/2007 8:35:54 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981021
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
CERTIFICATE OF INSURANCE
Media Type
D
Archive
No
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ISSUC U4E IMM/pD/YR <br />~-~%~~~:~~. CERTIFICATE OF INSURANCE : ~/14/~G , <br />PRODUCER .. .. ._.... ._... ._ I <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />Ud n r l L d er I n=, w-a nr_ e C U 1- p EXTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW ', <br />700 Broadway, Suite 1035 <br />Ilenvel- ; CO SC)2C'3 COMPANIES AFFORDING COVERAGE <br />COMPANY <br />CODE?O3'-83?-E'SOO SUBCOOE LETTER A Fi ~]ya L T. T1Ei LLI-a PCe Company <br />I <br />COMPANY j <br />INSURED LETTER B i <br />r L a't i l° D n C o m~ a T~l i F's COMPANY <br />F''. U • BU % ._/~' LETTER C <br />II D LL L d n 1° COMPANY <br />C:0 F,G3G6 LETTER D <br />COMPANY I <br />LETTER E d I. p ' <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE OSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWffHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED Ofl MAY PERTAIN. THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH ' <br />POLICIES. OMITS SHOVM MAV NAVE BEEN REDUCED BV PAID CLAIMS. <br />I <br />GO T'PE OF INSURANCE POLICY NUMBER I <br />POLICY EFFECTIVE POOCY EkPIRA710N ALL LIMITS IN THOUSANDS <br /> <br />I LTA i <br />DATE IMM/DD/YYI DATE IMM/OD/YYI <br />GENERAL WBIUTY GENERAL AGGREGATE 5~ / OOO <br />(~ COMMERGNL GENERAL UABIl1TYASTO41796 6/O1/9O 6!O1!91 PRODUCTaCOMP/OP$AGGREGATE 52;000 ~~ <br />CWMS MADE X OCGU0. PERSONAL d ADVERTISING INUURY S 1 , OOO <br />OA'NER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE 51 : OOO ~ <br /> I <br />FlRE DAMAGE IArry pro lira) S SO , <br /> MEDICAL EXPENSE IAry oro oenan) S J , <br />AUTOMOBILE LIABILT' COMBINED <br />`Y ANY ALMI r1J fC'41796 <br />• 6iO1/9O 6/O1/91 LIIMR~ s 1 , OOO <br />~ Au owNED Auras BODILr <br /> INJURY S <br />SCHEWLEO AUTOS <br /> <br />i ~ <br />IPer panonl <br />i HIRED AUTOS BODILY <br />~ IwuRY s <br /> <br />I NON-0NT1E0 AUTOS <br />IPar uatlenll <br />i <br />GAAACE LMBILIfY <br />PROPERTY 5 <br />_ _ _ _ __ _ DAMAGE <br />EkCE55 W101LTTY <br />OTHER TILW UMBRELLA FORM <br />V.ORNER'S COMPENSATION <br />AND <br />EMPLOYERS' UABILRY <br />OTHER <br />EACH <br />OCCURRENCE <br />S s <br />AGGREGATE <br />STATUTORY <br />s (EACH ACCIDENn <br />s (DISEASE-POLICY LIMIT( <br />JUN ? 8 i99a <br />:PECIPL REMS - _ AAINEJ :~"~tu <br />~FC~MATInti nl~/I~T^'; <br />iCERiiFICATE HOLDER .. ._ _~ _ ,. ___ _. <br />~IITYEi•d Land RecLamai'ion Iliv. <br />~~1313 She:-man St. <br />le T1VC`7-, CU ~JO203 <br />Attn: Kathy r'eg~=j <br />6/14/90 <br />CANCELLATION ~ .. _ _ <br />L SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />' EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 3G DAY$ 10 DAYS FOR NON-PAYMENT OF PREMIUM, V.FiRTEN NQTICE TO THE <br />CERTIFICATE HOLDER NAMED TO THE LEFT, BUi FAJLURE 70 MAIL SUCH NOTICE SHN.L IMPOSE <br />NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE COMPANY, ff5 AGENTS OR REPRESENTATNES <br />~-+.. <br />NrnnvE <br />-. ~ ~~ <br />r,~. _ G3C'32100G <br />-'` <br />( '; ~-s <br />ACORD 25-5 (3/881 ~ ~ ~ ~ ~~ ~- <br />- - - - _~-+rr .. ~wllA - - _ _ _ <br />
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