My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
REV11444
DRMS
>
Back File Migration
>
Revision
>
REV11444
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/25/2016 1:22:25 AM
Creation date
11/21/2007 10:23:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981025
IBM Index Class Name
Revision
Doc Date
5/9/1997
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Type & Sequence
RN3
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORD CERTIFICATE OF LIABIL ITY INSURANCE CSR JN DATE IMMIOO/YYI <br />_ SEMCO-1 05/09/97 <br /> N <br />i <br />Y <br />e <br />e <br />III 111111111 I III III N D <br />U <br />R <br />O <br />Junct <br />on <br />Inc. <br />of <br />Grand HOLDER <br />THIS CERTIF LATE DOES <br />NO7 AMEND <br />END OR <br />EX <br />P.O- Sox 60130 999 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand JTULCtion CO 81506 COMPANIES AFFORDING COVERAGE <br />Janet Neil COMPANY <br />Plum xo. 970-245-8011 F.a xe. 970-245-8016 A Employers Mutual Casualty Co. <br />WSURED <br />COMPANv <br /> 9 <br />SEM Cona truction Co. ~ --. COMPANY <br />MINREC, Inc. (ATIMA) ';~ C <br />715 Horizon Drive, Suite 219 ~ <br /> <br />Grand Junction CO 81506 ~ <br />%+ COMPANY <br />p <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAIO CLAIMS. <br />CO <br />lTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />T <br />M POIICY E%PIRATION LIMITS <br /> E I <br />MlDDRYI <br />DA DATE IMM/ODRYI <br /> GEN ERAL LIABILITY GFNEPAL AGGREGATE I S 2, OOO, DDD <br />A X COMMERCIAL GENERAL LIABILITY 9X9086898 OS/lO/97 OS~lO/9B PRODUCTS ~COMP;OP AGG 32,000,000 <br /> CLAIMS MADE ^X OCCUR PERSONAL N ADV INJURY S 1, DDD, DDQ <br /> OWNER'S BCONTRACTOR'$PROT EACH OCCURRENCE S1, QDQ, OOO <br /> FIRE DAMAGE lAnv mle Lrel S 5 D, D D D <br /> MED E%P lAnr one pasonl S Dj, DDD <br /> AIR OMOBILE lU1BILRY <br /> COMBINED SINGLE LIMIT 31, DDD, DDp <br />A X ANY AUTO 9X9086898 DS~1D/97 DS~1D~99 <br /> ALL OWNED AUTOS <br />I <br />BODILY INJURY <br /> <br />3 <br /> SCHEDULED AUTOS IPer pelsoill <br /> X HIRED AUTOS <br />BODILY INJURV <br />3 <br /> X NON~OWNED AUTOS IPer acueeell <br /> <br /> PROPERTY DAMAGE f <br /> GARAGE DABILRY AUTO ONLY . EA ACCIDENT S <br /> ANY AUTO OTHER THAN PUiO ONLY: <br /> EACH ACCIDENT s <br /> AGGREGATE 3 <br /> EXCESS LIABILRY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE s <br /> OTMER THAN UMBRELLA FORM 3 <br /> WOR%FRS COMPENSPTION 4N0 ~ ~ WC STATU~ i OTH~ <br />~ •OPY LIMN EP <br /> EMPLOYERS' UABILRY <br /> EL EACH ACCIDENT 3 <br /> THE PROPRIETOR/ <br />PAgTNERS <br />VE <br />E%EC <br />R INCL EL OISEASE ~ POLICY LIMIT S <br /> / <br />I <br />I --T <br /> OFFICERS ARE: E%CL EL DISEASE ~ EA EMPLOYEE I S <br /> OTHER I <br />DESCRIPTION OF OPERATIONS/LOCATIONS/V EHICLESISPELIAL ITEMS <br />RE: North Thompson Creek - File NO. C- 81-025 <br />Additional Insured: State of Colorado, Division of Minerals & Geology <br />•10 Da s due to non a ent of remium. <br />CERTIFICATE HOLDER CANCELLATION <br /> COLOMIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIgATION DATE TNEREOf. THE ISSUING COMPANY WILL MALI <br />$tdte Of Colorado 3O•DAYS WRITTEN NOTICE TO TNECERTIFICATE HOLDER NAMED TO THE LEFT. <br />Division of Minerals & Geology <br />1313 Sherman Street, Room 215 <br />Denver CO 80203 <br /> AUTNORI3ED REPRESE IVE <br /> Janet Neil <br />ACORD 25-5 (11951 ~ACORD CORPORATION 1988 <br />V <br />
The URL can be used to link to this page
Your browser does not support the video tag.