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REV12824
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REV12824
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Entry Properties
Last modified
8/25/2016 1:23:47 AM
Creation date
11/21/2007 10:36:35 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981034
IBM Index Class Name
Revision
Doc Date
6/4/1992
Doc Name
CERTIFICATE OF INSURANCE
Type & Sequence
RN2
Media Type
D
Archive
No
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<br />A/://~:~~. CERTIFICATE OF INSURANCE Issue6 4(92SH' <br />PRODUCER TNIS CERTIFICATE IS ISSUED AS A MATTER DF INFORMATION ONLY •ND~ <br /> " <br />T <br />E <br />I <br />I <br />I I II II I I II~I IIII I II AMEND, <br />%TEND OR ALTER <br />I I DOES <br />NOT <br />THE COVERAGE AFF <br />ORDED BY THY <br /> <br />the Linden Company <br />P.O. Box 60130 <br />Grand Junction, Co <br />INSURED <br />81506 <br />SEM Construction Co. <br />773 Valley Court <br />Grand Junction, CO 81505 <br />999 _°-' _- "_..' _ <br />' COMPANIES AFFORDING COVERAGE <br /> <br />COMPANY A <br />LETTER F'mployers Mutual Casualty Company ._. _..,, <br />.. COMPANY B <br />LETTEO <br />COMPANY `. <br />LETTER <br />COMPANY D <br />LETTER <br />" COMPANY E , <br />LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME6 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 MAY BE ISSUED OFl MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />E%CLUSIONS AND CONDITIONS OF SUCN POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />CO TYPE OF INSURANCE ~ POLICT NUYBEA ~ POLICY EFFECTIVE POLICY E%PIAATION LIYITS <br />LTR 'GATE IMMIODIYYI ~ DATE (MMIDDlYYI ' <br /> GENERAL LIABILITY 'GENERAL AGGREGATE '32,000,000. <br /> ]( 'COMMERCIAL GENERAL LIABILITY' 9x9086893 S_SO-92 S-1O-93 ~PRODUCTSCOMP10P A00. ~..~2, 000, 000_ <br /> ;CLAIMS MADE)( :000VR. 1 PERSONALIADV.IWURY S,000,OOO _ <br /> OWNER'S 6 CONTRACTOR'S PROT. ~ 'EACH OCCURRENCE _; *1,000,000 <br />_. ._._ <br /> ,FIRE DAMAGE (Any oni Rrq; t SO, GOO.,.... <br />. .. <br /> :MED. E%PENSE Wry am pralj f <br /> " ~ AUTOMOBILE LIABILITY ~ COMBINED SINGLE <br />I f <br />I <br /> 'ANY AUTO n n n LIMIT ..... ... ......--. 1..1 FOOO.IOOO , <br />. <br /> .ALL OWNED AUTOS ~ ~ ': BODILY INJURY ~ f <br />(Per <br />erson) <br /> p <br />i <br />SCHEDULED AUTOS <br /> x ~ HIRED AUTOS ~ BODILY INJURY I <br />If <br /> x ~ NON~OWNED AUTOS : (Pir AFCICAnI) <br /> GAMGE LIABILYTY I <br /> . 'PROPERTY DAMAGE if <br /> ~. EACESS LIABILITY FACH OCCURRENCE ; i <br /> UMBRELLA FORM ~ ,AGGREGATE ~i <br /> ' ~ OTHER THAN UMBRELU FORM <br /> ' ' . ~ 'STATUTORY LIMITS <br /> WORIfEWS COMPENSATION .... .. A .. ... <br /> . EACN ACCRJEM 3 <br /> AND .... .. .. :... ......... <br /> ' ~ ,DISEASE-POLICY LIN17 f <br /> ' EMPLOYERS' LIABILITY "' '"' _ "" "" ""' <br />DISEASE-EACH EMPLOYEE ~ f <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VENICLES/SPECIAL ITEMS <br /> Minrec, Inc. is named as an "Additional Insured" <br /> Re: Mining Permits - C-81-025, C-81-047 and C-81-034 <br />- <br /> CERTIFICATE HOLDER <br />CANCELLATION <br /> ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Lned Land RBClamdtlOn D1V13l.On ~ E%PIMTION DATE THEREOF, THE ISSUING COMPANY WILL EP~dPBRxTO[ <br /> ~13 Sherman,' Room 21S ~ . MAIL ~Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> Denver, CO 80203 LEFT ®~cc~ix~c~Raxax~ntmcsor~c~~s:amcEUC¢n~s~~:wcx~exxemmox <br />i ]CX]IXJC~M87D1~R10ffiE]BZ10![9B6)C <br />I <br />i <br />I AUTHORREO PRESE ATIVE <br />IM~ ACORD 25.5 {T/90) _ OA ORD CORPORATION 1990 <br />
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