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REV92514
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REV92514
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Entry Properties
Last modified
8/25/2016 3:13:56 AM
Creation date
11/21/2007 11:22:20 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984065
IBM Index Class Name
Revision
Doc Date
2/3/2006
Doc Name
Letter, Application & Public Notice
From
J.E. Stover & Associates Inc
To
DMG
Type & Sequence
RN5
Media Type
D
Archive
No
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20-JIM-2005 11:02AM FROM-Blanchard Insuranc6 Group Irtc <br />CERTIFICATE OF LIABILITY <br />7;inaahard laeuraaca Group lac. <br />P.O. Sox 60130 <br />Grnad Juactioa CO 81506 <br />Phaae: 970-245-8012 8ax:970-245-0016 <br />C.8- Miaerals CoD~ 7.LC Inslw~e <br />8717 Delg aay Aveaua TL15 W6URER G; <br />Playa flat Ray CA 902 3 _ <br />COVERAGES <br />8702458010 T-380 P.001/002 F-043 <br />Lr~~ ~n Jl wtr+~ „e,., . DATEOdWDON1T <br />INSURERS AFFORDBJG COVERAGE <br />THE POLICIES OF WSURANCE LI6TE0 BfiAw HAVE BEFN 6SUk1J TO THE W6URED NAMED ABOVE FOR THE POLICY PERIOD nIDM.ATED. NOTW RMSTANPIr{G <br />ANYF!(WIRE/RENT. TEAM OR OONC(riON OFANyNNTyGTOq OMEN OOCUMENTWR51 RF3PEC1'TC1 wfIW1TN13 CEATIFOCAT@MAY SF {SS~DOfl <br />MAY PERTAIN, THE PlSURANCE AFFORDED EY THE POMOIE6 DESCgaFP HEAFJN IS Su&EI-T TOAiL THSTERMi, EXCLUSIONSANp CONDITIONS OF 6UCM <br />POLICIES. AGGREOATEUMRi SHOWN NAY MAYS BEEN RET1uCEP 6Y PAID CLNM3 <br />LTR TYPE OF6ISUHIWCE POLICY NUAI6ER D4 LIMR6 <br />DavERALUURUrv EACHDCCURRENDE L 50D,000 <br />A 7C MMMEgCIAL GEN6UL UASRAIY 17[15286 07/12/05 OT/12 /06 Fa9E DAMMEfAAV mw are) i 1D0, 000 <br />CWIaS MADE ®OCNR MED EXP (Mq aM I i 5,000 <br /> PER60NALa AOV EdWRY a 500,000 <br /> GENERAL AOOREWTE i 1, DOD, DDD <br />OENT.AGGREGATE LIMB APPLIES PF.Ti: PRODUCTS •COMPfOP AOG i 1,000,000 <br />POLICY P a LOC <br /> Al1 YDppDLLE uAelLm rnM6n~rED S(NOLELIMIr <br />i <br /> AM'AIlTO IEA AmCmRI <br /> N1owNPD AUTm fiooar uawRr <br />i <br /> SCHEDULED AUTOS IPm PAIemI <br /> NniEDAUr05 <br />9 aOL <br />i <br /> NON-DWNF-0AUTOS 6' <br />msldaW <br /> PROPERTY DANAGE <br /> <br />Po i <br /> rAttlo"n0 <br />r <br /> GARAGE L1M1Bn.rrl' AUTOOryLY•EA ACCNIENT L <br /> AVY NlTO OTHER THAN E"'~ i <br /> AUrDONLY: ,~G i <br /> EYCESS LIA6ILRY EACH OCpniRRICE i <br /> OCCUR ~ CLNMS MADE AGOREOAIE i <br /> i <br /> PEOUG'RS[£ _ <br /> RETDiTIIX! i i <br /> WORKERS t011PFx9ATWN ANP <br />~ T Eq <br /> FIiPLDYERB <br />UABMY <br />E.L. EACH PCCIOEM <br />S <br /> EL D49F15E-EA EMPLO i <br /> E.L. DISEASE-POLICY LN41 f <br /> OTHER <br />PESCMPTKfN OF OPERATWNSAACAAONSNEIYCLESIFj( LrISION6 APPEO BY ENO RSEMaYUSPECNL PROYEnONS <br />DL6Ca Pezmd.t No. C-84-065 - Coai Ridge N'o. 1 Niae , East of Nam Cas t7.e, C0 <br />&outh o£ the Raver. AtCiG 83aaavial, lac. and the 6tnta of Colorado Aivieioa <br />o£ Miaerala & Geology are daeluded as Additional Iaeurafla. •1o Days Notlca <br />8vr Noa-Payment Of PramiWD •*or iaaur aTabataative thaggaa ar >l:nilure to <br />reaem. <br />0000000 ~ SNOUTA ANYOF TrIE ABOVE DESCRIBED POLICIES aE CANCELLEOBEFORE THE ElU1gATK1h <br />6t Rte of COlerNOo DATE THEREOP,7NE 64NNC PI6URFA WILL1aMAa- •30 DAYS WRRTETI <br />Dlviaioa O£ Miaeral6 8 OeolOgy ryDTIC6Y0 THE OERi1FiCATE HOLDEq NAMED TO THE LBPT.=KN~7TAPSCDT <br />7.913 Shasvraa Street, ROOTa 215 IAA~410~OaETALIOIGN4~G'oa:aC%01~1CX~>pD1~1TXDa~pR7aa% <br />Deaver CO 80303 , <br />
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