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GENERAL30494
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Last modified
8/24/2016 7:48:01 PM
Creation date
11/23/2007 6:44:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981025
IBM Index Class Name
General Documents
Doc Date
6/7/2005
Doc Name
Certificare of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD„ CERTIFICATE OF LIABILITY INSURANCES GP ID DATE (MM/DD/YY) <br />EMCO-1 06/03/05 <br />IrRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Blanchard Insurance Group Inc. RECEIVE HOLDER.°rH S CERTIFl ATE DOES NOT AMENDREXTEND OR <br />]?.O. Box 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /><:raad Junction co alsos JUN 0 7 200 <br />:PhOrie:970-245-8011 Fax:970-245-8016 INSURERS AFFORDING COVERAGE <br />"'^"' INBVRER A'. ETllplOyerB Nri1t1181 L'aSLlalLy LO. <br />Dlviaron of Minerels antl RER B: <br />$EM COII tI'110tiQII CO. INSURER C: <br />Grand ~nctioa1C0~81506e 219 INSURER D: <br />INSURER E: <br />(:OVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO WHICN THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, E%CLUSIONS ANO CONDRIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAY HAVE BEEN REDUCED RV PAID CLAIMS. <br />L'IR TYPE OFINEURANOE POLICY NUMBER GATE MM/OD/YY DATE MM/D LIMITS <br /> GENERAL LIABILRY EACH OCCURRENCE E1~000~OOO <br />IL X COMMEflCIALGENERPL LIABILITY 9X90868 05/10/05 D5/1D/D6 FIRE DAMAGE (Anyone lire) §1DD•DDD <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) S 6 ~ D D D <br /> PERSONALS ADV INJURY ES~OOO~OOO <br /> GENERAL AGGREGATE E2~000~OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPNP AOG E2~000~OOO <br /> POLICY jEo- LOC <br /> <br />A~ AU <br />X TOMOBILE LIABILDY <br />ANV AUTO <br />9X90866 <br />05/10/05 <br />05/10/06 <br />COMBINEDSINGLE LIMIT <br />(Ee eccitlent) <br />§S~OOO~OOO <br /> All OW NED AUTOS <br />SCHEDULED AUTOS BODILY INJURY <br />(Per person) <br />E <br /> X <br /> <br />]( HIRED AUTOS <br /> <br />NON-OWNED AUTOS <br />BODILY INJURY <br />(Per exitlent) <br />E <br /> PROPERTY DAMAGE <br /> <br />(PeracgOenp E <br /> GAMGE LIABILRY AUTO ONLY-EA ACCIDENT E <br /> ANV AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGG S <br /> EXCESS LIABILRY EACH OCCURRENCE E <br /> OCCUR ~ CLAIMS MADE AGGREGATE S <br /> E <br /> DEDUCTIBLE E <br /> RETENTION S § <br /> WORKERS COMPENSATION AND <br />' TORY LIMITS ER <br /> EMPLOYERS <br />LIABILRY <br />E.L. EACH ACCIDENT <br />E <br /> ' E.L. DISEASE-EA EMPLOYE E <br /> E.L DISEASE-POLICY LIMB § <br /> OTHER <br />DESC RIPTION OF OPERATIONSILOCATIONSNE HICLESrEXCLUSIONS ADDSD 8Y ENDORSEME NT/SPECIAL PROVISIO NS <br />Res North Thompson Creek-File No C-61-025. State Of Colorado, Division Of <br />Minerals & Geology is included as an Additional Insured.*10 Days Notice due <br />to Non-Payment Of Premium."*Or incur substantive changes or failure to <br />renew. THZS CERTIFICATE SOPERSEDES PREVIOVSLY ISSUED CERTIFICATE <br />CERTIFICATE HOLDER N ADDmDNAL wsuRED; wsuRER LETTER: _ CANCELLATION <br />DDDDDDD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATION <br />State O£ COlOradO DATE THEREOF. THE ISSUING WSURER WILLIE~~®MAIL ~QDAVS WRRTEN <br />Division O£ Minerals GBOlOgy NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, BOr/OmHi@~~a~Lt <br />1313 Sherman Street Room 215 xREQ~F~otlECLx~cxOE~aw[>ewdteaalFxeoa[oFmnEa~t~emo~eTrsa~saTS:®t -\ <br />Deaver CO 80203 <br />A~FKDAA-~. t • ~ <br /> <br />25.5 (7/97) ~®ACORD CORPORATION 7988 <br />
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