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GENERAL30530
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Last modified
8/24/2016 7:48:03 PM
Creation date
11/23/2007 6:44:48 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981021
IBM Index Class Name
General Documents
Doc Date
9/3/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ACNRII. CERTIFICATE OF INSURANCE ~~~ ~~~~~~~~~~~~~ ~I~ ISSUE DATE IMM/DD/YYI <br />sss 9/02/93 <br />PROWLER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />Ua n G i lder Insurance Corp DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. <br />700 Broadway. Suite 1035 <br />Ilenver r CO 80203 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />- <br />A <br />303-837-8500 LE' <br />IeR <br /> COMPANY <br />B <br />INSURED LETTER <br />Flatiron Companies <br /> COMPANY <br />C <br />Flatiron Industrial F'ark Co. LETTER <br />F'.O• BO% 229 <br /> COMPANY <br />D <br />boulder LETTER <br />CO 80306 <br /> CgMPANv <br />E <br /> LETTER <br />Employerls Mutual Casualty Co <br />Crum ~ Forster Ins. Co. <br />~F~~!vFr <br />SEP 3 199a <br />mtrib <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF WSURANCE USTED BELOW-HAVE-BEEN'ISSUED"TO THE INSURED NAMED ABOVE FOR THE POUCV PERIOD INDICATED. <br />NOTVJfTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. E%CLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PODGY E%PIRATON <br />DATE IMM/DD/VVI DATE IMM/DD/YYI <br />GENERAL LIABIDTV <br />A X COMMERCWL GENERAL DABIUTV 0X4894294 6/01/93 <br />CLAIMS MADE X OCCUR. <br />OWNER'S 8 CONTRACTOR'S PROT <br />AUTOMOBILE LIABILITY ------ <br />A X ANVAUro O.X4R94294 6/61/93 <br />Au O'MIEO Auros <br />SCHEDULED AUTOS <br />X. HIRED AUTOS <br />X NON-OWNED AUTOS <br />GARAGE LIABILITY <br />EXCESS LIABIDTY <br />b UMBRELLA FORM <br />X OTHER THAN UMBRELLA FORM <br />5220753903 6/01/93 <br />VNRKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />DESCRIPTON OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />f.E: Bourg Mine <br />DMITS <br />GENERAL AGGREGATE $ ~'-~VVV. VVV <br />b/41 /94 PRODUCTS-COMP/OP AGG. $ 2 A 0041 400 <br />PERSONAL 6 ADV. INIURV $ 1 . 000 A 000 <br />EACH OCCURRENCE $ 1 .000 ~ 004 <br />FlRE DAMAGE TAM o^e lirel $ 54 ~ 400 <br />MED. E%PENSE IAny ore aersml <br />_-- $ 5.444 <br />COMBINED SINGLE <br />6/01/94 uMR <br />$ <br />1.0001000 <br />BODILY IWURV $ <br />IPer penonl <br />BODILY INIURY $ <br />IPer accitlentl <br />PROPERTY DAMAGE $ <br />EACH OCCURRENCE $ia; sa~baa <br />AGGREGATE $101 004 1 040 <br />6/01/94 <br />STATUTORY LIMITS <br />EACH ACCIDENT $ <br />DISEASE-POLICY LIMB $ <br />DISEASE-EACH EMPLOYEE $ <br />CERTIFICATE HOLDER <br />Llivision of Mineral ~ Geology <br />1313 Sherman Street <br />1lenverl CO 80203 <br />CANCELLATION <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 34 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />0303'? 1000 <br />25•S (7/90) cACORD CORPORATION 1990 , <br />
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