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GENERAL30531
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Entry Properties
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
C1981018
IBM Index Class Name
General Documents
Doc Date
1/5/2004
Doc Name
Certificate of Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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acoRO CERTIFIC L BILITY INSURANCE OP ID L DATE IMM/OD/YYYY) <br />DESER-3 12 30 03 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hays Companies <br />JAN 0 5 2004 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />60 South 8th Street #700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Minneapolis MN 55402 <br />Phone: 612-333-3323 Fax:6~,y~~~~ly~~aQ and Geolom INSURERS AFFORDING COVERAGE NAIC# <br />INSURED ~ INSURER A: Federal Insurance Com an <br /> INSURER B: <br />Deseret Generation 6 Transmiss <br />Attn: Soren Sorenson INSURER C: <br />10714 South Jordan Gateway INSURER D: <br />South <br />ordan UT 84095 <br />J <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MMIDDlYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000, DGD <br />A X COMMERCIAL GENERAL LIABILITY 73194464 12/30/03 12/30/04 PREMISES (Eaoccurence) 3100,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) E 1 G , G D G <br /> X EBL $S,000,DGD PERSONALSADVINJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000, DDD <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> POLICY PRO- <br />JECT LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea acddenl) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per a¢itlenU <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC E <br /> AUTO ONLY: AGG E <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE E <br /> OCCUR ~ CLAIMS MADE AGGREGATE 4 <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNEWE%ECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> OFFICER/MEMBER E%CLUDED? E. L. DISEASE-EA EMPLOYEE $ <br /> aarrdoe <br /> 5 ECIAL PROVISIONS below -- - - -- - ~ 1. DISEASE-POLICY LBNT-. _ _ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />Re: Deserado Mine in Rangely, Colorado (Permit #C-81-018). <br />COLSTAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOb <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />State Of Colorado NOTIDE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Division of Minerals S Energy IMPOSE NOOBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER, RS AGENTS OR <br />1313 Sherman Street Room 215 <br />Denver CO HO2O3 REPRESENTATIVES. <br />CORPORATION 198f <br />
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