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GENERAL31661
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GENERAL31661
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Entry Properties
Last modified
8/24/2016 7:54:40 PM
Creation date
11/23/2007 7:03:45 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981024
IBM Index Class Name
General Documents
Doc Date
7/5/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />.:::..:.:::.::::::::::.::::.:::::.:.:::::.::::..:..::..:.:: <br />~~~ ~~~~~~~~~~~~~~~~ :;RTI~ <br />IGATE'OF' <br />9s ::..:: <br />IN :.:..: ::::::::::::::::::::::::::.:::::.. ; ::.::...::::;:.:.i .i...:..:..:.:::...::.:.:..::..:..:....:.. <br />SURQNCE ' ' '~ 28952 ;'r; ;` L49DEDATE,MM/DD/YYI <br />, <br />s <br />_.~ .. -:; - 6/21/94 <br />vROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />MdrSh 6 McLennan, Incorporated CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />777 South Fi <br />ueroa street 'EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />~ <br />g POLICIESB <br />OW. <br />Los Angeles, CA 90017-5822 <br /> COMPANIES AFFORDING COVERAGE <br /> <br />Philip J. Gary <br /> CAMPANr <br />LETTER A HOME INSURANCE COMPANY <br /> COMPANY <br />"' <br />NSURED ( <br />LETTER B ~~L CF <br /> <br />Raiser Resources, Ino. <br /> <br />Attn: Corp. Risk Dept. DOMPANV C <br />LETTER <br /> <br />8300 Utioa Ave., Suite 301 <br />Rancho Cucamonga, CA 91739 LfTTER~ D <br /> h, <br /> COMPANY ~ glflBl X15 tS l'~CDIO <br />E <br /> Oy <br />LLTfER <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REOUIRET.:EtiT, TERM OR CC`:DITIC.': OF A: ' CCi~Ti~:CT OR OTH'cR uOCOMENT WITH R~SPEC i f0 WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSUMNCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE SEEN REDUCED BV PAID CLAIMS <br />CO <br />LTR TYPE OF NSURANGE POLICY NUMBER POLICY EFFECTNE <br />DATE (MM/DD/YY) POLICY E]IPIMTION <br />GATE (MM/DO/YY) DMITS <br />A cENE RALWBUTr LRF858710 6/01/94 6/01/95 GENERAL AGGREGATE f xooooo0 <br /> ][ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. f 1000000 <br /> QAIM9 IMDE OOCCUR. PERSONAL 6 ADV. INJURY f 1000000 <br /> OWNER'S 6 CONfRALTOR'S PROT. EACH OCCURRENCE f 1000000 <br /> FIRE DAMAGE (Any one fm) f <br /> MED. E%PENSE (Airy one grsm) f <br /> AUTO MOBEE LNBWTI' <br />COMBINED SINGE <br /> ANY AUTO LIMIT f <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />f <br /> SCHEDULED AUTOS (PST parson) <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUf03 <br /> <br />IPer eccitlanp f <br /> GARAGE LWBROY <br />PROPERTY DAMAGE <br />f <br /> <br /> E%CE93 WBYITY EACH OCCURRENCE f <br /> UMBRFIIA FORM AGGREGATE f <br /> OTHER TWIN UMBRELLA FORM <br /> <br />WOR <br />~H'f C STATUTORY LIMITS <br /> I <br />OMPENSATION _ <br /> . - - - - EACH ACL,IUENf f <br /> AND <br /> <br />' <br />D~SEASE~POLICY LIMIT <br />f <br /> EMPLOYERS <br />UABWTY <br /> DISFASE~EACH EMROYEE f <br /> OTHER <br />DESCRIDTION OF OPEMTIONS/LOGTIONf/VEIOCIEf/SPECMI ITEIAS <br />Re: Colorado Coal Mine at Walsenberq Permit No. C-81-024 <br /> <br />ERTIFl .TE HOLDER::;~:;~::~::::~.::.':.:.;' :.::::.::.::.~:~:~:~:~:~:~:~:~.:~:~.~~:. ~.: ... <br />:.:::::~:~CANCELLATION:: :. :. ~:: ~. ..... .. .. <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />State Of CO 10rad0 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILIXXIMXIXITE}~ <br />Dept Of Ne tor8l Resources MAIL_3DDAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />Mined Laad Reclamation Div LEFT,ffiXXd[17CAE7PD[3[mGX~7Q0[-#,~6XdE]G]f/>7CW6GI03QA[IGXO[SOXBCXXXXX <br />1313 Sherman Street " X~~XXCO[~d~XADX70]E]CffiaFlP~XCCX0E7EP67DKAE]GY9E]E4NC9EXXXXX <br />Denver, CO 80203 ~::~ AuTH <br />NTATNE <br /> ~ <br />'' <br />' <br />' <br />' <br />' <br />' <br />' <br />' <br />' <br />ACORb:2fS: 90:r:::::::< ::: ::.:..::: :.: ::: :: :: ::: ::: :: :. :. AGE i::p ::::.1:. :. ;:::. •.:::: <br />:::..:.:::: <br />::::: <br />: <br />: <br />.. <br />.:: <br />. <br />::ACORD CORPORATION.1990 <br />:::: <br />
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