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GENERAL32195
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GENERAL32195
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Entry Properties
Last modified
8/24/2016 7:54:53 PM
Creation date
11/23/2007 7:13:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981021
IBM Index Class Name
General Documents
Doc Date
6/4/1996
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />a~:~~~eu <br />CERTIFICATE' OF' ~II ~I~~I~II~~~I~ <br />DATE IMMIDDIYY) <br />. INSURANCE 999 <br /> <br />. <br />. .. .... .... .... ............ .. .... ..........:.............:.......::.. .... 6/03/96 <br />~ <br />: <br />: <br />.............. <br />......... <br />PRODUCER . <br />. <br />.. <br />......... . <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Van Gilder Insurance Cor <br />P HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />700 Broadway, Suite 1035 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver, CO 80203 COMPANIES AFFORDING COVERAGE <br />be r COMPANY <br />RF~FIVED <br />303-837-8500 A USFB.G <br />INSURED COMPANY L1UN p 4 p <br />' <br />'~9~ <br />Flatiron Companies B Fireman <br />s Fund Ins. Co. <br />Cottonwood Land end Farms LTD coMPANr <br />A Limited Partnership C DivlslonolMlner I <br />P.D. BOX 229 COMPANY <br />BDUIde CO 80306 D <br />C VERA ... ..................: ~::...........:..:....: .:..:..:...... ... <br />THIS IS TO CERTIFY THAT THEPOLICIES OFINSURANCE LISTED BELOW HAVE BEENISSUED TO THEINSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS S HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTR DATE IMMIODIYY) GATE (MMIDDIYY) <br /> GEN ERAL LIABILTY GENERAL AGGREGATE 4 2 OOO OOO <br />({ X COMMERCIAL GENERALLIABILIiY 1MP30114796800 6/01/96 6/01/97 PRODUCTS~COMP/OP AGG f 2 OQO OOO <br /> CLAIMS MADE ~ OCCUR PERSONAL 6 ADV INJURY f 1 OOO OOO <br /> OWNER'S A CONTRACTOR'S PROs EACH OCCURRENCE f 1 OOO 000 <br /> X Per LOC Agg . FIRE DAMAGE (Any one lire) f 5O OOO <br /> MED E%P (Any one person) S 5 OOO <br /> AUT OMOaILE LIABILITY <br />COMBINED SINGLE LIMIT <br />f <br />A X ANY AUTO 1MP30114796800 6/01/96 6/01/97 1 000 000 <br /> ALL OWNED AUTOS BODILY INJURY f <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY f <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE S <br /> E%CEE9 LIABILITY EACH OCCURRENCE f 1Fj O00 OOO <br />A X UMBRELLA FORM 1MP30114796800 6/01/96 6/01/97 AGGREGATE 4 1Fj, QOO,OOO <br /> OTHER THAN UMBRELLA FORM 3 <br /> WORKERS COMPENSATION ENO - ~--- - -- ~ - - _ 'STATUIORY'CIMnS' "- <br /> EMPLOYERS' LIARILITY <br />EACH ACCIDENT <br />f <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE INCL DISEASE ~ POLICY LIMIT f <br /> OFFICERS ARE: EXCL DISEASE -EACH EMPLOYEE f <br /> OTHER <br />B Excess Umbrella XXK00095587580 6/01/96 6/01/97 55,000,000/occ. <br /> 55,000,000 egg. <br />DESCRIPTION OF O/FRATIONSa.OCATIONa/VENICLF515PECIAL REMa <br />RE: Bourg Mine <br />Permit Number: C-81-021 <br />ERTiFI: .....: <br />.C.....:.....C.A:TE~NOCDE.R.:~~:.::.'.::'.:.'~:: ~:::~~.::~.: :~ ~.. ..:: ~.:~ .:::::...::::::~. ...... ~.: ~.:~:.:.:~.:::: CANGEI:LATtON~,~.:...:~~.:~~.~:.:'::.:. ~ .:.:..:..:.:.::.:::::.: .:.:.:~ ~~::':'.~.::.:...'..:'.:'..:::::.~..::~, <br /> SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES 9E CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILq(](IJP1.A1((Ij[]dR MAIL <br />DIV ISIOn Of Minerals & Geology 3O DAYS WRITTEN NOTICETO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />1313 Sherman Street Room 215 X96R7CI70N16CR101N07AORBCNW7CR7iEWLKWRR9ERW70RW9PtSE0MRRRIAMIXHX <br />Denver, CO 80203 xA5c~lP4c xSNlPltxk!FxA9FRA7~kyL3Fx~t5t<iN7F9oPkx9lcR!l4Fft~lFltTklFfExx <br /> AUTHORR REPR ~ 030321000 <br /> <br />'ACORD 2$~$_(3f8~ :::: GQt1D CORPORATION 1993 <br />v <br />
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