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GENERAL32724
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GENERAL32724
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Entry Properties
Last modified
8/24/2016 7:55:06 PM
Creation date
11/23/2007 7:25:24 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1989074
IBM Index Class Name
General Documents
Doc Date
9/17/2004
Doc Name
Certificate of Insurance
From
Acord
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID A DATE IMMIDDIYYYY) <br />AMERI-1 09 10 04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Gallagher Construction ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />580 California St., Suite 1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Francisco CA 94104-1098 <br />Phone: 800-500-7202 Fax: 415-391-1882 INSURERS AFFORDING COVERAGE NAIC tt <br />INSURED INSURER A: Arch inaurmca Compmy <br />American C1V11 Cons trot tore, INSURER B: National Tlnion Hra xna. Co. <br />Inc. <br />Division 201 Attn: Arlene wsuRERc <br />1601 W. Belleview Avenue <br />Littleton <br />CO 80120 wsuRER D: <br />, INSURER E: NISIDn <br />COVERAGES ~-~°'° ° COI <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 WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN. THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEVMhVUO~ E PUATE MhVDD/Y ~N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 71PRG3604300 07/01/04 07/01/05 PREMISES Ea accurence) $300, DDD <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5, 000 <br /> X COntrdCtllal Liab. PERSONALBADV INJURY $1,DDD, DDD <br /> X X.C.II. included GENERAL AGGREGATE E2, DDD, DDD <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY X PRO LOC <br />JECT <br /> AUT OMOBILE LUU3ILNY <br />COMBINED SINGLE LIMIT <br />$1, DDD, DDD <br />A X ANYAUTO 71PRG3604300 07/01/04 07/01/05 (Ea acddenp <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br />DODILV INJURY <br />b <br /> X NON-OWNED AUTOS (Per accitlenp <br /> PROPERTY DAMAGE <br /> <br />(Peraccitlenq b <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT E <br /> ANY AUTO OTHER THAN EA ACC E <br /> AUTO ONLY: AGG E <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE ES,000, ODD <br />$ X OCCUR CLAIMS MADE BH2661013 07 /01/04 07/01/05 AGGREGATE x5,000, DDO <br /> E <br /> DEDUCTIBLE $ <br /> X RETENTION $lO,000 $ <br /> WORKERS COMPENSATION AND X 70RY LIMITS ER <br /> <br />A EMPLOYERS' LVU3ILITV <br /> <br />ANV PROPRIETOR'PARTNER/EXECUTIVE- <br />71WC23 o'04200 <br />- - - <br />07/01/04 <br />07/01/05 <br />E.L. FACH ACCIDENT <br />L-- <br />$1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1, D D O , O O O <br /> 1( es, tlescdbe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />Landmark Reclamation, Inc. and Ricrock Mino are named as Additional Insured <br />as required by written contract par the endorsement attached. <br />Re: PexaLit #-C89-074. <br />CERTIFICATE HOLDER CANCELLATION <br />COLDI05 SHOOED ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />GATE THEREOF, THE ISSUING INSURER WILL BNDPAVdF7E MAIL 3 D DAYS WRTREN <br />COlOradO Di V181pn Of Minerals NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ~9B9NAt1. <br />and Geology I <br />1313 Sherman, Room 215 ' <br />Denver, CO 80203 ~~$~ <br />AUT ORI~~TATIVE <br />ACORD 25 (2001/08) ( ©ACORD CORPORATION 1988 <br />
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