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GENERAL33171
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GENERAL33171
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Entry Properties
Last modified
8/24/2016 7:55:18 PM
Creation date
11/23/2007 7:32:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
General Documents
Doc Date
1/23/2006
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Attachment to ACORD Certificate for NKC AcgN;s;t;Dn, Lac <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the <br />coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the <br />I <br />po Icy. <br />msUReo <br />NKC P,equi siti On, LLC <br />4424 County Road 120 <br />Hesperus CO 81326 u5A <br />ADDITIONAL POLICIES <br />If a policy below does nc <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />rt include limit information. refer to the eorresoondine oolicv on the ACORD <br />certificate form for policy limits. <br />INSR <br />LTR ADD'L <br />IA'SRD <br />TYPE OF DVSURANCE POLICYNUMeER <br />POLICI' DESCRIPTIOfi EFFECTIVE <br />DATE EXPIRATION <br />DATE <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATION$/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: OSM Permit CO-OlOlA; CDMB Permit C-81-035. _ _ _ <br />Division of Minerals and Oeol ogy is named as an Additional tnsu red as required by^wri tten contract but _ ` <br />limited to the operations of the insured under said contract, and always subject to the policy terms, <br />conditions and exclusions. <br />Cancellation Provision shown herein is sub7'ect to shorter or longer time periods depending on the <br />jurisdiction of, and reason for, the cancellation. <br />Certificate No : 570016395865 <br />
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