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GENERAL33259
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Entry Properties
Last modified
8/24/2016 7:55:20 PM
Creation date
11/23/2007 7:35:26 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
7/29/2003
Doc Name
Certficate of Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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~ ~' ~ Tz-xL" 2 <br />,t <br />y <br />'3; ".: • w ., ~'T'_ ,#' pi *pR{- xfr{y~^. s r;S ~'.~i~-ira'~'~ `~~'~ u- -.~~"'x'a~''x'$'G.~ <br />-~ <br />~j r, <br />~t'l+1 A~1./~L ~ CERTIFICATE NUMBER <br />T' <br />~ <br />"~C <br />' <br />~ <br />4 <br />~ <br />f 1L , <br />- <br />,,,.y~ <br />~" <br />3 <br />1 <br />GR <br />i~ <br />~f~ <br />~ <br />/- <br />N <br />`I <br />J M <br />k <br />\ <br />! G <br />- <br /> ~ <br />_ <br />~ <br />~ <br />; <br />:P <br />F _~ 3 ~ x ~~x m ~ <br />~F <br />, <br />SEA-000681424-02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />1225 17TH STREET, SUITE 2100 POLICY. TNIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />DENVER, CO 8O2O2-5534 "-"''"- - AFFORDED BV THEPOUCIES DESCRIBED HEREIN. <br /> COMPANIES AFFORDING COVERAGE <br />--: ...:': - COMPANY ._.__-_. _.._ _ __ __ <br />67982-00125-ALL- A FEDERAL INSURANCE COMPANY <br />INSURED : -: - -.:... ~G COMPANY - ... _ .. _ ... . _ ... _ _ _ <br />;~~ ~ TRAPPER MINING <br />INC. V B N/A <br />, <br />7 2~9~ <br />CRAIGXC0 <br />81626 ~U~. 2 9 Co C ANY N/A ~ ~- <br /> °1Mi~~ais&G COMPANY <br /> Divis~°n D <br />-.s:~+.=. <br />'CO~ERAG@S~-~ ~ Iftca -* xsgls.*'. SR x: y¢'=. .t# R d:: .^., ., .,p. '~-- '~A=~5ePP1Y ~ aP+`'y. _. <br />sOpBrk~ and~,~iep'Mace„s~n~i~reviD'c[~sSDe~'cefllficate:fo tfte Dol~ued- ~ ed'behh~ ~ ~ ~~`t~` <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDRION OF ANV CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAV <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />TYPE OF R:SURAHCE - - <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />' <br />LIMITS <br />LTR . PATE IMM/ODf/Yl GAT <br />c (MMiDDI'IY) <br /> GEN ERAL LIABILITY ~ - GENERAL AGGREGATE $ 1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 37100018 07/20(03 O7I2O/O4 PRODUCTS-COMP/OP AGG a 2,000,OOD <br /> CLAIMS MADE ~ OCCUR PERSONALS ADV INJURY $ ~.~UO,GUG <br /> OWNER'38CONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE Any anefre $ 1,000,OOG <br /> <br /> MED EXP An one on $ 10,000 <br /> AUT OMOBILE LIABILITY <br />S <br /> COMBINED SINGLE LIMIT <br /> ANV AUTO <br /> ALL OWNED AUTOS ,' ~~ ~ - BODILY INJURY $ <br /> (Per person) <br /> ' SCHEDULED AUTOS <br /> HIREDAUTOS ~ _~ ~ ~~ -', '-' - BODILY INJURY - - <br /> (Per acdtlent) , <br /> NON-0WNED AUTOS <br /> ~- PROPERTY DAMAGE $ - <br /> <br /> GAR AGE UABIUtt - AUTO ONLY-EA ACCIDENT S <br /> ANV AUTO OTHER THAN AUTO ONLY: -~. 1^e~°~?-~: <br /> EALM ACCIDENT <br /> AGGREGATE <br /> EXCESS LIABILITY - EACH OCCURRENCE <br /> UMBRELLA FORM - AGGREGATE <br /> OTHER THAN UMBRELLA FORM <br /> WORKERS CUMPENSATN)k AND A <br />~~ <br />~ <br /> EMPLDVERS'UABWTY TORY UMITS ER -+", <br />. <br /> EI EACH ACCIDENT <br /> THE PROPRIETOR/ INCL EL DISEASE-POIN;Y LIMB <br /> PARTNER&EXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />S <br /> H R <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS <br />RE: PERMIT #C-81-010 <br />POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. INSURER WILL <br />NOTIFY DIVISION WHENEVER SUBSTANTIVE CHANGES ARE MADE IN THE POLICY INCLUDING ANY TERMINIATION OF FAILURE TO RENEW. <br />. E 71Ff _E`.RYYr ,. _~,._~ s ~...... .'" _ <br />.°'~ . ~A~GECLATIO` ., •.•,. - - ,-~ - <br />i <br />~ ... ., <br />. <br /> SHOULD ANT OF THE POLICIES DESCRIBED HEREIN Bf CMICELLED BEFORE THE EXPIRATION DATE TIEREOF, <br /> THE INSURER AFFORDING COVERAGE WILL ENX%~ MAIL __ 3Q DAYS WRITTEN NOTICE TO THE <br />COLORADO DEPT. OF NATURAL RESOURCES CERPFICAIE HOLDER NAMED HEREIN, <br />DIVISION OF MINERALS & GEOLOGY <br />215 CENTENNIAL BLDG. E <br />1313 SHERMAN STREET <br />DENVER, CO 80203 MARSH USA INC. <br /> ~ <br />BY: Richard H. Early ~7...~r,(,~yH.y <br /> " . ~M f 3102 VALID AS OF: 07/20/03 " <br />~A. :..T _`ai:`T <br />
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