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GENERAL33553
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GENERAL33553
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Entry Properties
Last modified
8/24/2016 7:55:28 PM
Creation date
11/23/2007 7:40:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
3/21/1983
Doc Name
PROPOSAL OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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1 <br />1 <br />1 <br />1 <br />1 <br />1 <br />This is [o Certify Tha[ <br />McGRiFF SEIBELS & WILLIAMS, INC. Certificate No. <br />McG+S+W ~.E+ RRfNKT.'.R74 <br />2211 71h Avenue, South/Birmingham. Alabama 35233 MSB C 61 9 t <br />P.O. Box 10265/Birmingham, Alabama 35202-0265 <br />TEL-(205) 252-9871 TLX-5-8821 MACSEIB BHM <br />as broker (or the Named Insured, has procured the insurance coverage described below with the Insurance Company shown on <br />Certificate. <br />NAMED INSURED AND MAILING ADDRESS <br />TRAPPER MINE INC. <br />DATES 12-3-B2 <br />P.O. BOX 187 <br />CRAIG, COLORADO 81626 <br />L J <br />EFFECTIVE DATE: Beginning at 12:01 A.M. O on~thOUT 6TH day of N i RY 193_ <br />and ending at PENDING RRCEIPT on the OF POLI((,1jji$f 19_ <br />Standard time at the place of location of risks insured. <br />FEDERAL INSURANCE COMPANY <br />UMBRELLA LIABILITY $20,000,000 EXCESS $5,000,000 <br />TERMS AND CONDITIONS AS PER ATTACHED <br />PER: M. KING - CHUBB & SON, INC. <br />dm <br />Acting upon instructions Crom the Insured, and in consideration of [he payment of the premium shown above, which is an esti- <br />mated premium, this Certificate has been issued to evidence the insurance coverage procured until this Certificate is cancelled <br />by written notice to the insured or is replaced and thereby terminated, by the formal contract of insurance to be issued by the <br />Insurance Company. Coverage evidenced by this Certificate is in accordance with the standard policy and forms in use by Uie <br />Insurance Company as o[ the effective dale of [his Certificate and is subject to all terms and conditions of said contract. <br />M[:GIiIFF SF'iRF:r c & WII,LIAM3, INC. <br />/ 1 / ) <br />By ~L/GL!/~>~~Lrt:fi~ <br />i <br />~. ~ ~ ~. ,o_ _ ~ . ._ <br />
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