My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL33553
DRMS
>
Back File Migration
>
General Documents
>
GENERAL33553
Metadata
Thumbnails
Annotations
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
~ This is to Certify That <br />'~ MCGRIFF SEIBELS & WILLIAMS, INC. Certificate No. <br />MeG+S+W ~,F R.S <br />2211 7th Avenue, South/Birmingham, Alabama 35233 MSB C 620 a <br />P.O. Box 10285/Birmingham, Alabama 35202-0285 <br />TEL-(205) 252-9871 TLX-5-9821 MACSEIB BHM <br />as broker (or the Named Insured, has procured the insurance coverage described below with the Insurance Company shown on thi: <br />' Certificate. ~I <br />r NAMED IN 9U RED AND MAILING ADDRESS I <br />' f TRAPPER MINE INC. I DArE: 12-3-82 <br />P.0. BOX 187 <br />CRAIG, COLORADO 81626 <br />L J <br />EFFECTIVE DATE Beginning at 17'01 A-M. Oon [h OUT STN day of TnNtt y 19$~ <br />and ending at PRNI1TNq RRCF.TPTOn the flF Pr1T.T~gyE®f 19_ <br />Standard time at the Dlace of location of risks insured. <br /> <br />HOME INSURANCE COMPANY <br />COMPREHENSIVE GENERAL LIABILITY <br />1 TERMS AND CONDITIONS AS PER ATTACHED <br />$500,000 COMBINED SINGLE LIMIT <br />1 <br />1 <br />1 <br /> <br />' PER: ROB BILLINGS <br />Acting upon instructions from the Insured, and in consideration of the 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 [his Certificate is in accordance with the standard policy and forms in use by the <br />Insurance Company as of the effective date o[ [his Certificate and is subject to all terms and conditions o[ said contract. <br />,~ By ll~.tiL~'~i` Gi~.~.fi <br />.t , _ ~, _ . ~ .. .. -77 ._ <br />
The URL can be used to link to this page
Your browser does not support the video tag.