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GENERAL34365
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Last modified
8/24/2016 7:55:52 PM
Creation date
11/23/2007 7:55:39 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
General Documents
Doc Date
5/20/1999
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />acoRO_ CERTIFICATE OF LIABILITY INSURANCEsE ~~I ~I~~I~~~~~~~~~I~ 9 <br /> <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MH I I LR VY IIVY VltMM I IVIV <br />The Linden Company ~t <br />RECEIVE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />D <br />of Grand Junction, Znc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand Junction CO 81506 MAY 2 0 1999 COMPANIES AFFORDING COVERAGE <br />Eileen A <br />Blanchard COMPANY <br />. A Employers Mutual Casualty Co. <br />Phone NO. 970-245-8011 Faa Nrr 9 - <br />INSURED COMPANY <br /> B <br />SEM Construction CO. COMPANY <br />MINREC, Inc. C <br />71S Horizon Drive, Suite 219 <br /> <br />Grand Junction CO 81506 COMPANY <br />p <br />COVERAGES <br />THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHS7ANDINGRNY REQUIREMENT, TERM OR CONDI TION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS <br />LTR DATE (MMIDD/W) DATE (MM/DDM') <br /> GEN ERAL LIABILITY GENERAL AGGREGATE S 2 , OOO , OOO <br />A X COMMERCIAL GENERAL LIABILITY 9X9086800 05/10/99 OS/SO/OO PRODUCTS~COMPIOP AGG 52,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY S 1 , OOO , OOO <br /> OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE S 1 , OOO , OOO <br /> FIRE DAMAGE (Any one fire) S lOO , OOO <br /> MED EXP (Any one person) S S , OOO <br /> AUT OMOBILE LIABILItt <br />COMBINED SINGLE LIMIT <br />S 1 , OOO , OOO <br />A X ANY AUTO 9X9086800 OS/10/99 OS/10/00 <br /> ALL OWNED AUTOS BODILY INJURY <br />5 <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br />S <br /> X NON-OWNED AUTOS (Per acnEen[) <br /> PROPERTY DAMAGE S <br /> <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY' <br /> EACH ACCIDENT S <br /> AGGREGATE S <br /> EXCESS LIABILRV EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE 5 <br /> OTHER THAN UMBRELLA FORM $. _ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br />TORY LIMITS ER <br /> EMPLOYERS LIABILRY <br />EL EACH ACCIDENT <br />$ <br /> THE PROPRIETOW INCL EL DISEASE ~ POLICY LIMIT S <br /> PARTNERSIE%ECUTIVE <br /> OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE S <br /> OTHER <br />DESCRIPDON OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />Re: Blue Ribbon Mine - File No. C-81-047 <br />State of Colorado, Division of Minerals 6 Geology is included as an <br />Additional Insured. *10 Days Notice Due To Non-Payment Of Premium <br />CERTIFICATE HOLDER CANCELLATION <br />COLOMIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />State Of COl OIadO EXPIRATION DATE TiEREOF, THE ISSUING COMPANY WILL MAIL <br />Di V15i On Of M1Rerals S Ge01Ogy 3O* DAYS WRRTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 Sherman Street, Room 215 <br />Denver CO 80203 ~k~'x~4L91~f-kAl4{74X <br />G <br /> ~s9&acwaaxix~rexxlx~aeacw~axm,~nx~acx4carrEwtE~ecttnace~ L <br />~~ <br /> AUTHORIZED REPRESENTATIVE ///n//~ ~/~~ / / <br />c <br />' <br /> 2- l~{/l(~ <br />Eileen A. Blanchar <br />G <br />ACORD 25-5 (1/95) ~~ ACORD CORPORATION 7988 <br />
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