Laserfiche WebLink
... ..................... <br />CERTIFICATE NUMBER <br />PRODUCER <br />Marsh USA Inc. <br />1166 Avenue of Americas <br />New York, NY 10036 <br />Attn: NEWYORK.CERTS@MARSH.COM/Fax: 212-94&0500 <br />INSURED r ~ti' `- <br />W. R. GRACE & CO. <br />co IJMBIA, MD 21044 JUL 14 2006 <br />Oivislon of Minerals and GeoloBY <br />THIS CERTIFICATE Is ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />POLICY. THIS CERTFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />COMPANY <br />A N!A <br />COMPANY <br />B HARTFORD FIRE INSURANCE COMPANY <br />COMPANY <br />C N/A <br />COMPANY <br />D Hartford Ins Co of the Midwest <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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OFINSURANCE <br />POLICY NUMBER POLICY EFFECTNE <br />DATE tMMIDDl1'Y) POLICY EXPIRATION <br />DATE (MMIDDIYY) <br />LIMITS <br /> GEN ERAL LIABILITY SELF INSURED 06/30/06 06/30107 GENERAL AGGREGATE $ 1,000,000 <br /> COMMERCIAL GENERAWA9ICITY '- - - -- -PRODUCTS-COMP/OP AGG ~ 1AOOA00 <br /> <br />~~~ CLAIMS MADE ^OCCUR PERSONALBgDV INJURY $ 1,1)x,000 <br /> OWNER'S BCONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> X FIRE DAMAGE1An one file) $ 1,~~.D~ <br /> .R. GRACE & CO MED EXP An one rson $ EXCLUDED <br />D <br /> <br />B wr <br /> <br />X orAOeILE LuuNUTV <br /> <br />ANY Auro 10 CSE C47908 (IN, OK) <br /> <br />10 CSE C47908 (ADS) O6/30/O6 <br /> <br />06/30/06 06/30/07 <br /> <br />06/30/07 <br />COMBINED SINGLE LIMIT <br />$ 2,000,U00 <br /> ALL OWNED AUTOS <br />SCHEDULED AUTOS aODILY INJURY <br />(Par person) $ <br /> HIRED AUTOS <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accMent) $ <br /> PROPERTY DAMAGE $ <br /> <br /> ~~'E LIAefUTY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: ...". <br /> EACH ACCIDENT $ <br /> UMBRELLA FORM <br /> OTHER THAN UMBRELLA FORM <br />B WORKERS COMPEN. TION AND 1p WAI C47906 (CO,CT) <br /> EMPLOYERS' LUIBILRY <br /> F L, GA, I A, M O, N E, N V, NY, O H, O R, S <br />D THE PROPRIETOw <br />PARTNERBIEXECUTNE I n <br />-I INCL <br />-. 10 WN C47906 (AR,AZ,CA,DE,IL,I <br />.._ ...-- .._ .._ ....... ....... . <br />06/30/67 X ~ TORY LIMITS ER <br />66/30/07 EL EACH ACCIDENT $ 2,O~,C~ <br />06/36/67 EL DISEASE?OLICV LIMIT $ 2,600.600 <br />', The coverage and limits stated above apply to Permit AC80-003 <br />Colorado Division of Minerals and <br />Geology <br />Attn: Jim Stark <br />1313 Sherman Street -Room 215 <br />Denver, CO 80203 <br />$HOUW ANY OF THE PODCIES OEBCRIM;D HEREN BE LANCFiLED BEFORE THE E%RRAmON WTE THEREOF, <br />THE NSURER AFFORDING COVEMGE VY1LL ENDEAVOR TO IMIL ~• Q MYS WRmEN NOTICE TO THE <br />CERDFICATE HOWER NAMED HEREN, BVT FAI WRE TO MAIL SUCH NOTICE SHALL MPoSE NO OBDGATION OR <br />WBiLRY OF ANY MND UPON THE IN W RER AFFORDNG CWERAGE, RG AGENTS OR REPRfSEIfrATNES, OR ME <br />ISSUER OF THIS CERnFICATE. <br />NARSH usa ac. <br />av: Thomas J. Edridge ~to~w101.Y ~ • '~ <br />