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GENERAL35271
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GENERAL35271
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Entry Properties
Last modified
8/24/2016 7:56:20 PM
Creation date
11/23/2007 8:16:03 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
5/16/2005
Doc Name
Certificate of Liability Insurance (Faxed)
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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05-00-2005 DO:O7AM FRGLhputnBm Barnet 6063257787 7-365 P.002/002 F-606 <br />uA,k iNBfBOWYYYI <br />~ME.E./'[u LPGI[~ irwH1 t Vr uHtflLl I Y IN,~iURANCE Tft&~ ~C ~ nR /nB/nc <br />Putaam ~Ag®aay ~ 1((~~j HOLDER. T'NL1 CERTIFICAT! DOES NOT <br />~j Phoa~a32912200 Faxe606-335-7'7'87 ~~~~~~ IH URERS AF OROIRNG~COYlRAOEDEY- <br />Road <br />i \~ <br />COLOR-2 9NOULO ANY OPTNB ABOYE DE9CRBifD POLICIES IfE r2NCiiLGD BEFORlT16 otPAAT101 <br />OATE 171GRGOP,TIEIS9UNf1 NBURlR mLL IAAi ZQW DAIS WRRTEN <br />Colorado Division o£ Minerals NonreroTNC CGRTIFICATE ND.OGR NArnEOTOTHE LEFT, <br />aad Goology <br />1313 Sherman 9treeC, Room 215 <br />Deaver CO 80203 ._ - _ <br />THE POLKia3 OP IryOUPANCE LNi18l BELOW NAYS BBEN 18SU~ TO THB IN9URa-0 NAMED WRONG FOR THE POLICYPERIOD INOICATfD. NOIW RHSTANOINO <br />ANYREOLOREMINT, TERM 011 COrvDifgN OF ANY CONTRACT OR OTHER OOCUMFNT WRN RfiBPGCT TO WHICH TNa CGRTIFN:ATE NAV U 199VFA OR <br />NAY00lTAN, THE INSUW/CGAR+ORDED BYTHE POLIOIS DD~CPotGp NEREIN 17 SOOJEOTTOALL 718 TGRN9. IXCLWIONS INO CONDITION60F 9UCN <br />POLN7G3. AOGREGATG LMARS SHOWN NAY HAVE BEEN RBDUCGD BY MIO CW M3. <br />TA 7YPG MNCE POUOY ININBFA A UVffD <br />OCNBiALLW0.NT EAOH OCCURRENCE E1000000 <br />A 8 COMMEReIALOEiJGRALLwnILm 37111113CHI SO/10/04 10/1OJ05 P 91ESaccY s1000000 <br />UARAGAIADE ®OCCUR MED L%P (AryaM prtwry 610000 <br /> PER5dW_dAOY NJURY P 1000 000 <br />' GaIERAL AOGRBGATE 13000000 <br />mTLAGOAEGATB UMIT APPLI'S Pp[ PROOVCta •COAB'PoP AOO ! lOQOO00 <br />POUCV lOC <br /> AUT OMOB7LG ll/.BLTTY <br />N[O <br />S?lGIEUNIT <br />~NDl <br />A <br /> ANYAVTO n1' <br />~ <br /> AU.OwNE0 AUT09 BODILY INJURY <br /> SCHEDUIm AUT08 (Pt• x°0"1 <br /> MIfEO AUTOG GODLY INJURY <br />T <br /> NON-0WNED AUT03 i (PC aOtlEmD <br /> PROPERTY DAMAGE <br /> <br />Pg A*+Jd0A11 S <br /> DARAOE LYVaFrT 4UT0 CTa.Y•EAAOLlOENT 5 <br /> ANYAVTO OTNGR THAN UACO :i <br /> AUTO OfLLY: A00 B <br /> FXC~9IUI~BRBLLAIJA&LRY EACN OCCURRENCE S <br /> OCCU11 p CIA4Li MACS ApORE4ATE F_ <br /> 9 <br /> OGOUCTI&E 8 <br /> RETENTN7N S t <br /> Y/ORNiR9 COMENSATIONARD I <br /> O <br />P <br />L <br />O <br />Y <br />QRB'IWBm <br /> p <br />yN <br />yy <br />~I~1 <br />PP~I <br />~y~E~E <br />LU71Y6 <br />~ EA. EAOH AOOWEHT 6 <br /> OPPgCVp <br />EM9ER G%CLUDmY <br /> [.L CISGABE. UfiN 1 <br /> N~yy¢¢qq dppYpP yNpp/ <br />bT'kG41L P%7MIOH$OdOw <br />G.L. DISPAS.FOLICI'UMrt <br />6 <br /> <br />OESCRI ,OPENATIONS/LOQATIONSl YENIG,C9/ CLWIONB AOOEp OY EMUORSENENf /SPEOWL PROVISNkS <br />Re: Nex Elk Misze. Permit #C-81-012 Arid loreneito Ciayoa Mia®, Permi h <br />$C-96-QS4. <br />
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