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GENERAL35638
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GENERAL35638
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Entry Properties
Last modified
8/24/2016 7:56:32 PM
Creation date
11/23/2007 8:24:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981039
IBM Index Class Name
General Documents
Doc Date
10/2/1989
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ISSUE DATE (MM/DI <br />gcord CERTIFICATE OF INSURANCE """"'sss"""" 09/29/89 <br />I <br />.ODUCER Thie certifieste ie'eeued m a matter of intormation only and conten <br />no rights upon the certificate holder.Thie cerkificate does not amend, <br />COBB STRECKER DUNPHY de ZIMMERMANN, INC. extend or alter the covera¢e afforded by the ooliciee listed below. <br />2702 INTERNATIONAL LANE <br />MADISON, w[ 637oa COMPANIES AFFORDING COVERAGE <br />LETTER A CONTINENTAL CASUALTY COMPANY <br /> LETTER B CONTINENTAL CASUALTY COI ..'ANY <br />SURED <br /> COMPANY <br />RYAN INCORPORATED CENTRAL LETTER C CONTINENTAL CASUALTY COMPANY <br />P.O. SOX 206 COMPANY ~ <br />]ANESVILLE, WI 63647 LETTER D TRANSPORTATION INSURANCE CO. <br />LETTER E <br />This ie to certify that policies o[ insurance licked below have been issued to the insured named above (or the policy period indicated. <br />Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certitcate may <br />be iaeued or may pertain, the insurance az7orded by the policies described herein ie subject to ail the terms, excluaione, and <br />conditions o[ such policies. Limits shown may have been reduced by paid claims. <br />CO Type o[ Insurance Policy Number Policy Effeckive Policy Expiration <br />LTR Date (mm/dd/yy) Date (mm/dd/yy) Liability Limits <br />A GENERAL LIABILITY General Aggregate <br /> 2 000 000.00 <br /> X J Commercial General Liability Products-Comp Ope <br /> J Claims Made A e ate 1 000 000.00 <br /> X J Occurrence Personal de Advertising <br /> O wner's & Contractor's Prot. GL206629438 09/30/89 09/30/90 In'u 1 000000.00 <br /> [ Each Occurrence <br /> 1 000 000.00 <br /> Fire Damage <br /> An One Fire 50 000.00 <br /> Medical Expense <br /> An One Person 6 000.00 <br />B AUTOMOBILE LIABILITY <br /> CSL <br /> X <br />Any Auto 1 000 000.00 <br /> X All Owned Autos (Priv Pme.) Bodily <br /> ~ <br />X All Owned Autoe(Other) Injury 3.00 <br /> X Hired Autos Per Person <br /> X Non-Owned Autos BUA006629439 09/30/89 09/30/90 Bodily <br /> Garage Liability Injury 1.00 <br /> Per Accident <br /> ~ Property <br /> Damage 5.00 <br />C EXCESS LIABILITY Each Aggregate <br /> I X J Umbrella Form UMB800575970 09/30/89 09/30/90 Occurrence <br /> J Other_Than Umbrella Form _ _ - X5,000,000.00 35,000,000.00 <br /> Stat uto <br />D WORKERS' COMPENSATION 1,000,000.00 Each ccident <br /> AND <br /> EMPLOYERS' LIABILITY WC600509386 09/90/89 09/3C /90 1,000,000.00 Dieeme Policy Limit <br /> 1,000,000.00 Dieeme Each Employee <br />E OTHER ~~~~~~ <br />DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES RESTRICTIONS SPECIAL ITEMS 8PT ~ 1989 <br />l+ I VJ <br />JOB 5712 PERMIT FOR GRASSY GAP COAL MINE <br />MINEp IANQ <br />Iz,_; ~~ <br />` <br />CERTIFICATE HOLDER CANCELLATION <br /> Should Any OC The Above Described Policies Be Cancelled Before The <br /> Expiration Date Thereof, The Issuing Company Will Mail 30 Days <br />COLORADO DEPARTMENT OF NATURAL Written Notice To The Certificate Holder Named To The Left. <br />RESOURCES, LAND RECLAMATION DIVISION <br />1313 SHERMAN STREET SEN ATIVE <br />AUTHOR ED RE <br /> <br />DENVER , CO 80205 ~ <br />~ <br /> <br />ONE <br />U <br />
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