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GENERAL35642
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GENERAL35642
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Entry Properties
Last modified
8/24/2016 7:56:32 PM
Creation date
11/23/2007 8:24:32 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
6/25/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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~... ~ ~' ,zi -, ~ ~' DATE(MM/DD/YYVY) <br />~~~~IT~.~~~R.;~ ... ~ - ..~. .._ ~ 06/21/2007 <br /> TIHS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />AND CONFERS NO RIGHTS UPON THE CER'FQ~'1CATE HOLAER. THIS <br />CERTQ~'ICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 90 INSURERS AFFORDING COVERAGE NAIC # <br /> INsuREa A: Pacific indemnity co 20346 <br /> WsuxER B. Westchester Fire insurance co 21121 <br /> WsuRER C: Hartford Fire insurance Co. 19682 <br /> WSURER D'. <br /> W SURER E' <br /> SIR Ma <br /> D TO THE INSURED NANffiD ABOVE FOR THE POLICY PERIOD E~]DICAT®. NO'IWI'fiISTANDING <br />1R OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUID OR MAY <br />BED HEREIN IS SUBJECT TO ALL TTiE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. <br />D CLAIMS. <br /> <br />MBER POLICY EFFECTIVE <br />DATE(MM\DD\YY) POLICV EXPIRATION <br />DATE(MM\DD\YY) <br />LIMITS <br /> 06/01/07 06/01/08 EACx OCCDRRENCE 41,000,000 <br /> DAMAGE tO RENTED <br />PREMISES ni oceurence) 41,000,000 <br /> MED (MV Onc pCtlon) <br /> PERSONAL & ADV INNRY Sl, OOO, 000 <br /> GENERAL AGGREGATE E2, OOO, 000 <br /> <br /> PRODUCTS-COMP/OP AGG 42,000,000 <br /> <br /> 06/01/07 06/01/08 cOMBWED SWGLE LIMIT <br />(Fa accident) <br />41, 000, 000 <br /> <br />SCHEDULPD AUTOS BoDB.v WJUxv <br />(Pu pawn) <br /> HBiED AVIOS <br /> <br />NON OWNED AUTOS <br />BODILY INIUItY <br />(Pa ncudarc) <br /> PROPERTY DAMAGE <br />P <br />id <br />t <br /> ( <br />ee acc <br />en <br />) <br /> GARAGE LIABH,TTY AUTO OMY - EA ACCD)EM <br /> ANY AUTO <br />OTHER THAN EA ACC <br /> e AUTO ONLY <br />AGG <br />B EXCESS NMBRELLA LIABILITY 621979673003 06/01/07 6 1 0 EACH OCCURRENCE <br /> 'X OCCUR ^ CLAIMS MADE _ AGGREGATE 44,000,000 <br /> <br /> ®DEDUCT®LE <br /> RETENTION Yl0,OD0 <br /> <br />WORKERS COMPENSATION AND C STATG- OTH- <br /> EMPLOYERS' LIABx.I'IY <br />E L. EACH ACCIDENT <br /> ANY PROPR@TOR /PARTNER /EXECUTIVE <br />OFFICER/MEM1IDER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br /> ffyes, dewribe undu SPECIAL PROVISIONS <br />below E L. DISEASE-POLICY LPAT <br /> OTRER E D <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />/~ Division of Reclamation, <br />Cam' ~ ~ ~-il z-~ Mining and Safety <br />ER TE LDE C CE TIO <br />DI VI SI On Of Mi neral5 & Geology <br />AttD: Bill Carter <br />1313 Sherman Bt, Rm 214 <br />Denver CO 80203 USA SHOULD ANY OF THE ABOVE DESCRBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUWG INSURER WRl ENDEAVOR TO MAB. <br />30 DAYS WRITTEN ND'HCE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT. <br />BUT FARURE TO DO SO SHALL IMPOSE NO OBLIGATION OR WABILITY <br />OF ANY KBVD UPON THE INSURER, ITS AGENTS OR REPRESEMATIYES. <br /> AUTHORIZED REPRESEMATIVE <br />~r.s '> .5'exarceea ed `)exact, °Jre. <br /> <br />u <br />w <br />0 <br />u <br />.. <br />u <br />9 <br />O <br />x <br />N <br />P <br />M <br />M <br />N <br />M <br />N <br />O <br />O <br />n <br />N <br />0 <br />z <br />a, <br />W <br />.` <br />U <br />
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