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GENERAL35878
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GENERAL35878
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Entry Properties
Last modified
8/24/2016 7:56:40 PM
Creation date
11/23/2007 8:30:36 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/10/1997
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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a-So-ro/ <br /> <br />:~ :::..:.......::~:,::..:.:~~:..:.:':.:::"::.;::,:,,.:..:::::: :~..:{~.:. .:. <br />III IIIIIIIIIIIII III <br />ERTfF~cATE <br />~F IN .... ...,:.....:.::;:.:::,....::~;~.::. ,..:.'!,r:'.`.;;:;;~.,'~~i~s;'47:.~.2~.1~ :•`:iFi;y[...!1;;.. R6UE DATE IMM/DDM'I <br />97-aD9C <br />SU~aNCE ~E=t g <br />; <br />;; a <br />1/26/97 <br />PRODUCER THI CERTIFl TE IS I SUED AS A MATTER OF INFORMATION ONLY AND <br />Marsh 6: McLennan, IIICOrpOrated CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS CERTIFlCATE <br />Three Embarcadero Center r EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />EL <br />P <br /> OLIC ES B <br />OW. <br />PO BoX 193880 <br />San Francisco, CA 94119-3880 COMPANIES AFFORDING COVERAGE <br /> <br />Mary R. Berry <br />-.rr <br />FI~.~ED CIFTTER~ A CIGNA PROP 6 CASUALTY INS CO <br /> COMPANY <br />wsuRED LETTER B CIGNA INSURANCE CO. <br />~ ~ ~39~ <br />The Pittsburg S Midwa~d <br /> <br />Coal Mining Co. COMPANY C <br />L'cTTER <br /> <br />6400 8. Fiddlers Green Circle <br />Englewood, CO 80111 •~LTeology ~RNV D <br /> COMPANY <br />E <br /> LETTER <br />CQ.Y.ERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOfl THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDI TION OF ANV_CONTRACT OR OTHER.D000MENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFF ORDED 0V THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN M AV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />LTR TYPE OF WSURANCE POLICY NUMBER POUCY EFFECINE <br />GATE IMM/DD/Y1') POLLCY E7~IRA71A1 <br />DATE IMM/DD/YY) 1-.OTB <br />A aERE RALwmm DCG17312157 3/01/97 3/01/98 C~NERAL PGGREGATE f 1000000 <br /> X COMMERCIAL GENERAL LNBILTTY Iv <br />" <br />' PRODUCTS-COMP/OP AGG. f 1000000 <br /> L1Llti-state <br />Policy <br /> ~:::. X CLAIMS MACE OCCUR. PERSONALS ADV. INIURV S 1000000 <br /> Retroactive Date is <br /> X OWNER'S 8 COHIRACTOR'S PROT. 1 <br />1986 EACH OCCURRENCE f 1000000 <br /> March <br />, <br /> FIRE DAMAGE (Arty one fre) f <br /> MED. FJ~ENSE (Any onepnm) f <br /> AUTW OBfE INBWTY <br />COMBINED SINGE <br /> ANY AUTO UMR f <br /> ALL OWNED AUTOS BODILY INJURY <br />f <br /> SCHEDULED AUTOS IPer person) <br /> HIRED AUTOS BODILY INJURY <br />f <br /> NON~OWNED AUTOS (Per auidentl <br /> GARAGE LwelLm <br />PROPERrv MMAGE <br />f <br /> <br />B EXCE5f W6WTY CEG17312145 3/01/97 3/01/98 EACH OCCURRENCE f 3500000 <br /> UMBRELLA FORM AGGREGATE f 6500000 <br /> X OTHER THAN UMBREIJA FORM <br /> <br /> <br />' STATUTORY LIMITS <br />:.:.......:.....::::.::....... <br />""~""'~"~~~'~~"'~"~""' <br /> WORI~R <br />S COWENSATION <br /> EACH ACCIDENT E <br /> AND <br /> <br />' <br />OISEASE~PpJCY LLMR <br />f <br /> EMPLOYERS <br />lY1BWTY <br />DISE45E-EACH EMPLOYEE <br />f <br /> OTHER <br />DEfCRRTOH OF OPEMTIONS/LOCATIONS/VEMClE9/fPECWL fTFMB <br />(SEE REVERSE AND/OR ATTACHED) <br />CERTIFICATE:HOLOER ~ CANCELLATION <br />~:< SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DiV l630n Of M1IIera16 5 GeOlOCJy ~'~.` EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILIA~I~X116XX"~ <br />CO Dept. of Nature) Re60urCe6 ~~ MAIL ~_O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDEfl NAMED TO THE <br />Attention: Rent Gorham LEFT•14]IY3~3GCE7QDLY~G~67QG[3134fl8E76}fAC1146IAWF}6ffiJ676YXXXXX <br />Y'Xr~FXOtXdE7Q767DXOF7filFbtlQ1G7]<I~EXXXXX <br />H~X~x~7{Q~XBNiYAE7tDC <br />~ <br />1313 Sherman Street, Room 215 <br />Denver, Co 80203-2273 :~~: AUTNORDEO REP SENTATNE <br /> <br />.. .. .. <br />ACO qz 5 !:-::,''.::1::.' ::.. .::.::.::.:....:.:.::..:.::::.:.:::....::.:::::.:...:...::. 'CORVORATIONt9eo'. <br />
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