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10-15-2003 01:37P~1 FRONFputnam aQBncy <br />6063257787 T-063 P.002/003 F-482 <br />acoRn CERTIFICATE OF LIABILITY INSURANCE °A'~`" "'°°"'~' <br />LOR+3ri-1~ 10 '15 03 <br />PRDDUCSR <br /> <br />Putnam Agency, Iao. <br />P <br />O <br />Sox 991 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI 7N <br />ONLY AND CONFERS NO RIGFR6 UPON THE! CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND f R <br />ALTER THE COVERAGE AFFORDED BY THE POLICIESBEIJIW. <br />. <br />. <br />Ashland ICY 4110$ <br />Phone:606-329-2200 Fax:606-325-7787 <br />INSURERS AFFORDING COVERAGE <br />NIU:# <br />IRSVRED INSURER A: Federal Ins. Co. <br /> INSURER B: <br />e Pzooessin <br />LLC <br />PiCk <br />t <br />Fl INSURER C: <br />g, <br />o <br />e <br />r <br />4422 Sryaa Station Road INSURER O: <br />LexiagtOa &Y 40516 <br />INSURER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN A>5Um TO THE INSURED NAMED AaOVE FORTHE POLICY PERIOD INDIG17E0. NOTWTTTIB7ANDING <br />ANY REQUDIEMENT, TERM OR CONDITION OF ANY CANTRACT OR DT/1ER DOCUMENT W TTII RESPECTTO W HICN THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, 7„E INSURANCE AFFORDED BY THE POLIGE6 DESCRIBED HEREIN IS SUBJECT TO ALLTNE TERMS, E%CLUSIONS AND CONOIT10N5 OF SUCH <br />POLICES. AGGREGATE LIMRB SNOW N MAY NAVE BEEN REDUCED BY PAID CWMS. <br />-- <br />LTR N TYPE OFIN$URANCE POLICY NUMBER DATE M D TE MMID ~T B <br /> GENERALLUUBLIIY EACNOCCURRENCE SIOO IOOO <br />A K K cOMMERCwL GENERAL LIABILJTY 3711-11-13 10/l0/03 10/10/04 PREMISES E°omvenee) 6100100 <br /> CLAIMS MADE ®OCCUR MEO E%P lMyone Persm) ::100)0 <br /> PERSONALaAOV IWURY 61001000 <br /> GENERAL AGGREBATE SZOO 1000 <br /> GEN'L AGGREGATE LIMB APPLIES PER: PRODUCTS•COMP/OP AGG S 100 )000 <br /> POLKN ~7 LOC <br /> AU TOMOBILE LIA9INY <br />""Y"v`° <br />R COMBINED SINGLE LIMIT <br />~~~) <br /> ALL OWNED AUTOS <br />SCHEDULED AUTOS ECEIVED BODILY INJURY <br />(pg Pe~O"1 <br />S <br /> „IREJJ M1TDG <br />NON.OW NEO AUTOS O C T 1 5 2003 BODILYfWURY <br />(Perecdtlenp s <br /> <br />Division Dl Mi <br />PROPERTY DAMAGE _ <br /> nerals d GBOI <br />(Peram°enU g <br /> GA RAGE LIABILITY AUTO ONLY•Ea ACCIDCN7 S <br /> ANY AUTO OTHER THAN EA ACC $_ <br /> AUTO ONLY: AGG S <br /> <br />EKCESSNMBRELLA LUU3ILITY <br />EACH OCCURRENCE _ <br />S <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> i <br /> DEDUCTIBLE s <br /> RETENTION s g <br /> WORKERS COMPENSATION AND TORY UMR3 ER <br /> EMPLOYERS L1A&LffY <br /> <br />~~ <br />~ <br />~ <br />El EACH ACCIDENT <br />t <br /> OFFICERMEMBER E% <br />C UD <br />EO~ EL DISEASE-EA EMPLOYE S <br /> II yye8s5~ OBSMP¢ UBd¢r <br />SVECNL PROVLi10NS °elrAV <br />E.L. DISEASE-POLICY Lm1I7 <br />3 <br /> OTHER <br />DESCRIPTION OFOPFRATONSJ LOCATIONS J VEHICLES J 6J(CLUSK)NSA00[3J BY ENDORSEMEM lSPfa:fAL PROVfS10N3 <br />Permit #C-81012, 3 1/2 miles N/W Weston, Colorado, Township 33, South, Range <br />68 West. <br />COIAR-2 SHOULDANY OF THEABOYE pESCRINFA pOUCl15 BE CANDELL®BEFORE nIE EYPIRATKNJ <br />DATE THEREOF, THE LRSNNG INSURQt WILL ENDEAVOR TO MAIL 3O IAY9 WRITTEN <br />Colorado Division of Minerals NOTICE TO THE CERT(HCATE HOLAER NJU.ffD TO THE LEFT, BUt FNLURET IDO SO SHALL <br />Sad GBOlOgy IMPOSE NO OBLIGATION OR LweILRYO KIND UPON THB mSURER, RS 4GENTS OR <br />1313 Sherman Stre®s, Room 215 <br />Denver CO 80203 ~PR~MA7NE9~ <br />ED,,~~R~EPRES A E <br />J. Ih h$eI ellmaa <br />ACORD 25 (2007/06) I ~ ACORD CORPC RATION 1988 <br />