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GENERAL36488
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GENERAL36488
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Entry Properties
Last modified
8/24/2016 7:57:01 PM
Creation date
11/23/2007 8:45:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
General Documents
Doc Date
11/28/2006
Doc Name
Certificiate of Liability Insurance (Faxed)
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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I 'l Onl. I Mrr1j~ryzjo8rl~Ag Ore ernwn n woFum ns faxlu: frown and Brown lneu 70: George Paitersan <br />aCORO. CERTIFICATE OF LIABILITY INSURANCE <br />Bxowa, S Srowa Insurance <br />eamdoat Spps BOS 775043 <br />30 ue6ort Drive <br />~eamboat sp>:iags Co 8oA77-5043 <br />Phone: 970-879-1363 FaX:970-RT9-0239 <br />~e~rgp~y[ 7F7u~41,s7Corpo Sties <br />Steamboat s55priags Cd 84477-3457 <br />pate: 10/25@008 10:68 AIA Pages 2 of 1 <br />L~l %8/-Did <br />,-ee .tee oATe MMlDOI~MYY) <br />NTS UPON' <br />OdES NOT <br />INSURERS AFFORDING COVERAGE <br />INSIJRERA Chi Ctute~ AMYtmo~ co»u~ <br />IN~l1RER B. <br />IN5UREk C: <br />ItAl1G~k 0: ~ ~- <br />NAIL IY <br />98989 <br />T}1E POLICIES OF INSIIRANGE LIS7ED BEI.Ow NAVE bEFJJ I„SUEp TO 1'NE INSlA7ED NV.~D AE?OVE FOk THE POIJCY PERIOD LLAICATfO N07WITHSTAL~ING <br />ANY f7EOUIPFNUJC, TERM Ult CONDRIO.^! OF ANY CON1ta4CT Cfi OfFKR pOf~htNi WRH RESPECT TO WHICH THI& CERTIFICATE MAY Pt 4Slm rJk <br />NWY NFJtINN. Tiff Il~iI,IRAAILL AYFG2Ce7 b1"(I~E FULI(:ICi UtSCRIBE~ HFRFW 1:~ ELNJECTTD ALL TYti'fkid~l5, EX0.USIONSAFifl CXXY)I I IONS CF" <br />POLICICS. AGCRECKTE LIMITS:~/IOVrN MAY hWVE Bl~l RE7Y1CCT1 (JY PAID CLAIlA. <br />LM NPE OKI POIJOY NLIMea+ OATEfWID00'Y) GATE !-~~ <br /> ra~eaL uaaLm ~~ ens ocaf:RENrE 61, 000 , 000 <br />}. SC eoNa,ERC;IALC:EImTALI-Ia3lLrrr 79544662 10/01/06 10/01/07 PHHJAIt~°~(EaeeGYax 550,000 <br /> cLA,nn5 MADE Qa`x:rw MED E~IPm~F=~) f5, 000 <br /> PERSbNN.6AAVINJURI' s1,0oD,o00 <br /> _ cErFnnL orr;ar~A~(E_ <br />~ S 2 , 000 , 000 <br /> OFN1 Alifafil' I;A I I. LIMI I Al•}I.IES PFR PRfM,AN:TS - COMP/OP AtiG ~ ~{ ,'~ , 4 Qg , 00 Q <br /> PCLIh' ,~', Loc Bea. l,ooo,ooo <br /> AUl WIOBLLELW6RT' COL•031FED SINGI.EI IMIT <br /> ANY P1 n0 <br />IEe acciexr{) <br />- <br />S <br />.. <br /> All OWNFI'1NRCk. BODILY IKILRY .. .. .. <br /> <br />SLTh LNA FI ] AI,III%: <br />IPer ~BISLLP) f <br /> HIR~f)WfOr <br />~DILY IN1lRY <br />r <br /> NLMLDN/NF-C+yJTOS leer S:dtla•¢) <br />,.. <br /> .. ._._. FROPEA'IY G^A1AfE f <br />.`- <br /> (IMr AIxaGel'U <br /> C.A/iAOE LIABSRY PLRO VNLY-EA AOCIOENT f <br /> <br />- ANrwrto rnHERttwN EAACC r <br /> ours artr~. AGG s <br /> xcESSn~MBne-LnLUaq.nv <br />E Eoc++DCCUrr,NCe e <br /> _ <br />nCGJR u ['].AIMS MPL`t Pl,GREGATF ~•~-.-..-_- i - ~~ . <br /> <br />.. f <br /> DEeucTlnu[ <br />_•~• f <br /> RETENTidJ f ~ <br /> woRxEns cofB~L+LSAnoM ANO <br />' <br />~ TORY uMTrr ER <br /> ! <br />~ LIAH~1! <br />ANY PROPRIETORIFARTr~WNJ~CUf1VE E.L. EACH ACCIUEIlI S <br /> OFF IC.Fkn.IFMFEk EXC}JJOEI?7 <br />I <br />' <br />' <br />' Ei. CNSEASC•[A [MPLOYEE f <br /> l <br />yyCC <br />CBfiplbd vu <br />Lu <br />fiPFC:IN. !'lIOY!£•ICJAEi ..,.... _ E.L, LM^:af„q,~-POLICYLIMIT f <br /> OTffR <br />OE9C R~DON OF OPERA'RCI']91LOCATION6/YBLLOL fe/ W570NS AOOEO BY PtSE16 :NTlSPECJAL <br />Iaauiag 2asuranee Coapaay x111 notify the Division .cheaever the policy is <br />termiadted by caacellatioa or £si11LYe to renen+r provided hoaevess failure to <br />mail such aotiae Shall impose as obligation or liability of Say kind upon <br />the issuing Insurance Co~fany, its ageata or representatives. <br />+10 Day Natiee Por non-payment of prg4ism per Colorado Y.aN. <br />Colorado Di~biaion oP Miaerala <br />Sad caeology <br />1313 Sherman Street <br />215 Ceateaaial Suidiag, Pm 215 <br />Deaver c0 80205 <br />SNOl1LD ANY OF THE PB011E 069CPoBED POLIga$ sE CANCELLED BEFORE'!N6 E><PIgATION <br />OATB THEAEOF~Tr1E 149WJO wS1/RER HILL ENCEAVOR TO MALL. 3D+ pAYS WNfY6T] <br />NOTCE Tp THE CERT6NJR6 NOLDFFI NAKED TD THE LEFT, BLR PAILAIRE TO Dq EO BHALL <br />INPDBE ND obucanDN ors LWaLLJTY DF ANY HIND DPONTNE wsuRER, n'A AgEN'fa Da <br />
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