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GENERAL36867
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Entry Properties
Last modified
8/24/2016 7:57:14 PM
Creation date
11/23/2007 8:54:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
7/9/1999
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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I ~ <br />~ ~~~~ ~~ ~~ <br />ACORD,M CERTIFICATE OF LIABILITY INSURAI II I I I~ ~~ D7TE OWDD99 <br /> <br />PROWOEfi THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />11 A R S !I USA 1 rl c . RECEIVE I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P 0. B G A 1 9 8 1 0 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. <br />Knoavi lle. TN 31939-2810 <br />O (1 ~~~ INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: FEDERAL INSURANCE C 0 <br />R SURER R. <br />Division of Minerals 8 G -- <br />T R A P P E R MINING 1 II C I IN ER C: <br />P o B a >< 1 6 7 INSDRER D _ <br />C R A I G C 0 8 1 6 2 6 INSURER E. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOYV HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />AtJY REQUIREMENT, IERNI OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />N1AY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU&IECT TO ALL THE TERMS, E%CLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED RY PAID CLAIMS. <br />I~ <br />Lln <br />TYPE OF MSURANCE <br />POLIO/ NUMBER POLICY EFFECtNE <br />GATE D PODCY EJfPIRARON <br />DATE D UM1T5 <br /> GENEN9L LIABLLTTY 3 1 1 0 D 0 1 8 1/ 2 0/ 9 9 I~ 2 O~ 0 EACH OCCL'.9RENCE E ] D O O O O O <br /> COMMERCIAL GENER <br />IAgIUTV <br />AL-L FIRE DAMAGE (Any one lirel E I O O O O O <br /> ~ <br />I <br />CLAIMS MPDE! ,. I OCCUR <br />LL~AJJ MED EXP (Any one 0erzwr) 3 ~o o a q_ <br /> PERSONALS ADVIWURY E I U O O O O O <br /> GENERAL AGGREGATE E 2 0 0 0 0 0 0_ <br /> GEN'L AGGREGATE LIMB APPLIES PER: PRODUCTS-COMP/OP AGG E 1 D D o o D o <br /> ~ P.9P <br />POUCY JECT LOC <br /> AUIM IOBILE LIAI3MY COMBINED SINGLE LIMIT <br />iden! <br />Ea E <br /> <br />ANY AUTO ) <br />f <br />a<c <br /> ALL OWNED AUTOS eODILY IWURY <br />P E <br /> <br />SCHEDULED AUTOS <r person) <br />I <br /> MIRED AUTOS BODILY INJURY <br />E <br /> NON-OWNED AUTO IP<r ecuden0 <br /> PROPERT/DAMAGE E <br /> IPm actldenl) <br /> GARA GE WIBILRY AUTO ONLY-EA ACCIDENT E <br /> ANY AUTO <br />OTHER THAN EA ACC <br />E <br /> AUTO ONLY: AGO E <br /> E)<CE55 LV1BM1ITY EACH OCCURENCE E <br /> OCCUP ~ CLAIMS MADE AGGREGATE E <br /> L- <br />S <br /> CEDUCneLE E <br /> RETENTION E E <br /> WOFl~TS COMPETJSAl10N AND WC STAN- OTRH~ <br /> ETIPLDYEftS L1AB0.1TY <br />E.l. EACH ACCIDENT <br />E <br /> E.L DISEASE~EACN EMPLOYE E <br /> E.L. DISEASE-POLICY UMIT 5 <br /> ~~ <br />I <br />I <br />DESCNPTION OF OPETiAT10N5/LO(.ATIONSNE}9GES/F](CW SIGNS ADDED ENDOFi9EMEMS/SPECWL PFiONS10N5 • Sedglw4 u na lasing eatlusiors a SperAal ProHCarzs <br />Insurer will notify division whenever suhstantive changes are made in <br />the policy including any termination or failure to renew. This policy <br />applies to permit HC-81-010 and includes coverage for Property Damage <br />and Personal Injury resulting from the use of ezpl osives <br />GERTIFlCATE HOLDER ADIXTIONAL MSUF>ED;INSURER LETtER __ I:ANIaLLAIIUN <br />SHOULD ANY OF THE AeOVE DESCRIBED POUGES BE CNJCEI l m BEFORE 111L5 E%PIMTION <br />DATE TF1EnEOF, THE ISSUING INSUREA WRL ENDEAVOR TD MAal O GAYS WWTTEN <br />COLORADO DEPT O F NATURAL RESOURCES NDT1cE To THE CETTTmiCATE HOLDER NAMED TO THE LEFT, Rur Eawr?E TO oo so SMALL <br />D I V I S I O N O F hl I N E R A L S & G E O L D G Y IMP0.RE NO ODUGAnON aR UAHILRY OF ANY qND UPON THE INSUREF>, rts AGENTS GR <br />2 1 5 C E N T E N N (A L B U I L D (tl G r>EPRESr_TrrATrvES. <br />1 3 1 3 S H E R M A N STREET auDaRIgDREPr~ <br />DENVER CO 80203 of ~. t"- <br />ACORD 25-5 (71971 Paae 1 of 2 ` - <br />CORPORATION 1988 <br />
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