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GENERAL37003
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GENERAL37003
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Last modified
8/24/2016 7:57:18 PM
Creation date
11/23/2007 8:57:15 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
7/24/1992
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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IIIIIIIIIIIIIIII ISSUE DATE(MMIpDIYY) <br />AIDIII:~~. CERTIFICATE OF INSURANCE <br /> ; III <br />7~is <br />PRODUCED THIS CERTIFICATE ggg ~F INFORMATION ONLY AND <br /> CONFERS NO RIGHT ~ urun I nt L:tn I IrICwTE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Sedguick James of TNi Inc. POLICIES BELOW. <br />P. O. Box 171377 COMPANIES AFFORDING COVERAGE <br />Memphis. TN 38119 <br /> COMPANY A <br /> LETTER Federal Insurance Co. <br /> COMPANY B <br />INSURED LETTER <br /> n \ I <br />COMPANY G. ~( ~ ~ ~ I `/ <br />LETTER I 1 9I 4 <br />4!illiams Fark Company . <br />P • O. BOX 187 COMPANY <br />° ' <br />Craig CO 81626 LE,-rER <br />JUL241992 <br /> COMPANY <br />LETTER E IVISION Or <br />COVERAGES MINERALS <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANV REQUIREMENT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATIDN LIMITS <br /> DATE IMMIDD/YY) pATE (MM/DDIYY) <br />A GENERAL LIABILITY (93)37100018 7/20/92 7/20/93 GENERAL AGGREGATE S ZOO OOOO <br />X COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP/OP AGG. S 1 OOOOOO <br />CLAIMS MADEX OCCUR. PERSONALb ADV. INJURY S 10000 QO <br />OWNER'SflCONTRACTOR'SPROT. EACH OCCURRENCE 5 100000( <br /> FIRE DAMAGE (Any ane Ilre) S 1 OOOOO <br /> MED. EXPENSE (Any one person) S <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE <br /> <br />ANY AUTO ~ <br />LIMIT <br />ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />' SCHEDULED AUTOS s <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY S <br />NON-OWNED AUTOS (Per eccitlent) <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE S <br />E%CESS LIABILITY EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE S <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION STATUTORY LIMITS <br /> EACH ACCIDENT 5 <br />AND <br /> DISEASE-POLICY LIMIT S <br />EMPLOYERS' LIABILITY ' <br /> DISEASE-EACH EMPLOYEE S <br />OTHER <br />DESCPIPTION OF OPERATIONS/LOCATIDNSIVEHICLES/SPECIAL ITEMS <br />THIS POLICY APPLIES TO TRAPPER MIN ING INC PERMIT #C-81-01C AND <br />LNCLUDES COVERAGE FOR PROPERTY DAM AGE & PERSONAL INJURY RESULTIDIG FROM <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />COLORADO MINE LAND RECLAMATION MAIL ~~DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />DIVISION ATTN: KENT COBHAM LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />21 5 CENTENNIAL BUILDING LIABI OF ANY KI UPON THE PANY, ITS AG OR REPRESENTATIVES. <br />131:1 SHCRMAN STREET Au DREPRE TIVE R~-^•+-e.J <br />^ENVER. GO 80203 f ~ ~„~ ~ . <br />ACORD 25•S (7/90) ©ACORD CORPORATION 1990 <br />2- 24 <br />
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