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GENERAL38611
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Entry Properties
Last modified
8/24/2016 7:58:19 PM
Creation date
11/23/2007 9:46:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
General Documents
Doc Date
12/8/2003
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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C C ,, ~..- CeC ... / ... bl l P~1 <br />,a~oRO CERTIFICAT~Il.~~1LITY INSURANC <br />OCT 2E '03 1a:~1 <br />TS ~ ~n.~-4M,DOIVY{ <br />Brown ~ Brown l r.3ucane• ONLY ANO CONFERS NO RIGHTS UPON THE CERT{FICATE <br />Steamboat Spgs ^^•S 7"5 i43 HOLDER. TNI9 CERTlFlCATE DOES NO7 AMEND, EXTEND< <br />2150 Resore DYive, N20U DEC 08 2003 ALTER THE COVERAGE AFFtlRDEO EY THE POLICIE39E4 <br />Steamboat Springs CC 80477-5043 <br />8hoae: 97C-379-C'-363 'ax: 970_8~I9-021 INBURER3 AFFORDIMG COVERAGE <br />..--._ VISIODn M',.o.~1..-...+c.,o1 a-__ .. _ ____. <br />WSUREO SURER A: American Safaty_IaeuranCe Herv <br />~_` RtN B. _ ... _. .___..-. __ <br />Haergy • Corporation `N_ INSUneR e_ <br />PO BoR '/73457 ;:NSUR6Ra -.. '- -_... _._._._- <br />Steamboat Sprirgs CO 80477-3 /y1(-~ -- -- <br />~.__._ __~_ ~7! _ NSURER~_.... _. <br />COVERAGES <br />iNE POLICIES OF NSURAn'CE USTED BELOW' NAVE BEEN IBSUED TO THE INSURED NAMED AfovE POR TN6 POLICY PERIOD IN7E:ATEO NOYWRHSTAVDINO <br />ANY REOUIREMfs1T. TER.4 CR GONOiT10N OF ANY CCNpiAGT OR O7RER DOCUMENT WRN REBRECT i0 WNICH TNI$ C6RTIFICA*E 4AV BF ISBUEG ORS <br />NAV pERTAtN. THE INSURPN7E A.FORCED BY Td[ POLICIES OESGHIBED NER?IH iS SUBJECT TO ALL THE T@RIS, EXCLUSIONE MO CCNDiTICNS CF $L'CH <br />PCLICIEE AGGREGATE UMI7S9NOWN M4'~MYE CEITN REOUCCV BY eUO CL UNB, <br />L R THE OFNSIIRANCE FG:ICY NUMBER 0 TE MAW E DATE MM,DOM' uARTS <br />O[NlRAL LUaLLITY i ~. ~lAOM OCOURRENCE S 2, OOO, OOO <br />A '~ x ~ COMLICRCIAL GEM6.'Ut LIA21LCY C12*,Ol$699001 ~ 1C/01/03 I01J1/04 -PIR6 OAMAG[(Ary ens e,ol ~ s 50_000 <br />_1 ~ CWMS MACE ~ }( 7000p; <br />' 4E0 E%-(Any Pne ppn•enj I S 1O, OOO <br />~ i i <br />I i PERSUNAL}pty1NJURV i f 2, 000, OOO <br />' <br />' <br />1 <br />_ _ - - - ~ - - <br />GN• aNERAI <br />AGGREGATE <br />I G <br />S 2, 000, 000 <br />I <br />G <br />4 AGGREGAYE LIMB 4PPLIES PER: <br />~~~- ~ PRODUCTS-COMPAP AOS <br />B $, 000.000 <br />~POUCY~ <br />,P~^-o- ILOC ~ _ .8m 8ea. 2,000,000 <br />I AUTOMOBII,F. LUIBILITY I `- <br />~ANYAUTO <br />~, COMBNEO SNGLE LIMB <br />I ilER ecd[an0 S <br />~ -~- <br />AL'-OWNED AUTOS <br />BOON.Y INJURY i <br /> <br />i <br />SCFiE]UIED pUT05 I .-- <br />(Par pwiDnl <br />I i <br />NIREO AUTOB <br />t <br />f <br />~ <br />BODILY N: <br />RV <br /> <br />_ <br />1 <br />NDNF-0WNED AlA05 <br />i <br />`--yl I <br />C <br />S <br />I (FDI ~a„I'... . .._. <br />I--~_ -~- <br />I I I I <br />: PROPERTY ^ANUGe I f <br /> ~ <br />j GAAAGE LVIBLRY I I AUTO ONLY-EA AGCIOENT <br />S <br />~ :~ ANY,vro I ~ o THAN EA ACC f <br />~ <br />I I ..- ~ ~~ <br />~ AUTO ONLY: AG <br />c[cessLl.NUTY <br />~ ~-EatnocaaRENGe _ 's _ _ <br />~ OCCUR ~ ~ CLAIMS UAO-° I ~ I AGGREOAtt 5 ,_ <br />I <br />I <br />~ ~ S <br />'..-1 T I I <br />O ~. s <br />--.. <br />~ <br />RE <br />ENTICN S <br />I ~ 5 <br />(WCpRERS COMPEN6ATION AND I <br />' I T RY' .MI ER I <br />1 EMPLOYERS <br />LUL8ILITY ~ - <br />•-~---- <br />~ <br />- <br />i ~w <br />[E.L. EAGN ACCIDENT 'C <br />i <br /> ~E.L~OLAEASF - [.A EMPLONS~ S..__-{___., I <br />~ I I j E.L. 71S'FAS-P-POLN:Y'_IMIT i i <br />~OTNER <br />II I ~ <br />~ ~ <br />' Oi}CRIPTION OF OPERAYONS'LOCA•R)NSNENICLEB,lXCLUSICNS ADOEO BY ENOOpEENEMKPECYLL P40VISION6 <br />RH: Raton Creak Mina - Permit NC-82-055 - t~~- <br />Rerr Mine -- ParSLit pC-80-066 <br />Southfield Miae - Pezmie NC-61-C14 <br />Newlin Creak Mine - 2atmit NC-91-095 <br />CER71PiCATE HOLDER ~ f: ~ +tgTweaupsLREo- INSUREa LETTER: CANORLLA710N <br />i_'__w_~___._. - -~-_._~ <br />('Vj_?/tee, BXDIIU!ANY G'THlABOVE(ES'RIBED ROLL{IEt Bfi CANCELLED EEFOAE THE EID'AATIO <br />Colorado Uepaztmeat OE OATBTKRCOF. TNC ISGVING INSURER WILL~MAL .j. {L OAY3 Nro rtEN <br />Natural RElaeurc as MOTID[TO TN[ClRTIF'CATf nVLCER NAMED TO iNf LfFTROr <br />Division c•f Minerals & Geology <br />1313 Shernwn ^CreaF, Rm 2tS <br />Denver CO 87203 '.s!OQl~si~ __ <br />
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