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GENERAL38670
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Entry Properties
Last modified
8/24/2016 7:58:21 PM
Creation date
11/23/2007 9:47:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
7/2/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />ACORD CERT I F 1 (ATE OF 1 NSUR iiiiiiiiiiiiiiu~ <br />ANCE ISSUE DATE (MM/DD/ 999 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CON- <br /> FERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT <br />HOME LOAN 8 INVESTMENT COMPANY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P <br />0 <br />BO% 100 <br />. <br />. <br />145 North 4th Street LOMPAN I ES AF FORD I N G COVE RAGE <br />Grand Junction CO 81502-0100 COMPANY <br /> LETTER A Bituminous Insurance Lo. <br />Code Sub-Code COMPANY <br /> LETTER 8 <br /> <br />INSURED COMPANY <br /> LETTER C <br />Sdnerset Mining Company A Colo Ptrshp COMPANY <br />Pacific Basin Resources, Ng Pt LETTER D <br />P.0. Box 535 COMPANY <br />Somerset CO 81434- LETTER E <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TXE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA iD CLAIMS. <br />LO POLICY POLICY <br />LTR TYPE OF INSURANCE POLI LY NUMBER EFF DATE E%P DATE LIMITS <br />A GENERAL LIABILITY <br /> CLP2108717 08/01/92 08/01/93 GENERAL AGGREGATE E 2000000 <br /> C%1 COMM GENERAL LIABILITY PROD-COMP/OPS AGGREGATE E 2000000 <br /> CLAIMS MADE X OCCUR PERS 8 ADVERTISING INJ E 7000000 <br /> [ ] OWNR'S 8 CONTRCTR'S PROT EACH OCCURRENCE E 1000000 <br /> [ 1 FIRE DAMAGE (ONE FIRE) f 50000 <br /> [ ] NED E%PENSE (ONE PERSON) S 5000 <br />A AUT OMOBILE LIABILITY CAP 1804508 08/01/92 08/01/93 COMBINED SINGLE f 1000000 <br /> LIMIT <br /> [ ] ANY AUTO <br /> [ ] ALL OWNED AUTOS BODILY INJURY E <br /> [%] SCHEDULED AUTOS (PER PERS) <br /> [%] HIRED AUTOS BODILY INJURY E <br /> [%] NON-OWNED AUTOS (PER ACC) <br /> C 1 GARAGE LIABILITY <br /> [ ] PROPERTY DAMAGE E <br />A E%CESS LIABILITY CUP1777057 08/01/92 08/01/93 <br /> EACH OCCURRENCE S 2000(100 <br /> [%] UMBRELLA FORN AGGREGATE E 2000000 <br /> ( ] OTHER THAN UMBRELLA FORM <br /> [ ] STATUTORY LIMITS <br /> WORKER'S COMPENSATION EACH ACCIDENT S <br /> AND DISEASE-POLICY LIMIT E <br /> EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE E <br /> OTHER <br /> E <br /> E <br /> E <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />Somerset and Sanborn Creek Mines - DMG Permit No. L-81-022 <br />CERTIFICATE HOLDER ANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Division of Minerals 8 Geology <br />~ THE E%PIRATION DATE THEREOF <br />THE ISSUING COMPANY WILL 8~][VOR <br />f ~ L <br />f <br />1313 Sherman Street Roam 215 R F ~~ E~~~ F ~~ , <br />7&I MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br /> NAMED TO THE LE F <br />~®IR7Ra6~lIRHN87lPO~CbgOW1~YiQEXBRAKKTIK- <br />T <br />Denver LO 80203- ,, <br />y <br />~~*AyF~~~~~i~ .1~~~Y <br /> <br />JUL 02 ]993 , <br />aT+atA1s,LTSxmRn(alaasENraaslwESx <br /> AUTHORIZED REPRESENTATIVE , <br />DIVISIOI101 Nultli pia ul]l;;,. Jenies D. Hamilton, CPCU <br />ACORD 25-5 (7/90) ACORD CORPORATION 1990 <br />
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