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GENERAL39182
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GENERAL39182
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Last modified
8/24/2016 7:58:42 PM
Creation date
11/23/2007 10:02:10 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
General Documents
Doc Date
8/31/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~ ~ulllllllllllll <br />~~ <br />- -'- ,ERTIFICATE QF; LI <br />PRODUCER ~~ ~ ~ ~ ~ ~~ ~ ~ ~~ 1 <br />Willis Corroon Corporation of Birmingham <br />1927 First Ave. North <br />P.O. Box 11567 135202) <br />Birmingham AL 35203 <br />(205) 323-7000 <br />Betty Hollis <br />INSURED <br />~. ~. ~..: DATE (MN/OD/YY) <br />ITYLIVSIJRL~NCE:: PAGE:IOF::: 2. 28-AUG-1998 <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFCATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />coMPANV National Union Fire Ins. Co. of Pittsburgh, PA <br />A <br />COMPANY <br />B <br />PICKETWIRE PROCESSING COMPANY, LLC <br />REGENCY PLAZA ONE COMPANY <br />SURE 1270 C <br />4643 SO. ULSTER STREET COMPANY <br />DENVER CO 80237 D <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 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU&IECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTR DATE (MM/DO/VY) DATE (MM/DD/YY) <br />A GENERAL LIABIIITY 00015229 O1JUL-1998 O1JU41999 ~cucon, .r:~o~~erF 2-000-000 <br />J CLAIMS MADE U OCCUR <br />OWNER'S 8 CONTRACTOR'S PROT <br />)MOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON1)WNED AUTC6 <br />RE EIVED <br /> <br /> <br />DIV O <br />8 G MINERALS <br />OLOGY <br />1,000,000 <br />1,000, DDD <br />1.000.000 <br />50,000 <br />5.000 <br />COMBINED SINGLE LIMIT I f <br />BODILYIWURY f <br />(Per penan) <br />BODILY INJURY f <br />IPer acctlent) <br />PROPERTY DAMAGE f <br />\GE OABILnY <br />ANY AUTO <br />:SS LIABILTY <br />UMBRELLA FORM <br />EMPLOYERS' LIABILITY <br />THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE MCL <br />OFFICERS ARE. E%CI <br />OTHER <br />OESCRWTION OF OPERATIONS/LOCATIONSryEHM:LES/SPECIAL HEMS <br />SEE ATTACHED <br />~~EPTff.1CATf..HOLAER.'::r':•~~~.~~~.':::~~ ~.:r~.~.:.~.:...:~ ~:~"~'~.'.~~~ ~~.':~:'.:~.~~~~~'.:::~:~:.' .. .. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES aE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE 55UING COMPANY WILL lEypNDgXrDpx XD MAIL <br />1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />COLORADO DIVISION OF MINERALS AND GEOLOGY B\TNYAIItILEx71011pM1161N]MNOTCFASNA[9X NOXOaF%i~laaYaiTIDNtAafI YOLa-Y7CRX <br />1313 SHERMAN STREET Oti XApYX NNNa%%NNNN %tOaT% XipN%AaENtalXDpz107pM1>iRNpIp74T111BBI% <br />DENVER CO 80203 AUTN ZEO REPRESENT VET/ <br />~RD25•S(1195)~:~.~:::.;.r::~.~::~.:.:;.-:::'~':~'-:':YAAIOUS2:'., ::: ~~~.'::..: ~,;: :.. .. :..~ .. .~.~ ....~~;, ...~® <br />. ' .: : ..: .. :: :.~ ...::::' :AGGRO CORPORA-ilON 796B~ <br /> <br />
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