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GENERAL39359
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GENERAL39359
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Entry Properties
Last modified
8/24/2016 7:58:49 PM
Creation date
11/23/2007 10:07:30 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981021
IBM Index Class Name
General Documents
Doc Date
12/1/1987
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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wc~:~:u <br />i `CERTt~iCATE' QF 1IriS ANCE` ~~ I I II' II I II'III DATE (MMI17DnT) <br />. <br />~' <br />~ <br />~ 5/23/97 <br />PROOUeER <br />~ ~ ~ THIS CERTIFICAT! ... ..uMCU 9wo w ARn I I ER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Van Gilder Insurance Cor <br />P HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />700 Broadway, Suite 1000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver, CO 80203 COMPANIES AFFORDING COVERAGE <br /> CpAPANY <br />303-837-8500 A United States Fidel it & <br />INSURED RFCEIV <br />Ll <br />C{ COMPANY <br />1 <br />Flatiron Companies I B fireman's Fund Ins. CO. <br />P.O, Box 229 <br />0 1 1991 COMPANY <br />Boulder, CO 80306 DEC ~ <br /> COMPANY <br /> D <br /> <br />v A .... .......:.::..... <br />ti... I. ;. ,...,.:..: <br />THIS IS 70 CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELO W HA VE BEEN ISSUED TO THE INSURED NAMED ABO VEFOR THE POLICY PERIOD <br />INDICATED,NOT WITHSTANDING ANV REOUIgEMENT,TERMORCONDITIONOFANYCONTRACT OR OTHERDOCUMENT WITHRESPECT70 WHICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLIC/NUMaER POLICY EFFECTIVE POLICY Ek-IRATION <br />LIMR9 <br />LTR DATE (MMIDDIYY) DATE (MMIDDIYY) <br /> GEN ERALLIMLLffY GENERAL AGGREGATE S 2000000 <br />A X COMMERCIAL GENERAL LIABILITY IMP 30114796802 6/01/97 8/01/98 PRODUCTS~COMP/OP AGG S 2000000 <br /> ttAiMS MADE~OCCUR PERSONAL S ADY INJURY f 1000ODO <br /> OWNER'SI CONTRACTOR'S PROT EACH OCCURRENCE S 1OOD000 <br /> FIRE DAMAGE (AnY one lire) f SDDDD <br /> MED E%P (AnY on! Dersonl S SDDD <br /> AM TOM06EF LIAaS.ffY <br /> COMBINED SINGLE LIMIT S <br />A X ANY AUTO IMP30114796802 6/01/97 6/01/98 1000000 <br /> ALL OWNED AUTOS BODILY INJURY S <br /> SCHEDULED AUTOS IPer Dersonl <br /> X HIRED AUTOS BODILY INJURY S <br /> X NON-OWNED AUTOS leer acciDenl) <br /> PROPERTY DAMAGE S <br /> <br /> GA RAGE LIASLLITI' ' AUTO ONLY ~ EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE ~ S <br />EICESS LUaD.ffY EACH OCCURRENCE S 15 DDDDDD <br />(( UMBRELLA FORM <br />~~ <br />~" 1MP30114796B02 6/01/97 6/01/98 AGGREGATE ~S 15 DDDDDD <br />OTHER THAN UMBRELLA FORM <br />B Xh <br />X XXK00095766580 6/01/97 6/01/98 Excess f 5000000 <br /> WORI~RB COMPENSATION AND STATUTORY LIMITS <br /> EMPLOYERS' LIAaLLffY <br />EACH ACCIDEM <br />f <br /> THE PROPRIETOR/ <br />PARTNERS/E%ECUTIVE INCL DISEASE -POLICY LIMIT S <br /> OFFICERS ARE: EXCL DISEASE ~ EACH EMPLOYEE 3 <br /> OTHER <br />OESCRIPTIOM OF OPERATIONSILOCATIONSIYEHICLES/IPECIAL frEMB <br />RE: Bourg Mine <br />Permit Number: C-81-027 <br />~:CERTIFI ~A7E~. l:~ R~:::~~.~~~::..~.::.::~:~:•..::.:,;~.:.::::::~..:~':.~ ..:.::::.:::.:~::~: <br />....... C.....HO DE .:..........:.:....... ::::.::::.....:.:::.:..:...:.:.:.......:::.:~.: :.:;•:~:.~:: ~:.:.: ;: .: <br />:.:....~..:..:. ~ 7lNCELLA~TION~::.~~.::::~..:.:.::::::.:...:.:..-.~.~.:::..::,~.:::. ~.;~::::::~.:::: ~:;...':.~~:.:. ~:~~::~.::..:~: ~::~:.:;;::: ~; ~: <br />,~.. ....... .. ... ......:.......... .....:.,...... ..... ......... .... ... ..... ... <br /> SHOIn n ANY OF THE ABOVE DESCRIBED POLICIES aE CANCELLED DEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL~~OAIxTix MAk. <br />DIVISIOn Of Minerals & Gaol Dgy 3D GAYS V/RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />1313 Sherman Street Room 215 70aD7F10)7eEkDDa7i7CZOClLSDIDE?~oIwD77RwlcsE]E00091DW90ANC4S%gIP1FAY7C <br />Denver, CO 80203 wRxRYXNC6PX9P1PfcRNEX9P~Q9P7lYx7FfC)('1tEkTilX9!'x~ft"R5€rl;T*Tk'SFX <br /> A VTHORIZED RFPRFSENTATIYE 030321000 <br />~ACOR6:25!:S(3/83)~::: ~~.: ~:.. :.....:.'....~.::. ,::;~.... :.: ~. ~:~:.::...::~~:;......: ...:: ~. ~ :.,. ::,:~. ~:....~.... .~.~. ..... ~.. .:~..~ . ..:~~~ACORD~:CORPORAT.IOH 1993. <br />
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