My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL40188
DRMS
>
Back File Migration
>
General Documents
>
GENERAL40188
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 7:59:26 PM
Creation date
11/23/2007 10:33:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981016
IBM Index Class Name
General Documents
Doc Date
7/1/2003
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORD CERTIFICATE OF LI ABI LITY INSURANCE <br /> o6isoiz oa <br />PRODUCER FAX (303)7 56-8818 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Kell er-Lowry Insurance ILIC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> p HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1777 5 Harrl 50n St #700 ~_ , Td <br />/1V ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver, CO 80210 0• ~ m <br /> ^ C INSURERS AFFORDING COVERAGE <br /> <br />INSURED Walsh Environmental Scientists & 3 o m INSURER A: Hartford Insurance Co <br />Engineers, LLC ~ C INSURER 6: Pinnacol Assurance <br />4888 Pearl East Circle, #108 H No INSURER C: <br />Boulder, Colorado $0301 > <br />6 ~ INSURER D: <br /> <br /> ~ INSURER E: <br />COVERAGES ° <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUf$ TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DDIVY POLICY EXPIRATION <br />DATE MM/DD LIMITS <br /> GENERAL LIABILITY 34UUNEM8078 01/10/2003 01/10/2004 EACH OCCURRENCE $ 1, 000, OOO <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGEIAny one Flre) $ 300,000 <br /> ~ <br /> CLAIMS MADE ~ OCCUR -MED EXP IAny one person)- 3- - -S ~ OO <br />A X Bl kt Addl Insd End PERSONAL&ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 <br /> X POLICY X JECT LOC <br /> AUT OMOBILE LIABILITY 34UUNEM8078 01/10/2003 01/10/2004 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 1,000,00 <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br />A <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> NON-0WNED AUTOS (Per accitlenQ <br /> PROPERTY DAMAGE <br /> <br />(Per a<citlenq $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTOONLV: AGG $ <br /> ExcESS LIABILITY ~ 34XHUEU4384 01/10/2003 01/10/2004 EACH OCCURRENCE $ 4,000,00 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ 4,000,00 <br />A s <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATIONAND 045661 07/01/2003 07/01/2004 TORY LIMITS X ER <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ L, OOO, OO <br />B EXEC OFFICERS & PARTNERS V - e.L.DisEA$E-EA EMPLOYE- s 1,000,00 <br /> NCLUDED E.L. DISEASE-POLICY LIMIT $ 1,000,00 <br /> OTNER <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEMICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPEOIAL PROVISIONS <br />e: Hawks Nest Mine Project <br />'Professional Liability Coverage Is Excluded From The Above Policies." <br />VCRIIrILNIC RVLVCR gDDITIONAL INSUHhU; INSUKGK Lt11[R: MM,YVCLLI1rrVn <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />State of Colorado EXPIRATION DATE TNEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Colorado Dept. Miners & Geology lO DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Erica Crosby BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />1313 Sherman St . #21S 'OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />Denver, CD HO202 AUTHORIZED REPRESENTATIVE ~) <br />n_L__• c_I-..T ~.._ rrr iuwoov ~~L <br />
The URL can be used to link to this page
Your browser does not support the video tag.