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URANCE - : ; ~. ; ISSDE DATE IMM/DD/VV) <br />i Aclli.n. CERTIFICATE OF INS <br />_t _.=sue-_ __-~~a' .-~_._._._~_..~__ __ <br />PRODUCER _ <br />I ~ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Jed~PJ1Ck James Ofi TMi InC. POLICIES BELOW. <br />~. ~). ?OX 171377 <br />COMPANIES AFFORDING COVERAGE <br />•:a~phis~ Tr: ,3137-1377 <br /> COMPANY A <br /> LETTER _ <br />_ _ ... __ _.__r_eder_al__In=urer.ce _~~o... .. <br />_ ____.__. ...___.-___-___..__._._.__.......__....__.. _ .._ COMPANVB <br />INSURED LETTER - <br />i _ II _ <br />3 <br />~ <br />~ •~ <br /> ~ <br />` <br />~• (... <br />COMPANY C <br /> <br />~.dilliass Fork ComPanY LETTER <br />______.. <br />~ . I B 7 X 1 ~~ 7 <br />; <br />. `. - COMPANY <br /> <br />LETTER <br />D DEC 1 9 1991 <br />~ .: <br />. <br /> COMPANY E ;Vlinec' Banc <br />LETTER <br /> <br />COVERAGES ~ - .~--'-'---- -- -~.._ ~_ 7 IOf)--- ~~IC' --- <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, NOTWI7HSTANDINO ANY REpUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT 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 <br />LTR POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />DATE (MM/DD/YY) , DATE (MM/DO/YY) <br />GENERAL LIABILITY 1 371 0001 3 ~ 7/20/91 ~ 7/2G/92 GENERAL. AGGREGATE S ~II;J.CO v.. <br />COMMERCIAL GENERAL LIABILITY <br />~ PRODUCTS COMPIOP AGG 3 1 Ll L (`, ~ J I <br />~.~I CLAIMS MADEvi ': OCCUR.' ~ PERSONAL 8 ADV INJURY S _ 1.J ~G ln. l~ <br />OWNER'S 8 CONTRACTOR'S PROT. ' ~. EACH OCCURRENCE _ _ f 1 D OO.D O'.. <br /> FIRE. DAMAGE (Any tlns IUS) _S _ 1.0 ~ (, G _, <br />~ MED. EXPENSE IMy one perwl) S ,~ <br />AUTOMOBILE LIABILITY ~ <br />~ i COMBINED SINGLE <br />, S <br />~ ANY AUTO LIMIT <br />_.__._..___.. _. <br />__.._. ._. _.___..._-_... <br />ALL OWNED AUTOS 5 <br />BODILY INJURY <br />SCHEDULED AUTOS <br />__ (Par penonl <br />. .. <br />___ ___.. ......__ _. <br />HIRED AUTOS f <br />BODILY INJURY <br />NON.OWNED AUTOS <br />~~ - (Per acntlsnl) <br />~ ~ ~- _---~ ~_ _ <br />GARAGE LIABILITY <br />-- PROPERTY DAMAGE S <br />E%CE44 LIABILITY EACH OCCURRENCE S <br />UMBRELU FORM AGGREGATE S <br />OTHER THAN UMBRELU FORM <br /> STATUTORY LIMITS <br />WORKER'S COMPENSATION <br /> EACH ACCIDENT f <br />AND - ' <br />DISEASE-POLICY LIMIT S <br />EMPLOYERS' LIABILITY - ' "' "'"" "' ' <br />DISEASE-EACH EMPLOYEE S <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONB/VENICLE9/SPECIAL ITEMS <br />Trapper Mining Inc. Permit HC-u1- 010 <br />;ovis?on of certifiicate dated 7/2 2/91 <br />~CEFITIFICATE HOLDER : ~ ~ `~ - • .' /~•s' ~ ~ .. <br />._ ._ __._.~ ._.~~. <br />_ ~, CANCELLATION ~- "° ' ~ _ <br />_ _._ _ _.__._ ~'_.-.i.. _. _ <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLI IES B CANC LE E THE <br />~ <br />Colorado Mine Land Reclamation EXPIRATION DATE THEREOF, THE ISSUING OMPA AV R TO <br />'~1V1Sl On Attn: Kent Gorham MAIL.~^ DAYS WRITTEN NOTICE TO THE CERT ATE HOLD RN TO THE <br />? 1 ~ t; e n't e n n i a 1 S U 11 d 1 n ~ LEFT, BU7 FAILURE TO MAIL SUCH NOTICE SHAL POSE O OBLIGATION OR <br />131 o h e r m an Street LIABILITY;D~ ANY KIND UPON THE COMP NV, ITS AGENT R REPRESENTATIVES. <br /> <br />=nver. ;,0 90203 i <br />i <br />.1 AUTHORRED'REPRESEI{7A _ V! /^~ ~ „` <br /> _ <br />n -•i / <br />f !' / ~ i.~_: ~:...'}~ - <br />-. <br />~ti.' <br />F <br /> _ <br />I <br />- <br />{IM <br />r,~Lf.a! <br />ACORD ZS-S (7/90) ~ ~ ~ ~ ~ ®ACORD CORPORATION 1990 <br /> <br />