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GENERAL41547
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GENERAL41547
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Entry Properties
Last modified
8/24/2016 8:09:42 PM
Creation date
11/23/2007 11:15:12 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981021
IBM Index Class Name
General Documents
Doc Date
5/28/1987
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />a~%~~~.~~. CERTIFICATE 0~ <br />DATE(MMIDDIYY) <br />III IIIIIIIIIIIII III <br />' INSURANCE <br /> 999 <br />~~~ ~ 5/23/97 <br />~ <br />PROOUeER OF INFORMATION <br />THIS CERTIFICATE IS ISSUED AS A MATTER <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ven Gilder Insurance Cor <br />P HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />700 Broadway, Suite 1000 RECEIVED ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver, CO 80203 COMPANIES AFFORDING COVERAGE <br /> <br />MAY COMPANY <br />2 8 1997 <br />303-837-8500 A United States Fidel it & <br />INSURED <br />COMPANY <br />Flatiron Companies <br />Division of Minerals & Geo <br />~ B Fireman's Fund Ins. CO, <br />P , o. BDJ( <br />zzs COMPANY <br />Boulder, CO 80306 C <br /> COMPANY <br /> D <br /> <br />THIS IS TOCERTIFV THAT THE POLICIESOFINSURANCELISTE D BELOW HAVE BEENISSUED TOTHEINSURED NAMED ABOVEFOR THE POLICYPERIOD <br />INDICATED,NOT W ITHSTANDING ANY REQUIREMENT, TERMOR CONDITION OF ANV CONTRACT OR OTHERDOCUMENT W ITH RESPECT TO W HICHTHIS <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 BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTfl GATE (MMIDDIYY) DATE IMMIDD/YY) <br /> GEN ERAL LIABRITY GENERAL AGGREGATE f 'j DDDQOQ <br />A x COMMERCIAL GENERAL LIABILITY 1MP30114796802 6/01/97 6/01/98 PRODUCTS~COMP/OP AGG f 200QDQQ <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY f 100Q ODQ <br /> OWNER'Sb CONTRACTOR'S PROS EACH OCCURRENCE f 1DDBDQD <br /> FIRE DAMAGE (Any one lire) f 5DD00 <br /> MED E%P (Any one person) f SDDU <br /> AUT OMOBLE LIABLRY <br />COMBINED SINGLE LIMIT <br />f <br />A X arty Auio IMP30114796802 6/01/97 6/01/98 1000000 <br /> ALL OWNED AUTOS BODILY INJURY f <br /> SCHEDULED AUTOS (Per person) <br /> x HIRED AUTOS BODILY INJURY f <br /> x NON~OWNED AUTOS (Per acclOenU <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE f <br /> E%CESS LIABILrtY EACH OCCURRENCE f 1Fj DDDBDD <br />(~ X UMBRELLA FORM 1MP30114796802 6/81/97 6/01/98 AGGREGATE s 15000000 <br />B X OTHER THAN UMBRELLA FORM XXK00095766580 6/01/97 6/01/98 EXCOSS f 5000000 <br /> WORKERS COMPENSATION AND 51ATUTORY LIMITS <br />- EMPLOYERB'LIABILn'Y - - -- - _' - -- - - - -~~ - -- - - - - <br />EACH~ACCIDENi <br />f <br /> THE PROPRIETOR/ <br />PARTNERS/E%ECUTIVE INCL DISEASE -POLICY LIMIT f <br /> OFFICERS ARE: E%CL DISEASE -EACH EMPLOYEE Y <br /> OTHER <br />DESCRIPTION OF OPEAATIONSILOCATIONB/VFHICLF519PECIAL ITEMS <br />RE: Bourg Mine <br />Permit Number: C-81-021 <br /> <br />::CE.HTiFICAFE.~HO...LE].ER~:~~.:::.:.'.:'.::.:.~.:.:'.~~: ~~'.:'.: ~.: ~.: ~.::.::':'. ~: ~~:.:~.~ .......:. <br />... ... .... . <br /> <br />N ... ...... .. . <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIE6 BE CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~,rpi~0~1 XTR MAIL <br />D l v i $ I D n O f Minerals & Geology 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />1313 Sherman Street Room 215 7Bm'aaa77BEaaDBPK i(1CB[aW00~~8NA0.`76o7B0ElYRC~X19U1XIaryLq~lp1~R-RYic <br />Denver , CO 80203 701CX~ED'7c7d7PXgPANCRNFX9P9C9Px+'7ciFRkAHlTiPX9PX9€~~€11LTkT1N5FX <br /> <br />AVT ZED 0 <br />NDRI E 03032100 <br />. ...... 1.. ... .. ... ........ .. .. ::: <br />ACOAD25•5.13193..Y :...:::....:..:::::.::.:..' '.: :.'.:::;:: ,.; ...:. ..:.:::.:..;...:..':. : ::.:....: ..... ....:::. 'A OR¢GC+RPORATLpN:149$. <br />
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