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GENERAL41560
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GENERAL41560
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Entry Properties
Last modified
8/24/2016 8:09:47 PM
Creation date
11/23/2007 11:15:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
5/13/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ac~~ia~.~~ 4 <br />PRODUCER <br />X Alexander i Rlexarder Inc. <br />CorNlusker Plaza, Suite 5BB <br />381 S. 13th Street, P.O. Soz 82515 <br />Linrnlnl Ne fi&SBI-2515 <br />INSURED <br />14821 479'2388 <br />IIYDIIIG FIF1 CQIPiWY <br />P.O. B011 19596 <br />LAKEIIOOD, co seals <br />.q a ~_#,~Tx,, ` III III III~II IIII III + ISSU~,1B/91MIDDIYY) . <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW <br />COMPANIES AFFOADING COVERAGE <br />COMPANY <br />LETTER A ~~` ~ L01~ <br />LETTERNY B RECE~ 1/. <br />ROYAL 1Nx71RiYiCE CDIPANY \V <br />ETTERNY C ~ <br />LIBERTY MJTI/1L INSIIAANCE CO. MA ~, <br />LETTERNY D 1 3 1991 <br />Mi~~d <br />COMPANY ~I <br />LETTER E eC/ama~in_ anV <br />va++~nlp~.1lS~~T F:%7bfS+~F~YlIR1!1 TirkplY'SWr•V'IK'z.a'MYT.~rAIHM. .P•.. i'c'>,rY~RS:V'2 Fe J A'Yr -> ..- ~ N-t_~s- I"rx•rt_- .l <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 ANV REQUIREMENT', TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITIi RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION pLL LIMITS IN THOUSANDS <br />LTR GATE (MMIDDIVV) GATE (MMIDD/YY) <br />GENERAL LIABILITY f0-3e514I3B515 B7-BI-9B 871-41 GENERAL AGGREGATE E TSB <br />A COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE X OCCUR. <br />OWNER'S 8 CONTRACTOR'S PROs <br />AUTOMOBILE LIABILITY <br />B X ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIABILITY <br />EXCESS LIABILITY <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />C <br />AND <br />EMPLOYERS' LIABILITY <br />OTNER <br />PRODUCTS~COMPIOPS AGGREGATE $TSB <br />PERSONAL 8 ADVERTISING INJURY E <br />EACH OCCURRENCE E758 <br />FIRE DAMAGE (Any one Lre) E <br />MEDICAL E%PENSE (Any one person) E <br />COMBINED <br />PST122628 B1-81-91 81"81'92 LIM TLE $ 1,~ <br />BODILY <br />INJURY E <br />(Per person) <br />BODILY <br />INJURY S <br />(Per accitlent) <br />PROPERTY E <br />DAMAGE <br />EACH AGGREGATE <br />OCCURRENCE <br />E S <br />IC2191B73Be8119 BI-81-91 B1~1-92 _ sraTUTOaY <br />' - + E .~ (EACH ACCIDENTt <br />E SeB (DISEASE-POLICY LIMIT) <br />E SN (DISEASE-EACH EMPLOY <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS N ^ ~ <br />AS TlE CERTIFIWTE HOLDERS INTEREST INY APPEAR A5 RESPECT Ikll ELK NINE, filti00i ERSLE MILE <br />IEi#TIFIFI `+"""~ r, a ~,.; I .;ta^`~ :?'~:~ l~w~ :~ :' , s ,.;` ~ `s.. Y l'; 1 <br />~..~ <br />~, SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />~. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />NINELAf® RECLAIWTION BUREAU MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />~ ~ STATE ~ CQORABII LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />Ate' ~~~ ~~~ LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />1313 - 5HERMAN SUITE 215 ;Ir <br />DENVER CO eB2B3-2P73 ~`i AUTHORIZED REP NTATIVE <br />f <br />m-...r_ n -.._ .~ ~~ <br /> <br />
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