Laserfiche WebLink
M A R S H :CERTIFICATE OF INSURANCE N~~~oo;;4,5 8 o3R <br /> <br /> PRODUCER ~ ~ THIS CERTIFICATE 13135UED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />InC <br />Marsh USA <br /> , <br />. NO RIGHTS UPDN THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />1166 Avenue of Americas ~ POLICY. TH13 CERTIFICATE DOES NOT AMEND, EXTEND Ofl ALTER THE COVERAGE <br />E <br /> New York, NY 10036 <br />AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />SE' ~E <br /> p <br />Attn: KEN HELM NEWYORK.CERTS~MARSH.CO <br /> ' COMPANIES AFFORDING COVERAGE <br /> JU <br /> ANY <br />L Q ~ MI/I/, COMP <br /> A <br />N/A <br />008046---04-05 ~~J~JT <br /> INSURED Diuisisn Bf COMPANY <br /> Minerals <br />W. R. GRACE & CO. end GBBI <br />D B HARTFORD INSURANCE COMPANY <br /> 9Y <br />7500 GRACE DRIVE <br /> COLUMBIA, MD 21044 coMPANr <br /> C <br /> COMPANY <br /> D <br /> COVERAGES Thls eerlliica[e supersedes andreplaces any previously tssuatl cirlNicate for tllepol~ypeaod noletl below. 4 <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br /> NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTP,ACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR <br /> MAV PERTAIN, THE INSURANCE AFFORDED BVTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. <br /> AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br /> CO <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION <br />LIMITS <br /> LTR DATE (MM/DD/YY) GATE (MM/OD/YV) <br /> GENERAL LIABILITY SELF IIVSURcD 06/30/04 06~3GN5 GENERAL AGGREGriATE $ 5,000,000 <br /> X COMMERCIAL GENER4L LIABILITY PRODUCTS-COMP/OP AGG $ 5,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 AOV INJURY $ 5,000,000 <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 5,000,000 <br /> X SELF-INSURED FIRE DAMAGE (Any mefire) $ 5,000,000 <br /> W.R. GRACE & CO MED EXP (Any me person) $ EXCLUDED <br /> B AUTOMOBILE LIABIDTY 10 ABR C47901 (ADS) O6/301tl4 O6/30N5 <br /> COMBINEDSINGLE LIMIT $ 2,000,000 <br /> B X ANVAUrO 10 ABR C47903 (TX) 06/30/04 06/30/05 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per persm) $ <br /> HIRED AUr03 BODILY INJURY <br />S <br /> NON-OWNED AUrOS IPer acctlenp <br /> PROPERTY DAMAGE $ <br /> <br /> OARAOE LIABILITY AUTO ONLY- EA ACCIDEMr $ <br /> <br /> <br />ANY AUTO <br /> <br />OTHER THAN AUrO ONLY: .... .... .................... <br />............................... <br /> EACH ACCIDENT 3 <br /> AGGREGATE $ <br /> E%CESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM $ <br /> B WORKERS COMPENSATION AND 10 WBR C47900 O6/30N4 O6/SONS X WC STATU- OTH- <br /> EMPLOYERS'LIABILITY TORY LIMITS ER <br /> EL EACH ACCIDENT S 2,000,000 <br /> THE PROPRIETOR/ <br />PARTNERS/E%ECUTIVE X INCL EL DISEASE-POLICY OMIT $ 2,000,000 <br /> OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $ 2000000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATION3/VEHICLE3BPECIAL ITEMS <br /> Tha coverage antl Ilmtts staletl above appty to Permit #C60-003 <br /> CERTIFICATE H.OLQER CANCElLATION_ , <br /> SHOULD ANV OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATION <br /> Colorado Division Gf Minerals and DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS <br /> Geology WRITTEN NOTICE TO THE CEmIFICATE HOLDER NAMED HEREIN, BUL FAILURE i0 MAII SUCH <br /> Attn: Jim Stark NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILRV OF ANV KIND UPON THE INSURER <br /> 1313 Sherman Street -Room 215 AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS <br /> Denver, CO 80203 CERTIFICATE. <br /> MARSH UBA INC --f~ <br />E <br />• ¢ <br />• '~ <br />~ <br /> rrr~a <br />Bv: Thomas J. <br />ltlritlge / ~lp <br />- <br /> MMt{3/D?} '. - VALID AS OF ~~ 06/30/04 ., <br />