Laserfiche WebLink
acoRD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DD/Yh <br />EMCO-1 05/10/02 <br />PROUDER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Blanchard Insuraace Grout' Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P .O. Sox 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE <br />Phone: 9 0C 245-8011 1 Fax:970-245-8~~~~~~~ <br />INSURED ~ e C INSURERA <br />Mp J t~loyers Mutual Casualty Co. <br />IN B: <br />1s <br />SEM CongtructiQa Co. mB~B • BD SURER C: <br />715 Horizon Drive, Suite 2 9v1s~°R°IM wsuRERD: <br />Graad JYiactioa CO 81506 ~' <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TEAM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO W HICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />L7R TYPE OFINSURPNGE POLICY NUMBER DATE M DATE M LIMBS <br /> GENERAL LIABILRY EACH OCCURRENCE $1, OOO, DDD <br />A X COMMERCIAL GENERALLIABILRV 9X90868 05/10/02 05/10/03 FIRE DAMAGE(Anyanetire) $ 100,000 <br /> CLAIMS MADE ~ OCCUR MED EXP (My one person) $ $ DQD <br />, <br /> PERSONALBADV INJURY S1, DDD, DDD <br /> GENERAL AGGREGATE $ 2, OOO, OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG 52,000,000 <br /> POLICY jE O LOG <br /> AUT OMOBILE LIA&IJTY <br />COMBINED SINGLE LIMIT <br />E1 <br />DDD <br />DDD <br />A X ANY AUTO 9X90868 DS/1D(D2 D5~SD(03 (Ea acddenp , <br />, <br /> ALL OWNED AUTOS BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Per person) <br /> ~[ HIRED AUTOS BODILY INJURY <br />$ <br /> X NON-0WNED AUTOS (Peraaident) <br /> PROPERTY DAMAGE <br /> <br />(Per accitlent) S <br /> GAR AGE LIABILRY ., AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILRY EACH OCCURRENCE $ <br /> OCCUR ~CWMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION S S <br /> WORKERS COMPENSATK)N AND TORY LIMRS ER <br /> EMPLOYERS' LUIBILRY <br />E.L. EACH ACCIDENT <br />$ <br />_- -_ _ _-- --^- --_ Y- - ~ T- E.L. DISEASE-EA EMPIOVE E <br /> E.L. DISEASE -POLICY LIMR $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESEXCLUSIONS ADDED BY ENOORSEMENTBPECIAL PROVISIONS <br />Re: Slue Ribbon Miae-File No. C-81-047. State of Colorado division of <br />Miaerals & Geology is included as as Additional Insured. *10 Days Notice Due <br />TO Noa-Paymeat Of Premium. <br />~ CERTIFICATE HOLDER I Y I ADORIONAL INSURED; INSURER LETTER: A CANCELLATION <br />State Of Colorado <br />Divisioa Of Minerals & Geology <br />1313 Sherman Street, Roam 215 <br />Deaver CO 80203 <br />OOOOOOO I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATIO <br />DATE THEREOF, THE ISSUING INSURER YALL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />NOTICE TO THE CEfiTIFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br />IMPOSE NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER, RS AGENTS OR <br />