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GENERAL42870
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GENERAL42870
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Entry Properties
Last modified
8/24/2016 8:11:40 PM
Creation date
11/23/2007 12:02:00 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981039
IBM Index Class Name
General Documents
Doc Date
11/5/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />~ <br />III IIIIIIIIIIIII III ~ E <br />, <br />TE DD YY <br />gcord CERTIFICATE OF INSURANC 999 11/01/91 <br />PRODUCER This certificate ie ieeued ae a matter of intormation only and confers <br /> no rights upon khe certificate holder.This certiicake does not amend, <br />COBH STRECKER DUNPHY & ZB~4ERMANN, INC. extend or alter the covers a afforded b the liciee listed below. <br />4728 EAST TOWNE BLVD., SUITE 230 <br />MADISON, wl 63704 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> LETTER A TRANSPORTATION INSURANCE CO. <br /> COMPANY <br /> LETTER B TRANSPORTATION INSURANCE CO. <br />INSURED <br /> COMPANY <br />RYAN INCORPORATED CENTRAL LETTER C CONTINENTAL CASUALTY COMPANY <br />ROCKCASTLE COMPANY <br />P.O. BOX 208 COMPANY <br />]ANESVILLE, WI 63647 LETTER D TRANSPORTATION INSURANCE CO. <br /> COMPANY <br /> LETTER E <br />COVERAGES <br />_ _ _ <br />This is to certify that policies of insurance listed below have been ieeued to the insured named above for the policy period indicated. <br />Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may <br />be ieeued or may pertain, the insurance effocded by the policies described herein is subject to all the terms, exclueione, and <br />conditions of such policies. Limits shown may have been reduced by paid claims. <br />CO Type of Insurance Polley Number Policy Effective Policy Expiration <br />LTR Date (mm/dd/yy) Date (mm/dd/yy) Liability Limits <br />A GENERAL LIABILITY General Aggregate <br /> 2 000 000.00 <br /> [ X ]Commercial General Liability Products-Comp Ops <br /> ] Claims Made A e ate 1 000 000.00 <br /> X ]Occurrence Personal & Advertising <br /> I Owner's & Contractor's Prot. GL208629438 09/30/91 09/30/95 In'u 1 000 000.00 <br /> ~ <br />t Each Occurrence <br /> 1 000 000.00 <br /> Fire Damage <br /> An One Fire 60 000.00 <br /> Medical Expense <br /> An One Person 6000.00 <br />B AUTOMOBILE LIABILITY <br /> CSL <br /> X Any Auko 1 000 000. <br /> X All Owned Autos (Priv Paee.) ~ Bodily <br /> X All Owned Autoe(Other) Injury 1.00 <br /> X Hired Autos Per Person <br /> X Non-Owned Autos BUA008629439 09/90/91 09/30/92 Bodily <br /> ] Garage Liability Injury 1.00 <br /> ] Per Accident <br /> Property <br /> Damage 1.00 <br />C EXCESS LIABILITY _ <br />~ Each Aggregate <br />_ X ] Umbrella Form UIdB800576970 _ <br />09/90/91 _ <br />09/SU/92 _ _ _ _ <br />Occurtence <br /> ` J Other Than Umbrella Form 16,000,000.00 15,000,000.00 <br /> Stnt utor <br />D WORKERS' COMPENSATION 1,000,000.00 Each ccident <br /> AND <br /> EMPLOYERS' LIABILITY WC800609385 09/30/91 09/30/92 1,000,000.00 Disease Policy Limit <br /> 1,00 ~ . ~I~e a Each Employee <br />E OTHER <br />DESCRIPTION O OPERATIONS LOCATIONS VEHICLES RESTRICTIONS SPECIAL ITEMS <br />ALL WORK FOR COLORADO DEPT. OF NATL RESOURCES Mined L <br />and <br />Reclamation D <br />ivision <br />CERTIFICATE HOLDER CANCELLATION <br /> Should Any Of The Above Described Policies Be Cancelled Before The <br /> Expiration Date Thereof, The Issuing Company Will Mail 30 Daye <br />COLORADO DEPT. OF NATL. RESOURCES, Written Notice To The Certificate Holder Named To The Le[t. <br />LAND RECLAMATION DIV. <br />1313 SHERMAN STREET AUTHORIZED REPRESENTATIVE <br />DENVER , CO 80208 <br />w. ~.J <br />
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