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GENERAL43045
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GENERAL43045
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Entry Properties
Last modified
8/24/2016 8:11:52 PM
Creation date
11/23/2007 12:08:19 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
General Documents
Doc Date
10/17/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br /> ~Of~ a ~ ~ ' II I II III I II I III I II I ISSUE DATE IMM,00.vv1 <br /> <br /> 999 1 ll ! 1 G :' - <br /> PRODUCER <br />I_ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> B i R M I AI I, H A M NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND, <br /> E%TEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. <br /> M C G R S F F, 9 E i B E L 5 A *I D W i L L I ,~ i4 j <br /> P . D . ~ C~:-: 10 . ~ 5 COMPANIES AFFORDING COVERAGE <br /> BiRMIDIGHAM AL 350.: <br /> _ <br />COMPANY <br />A <br /> _ <br />LETTER <br />~7:'P. T ~?C T pi~ 1 <br /> COMPANY <br /> B <br />LETTEA <br /> INSUREOSALT CREEK MIttIi•iG CO. .} CERTA.T[•I IiicilRAEiCE CDMPA.hiIE;= <br /> CGLORADO-uTE ELECTRIC A9 ~Ql'.. COMPANY <br />C <br /> P Ll B ll:. 1 14 9 LETTER <br /> MOt•ITP.OSE, CO 9140% COMPANY p <br /> LETTER <br /> COMPANY E <br /> LETTER <br /> <br /> <br /> THIS 19 TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br /> NOTWITMSTANOINGAHY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7NE TERMS. E%CLUSIONS, AND CONDI- <br /> TIONS OF SUCH POLICIES. LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />I CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POU[r EfFFCiNE <br />CatE IMWppm1 PDUpr ExPIMf10N <br />Dorf IMWDDm1 <br />LIMITS <br /> GE NERAL LIABILITY GENFAAL AGGREGATE f <br /> COMMERCIAL GENERAL LIABILITY PP.000C75 COMPIOPS AGG S <br /> LLAIM$ MapE ^pGDUPgENCE PEASONAL6ADV IKIURY S <br />I <br />I OWNER S 8 CONippCi0R5 PROTECTNE <br />EACH OCCURRENCE <br />S <br />I FlPE DAMAGE IANY ONE FlREI E <br /> NEO FXPENSE;AXYONE PERSON S <br />I AU TOMOBILE LIABILITY COMpIxED <br /> <br /> <br />I <br />ANV AUTO SINGLE <br />^Mrt <br /> ALL OWNED AUTOS <br />Boon. <br /> Ix,ugr <br /> <br />' scHEDULED Auros IRfR PFRSDxI S <br />J <br /> HIRED AUTOS BODar <br />xJUpr <br /> NON~UWNED AUTOS ~ccmFxn <br /> GARAGE LIABIUTV Ogppf Rlr <br /> O+MAGE <br />i A E%CESS LIABILITY E+c~ <br />OCCUPREU~E ~GGREW*E <br />f LIDIJE5~4 1~%31,'?0 1~; 31%91 $15,000 $15,00= <br />I OTHER THAN UMBAEIU FORM C L A. I M 9 td A D E <br />I <br />' $iaiUiORr <br /> WORKERS <br />COMPENSATION EaCM aCCIDExn <br />~ $ I <br /> AND <br />' <br />$ IDISEaSF POUtr UMIn <br /> EMPLOYERS <br />LIABILITY ID6EASf Eatw EMPICr EE <br /> <br />I OTHER ~ 3~-'^ <br />~~~~I~~~? <br /> ~ <br />~ DESCRIPTION OF OPERATIONSJJLOCATIONS/VEHIC LES~~ssPECIAL ITEMS `~ ~ <br />E iE: MCCLANE CANYOtJ MINE AtdD MLINGER CANYOtd MIME <br /> Mined Land <br />I ~ec!amation ~ivisio <br /> .. <br /> <br />~OLOP.rADO tdItdE § LAtdD <br />' 3ECLAMATIOIi BOARD <br />I i31°_ 9HERi4A6f STP.EET, ROOM ';15 <br />~• ~EtdVER, COLORADO 90::03 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%~ <br />PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAlly,~ 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />REPRESENTATIVE <br />
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