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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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Form A <br />Certificate Number:X0250A1A9001 <br />ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LIMITED xt:vlsEn <br />Hamilton, Bermuda <br />CERTIFICATE OF INSURANCE <br />(Excess Liability) <br />This Certificate is furnished to the Certificate Holder named below as a matter of information only. <br />Neither this Certificate nor the issuance hereof makes the Certificate Holder an additional Insured under <br />the policy of insurance identified below (the "Policy") or modifies the Policy in any manner. The Policy <br />terms are solely as stated in the Policy or in any endorsement thereto. Any amendment, change or <br />extension of the Policy can only be effected by a specific endorsement issued by the Company and <br />attached to the Policy. <br />The undersigned hereby certifies that the Policy has been issued by Associated Electric 8 Gas Insurance <br />Services Limited (the "Company") to the Named Insured identified below for the coverage described <br />and for the policy period specified. <br />Notwithstanding any requirements, terms or conditions of any contract or other document with respect <br />to which this Certificate may be issued or to which it may pertain, the insurance afforded by the Policy <br />is subject to all of the terms of the Policy. <br />NAME OF INSURED: COLORADO-UTE ELECTRIC ASSOCIATION, INC. & <br />SALT CREEK MINING COMPANY <br />PRINCIPAL ADDRESS: P.O. BOX 1149, MONTROSE, CO 81402 <br />POLICY POLICY From: 12 / 31/ 90 <br />NUMBER: Xo250A1A90 PERIOD: To: 12/31/91 <br />RETROACTIVE DATE: 12/31/86 <br />DESCRIPTION OF COVERAGE: Claims-First-Made Excess Liability Policy <br />LIMIT OF $ 35, 000, 000 per occurrence and in the aggregate, where applicable. <br />LIABILITY: INCLUDING BODILY INJURY AND PROPERTY DAMAGE <br />DESCRIPTION <br />OF OPERATIONS: EXCESS OF $500,000 GENERAL LIABILITY <br />$200,000 AUTOMOBILE LIP.BILITY <br />$100,000 EMPLOYERS LIABILITY <br />Should the Policy be cancelled, assigned or changed in a manner that is materially adverse to the <br />Insureds) under the Policy, the undersigned will endeavor to give 3 days advance written notice <br />thereof to the Certificate Holder, but failure to give such notice wlft impose no obligation or liability <br />of any kind upon the Company, the undersigned or any agent or representative of either. <br />DATE: October 15, 1991 <br />ISSUED TO: <br />("Certificate Holder") <br />ADDRESS: COLORADO MINE & LAND RECLAMATION BOARD <br />1313 SHERMAN STREET <br />ROOM 215 AEGIS INSURANCE SERVICES, INC. <br />DENVER, COLORADO 80203 <br />~ ~ L~~~ <br />BY: /~// <br />At Jersey City, New Jersey <br />9001 (li/8~ <br />Copies While-Certificate Holder; Canary-Aegis Insurance Services, Inc.; Pink-Insured; Goldenrod-Broker <br />
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