Laserfiche WebLink
10-MAY-2007 D4:59PM FROM-Blanchard Insurance/HUB International SW 9702456016 T-747 P.004/005 F-524 <br />~0 CERTIFICATE OF LIABILITY INSURANCE OP ID °AI`I1NA~""""T'I <br />A <br />- <br />s>~TCO-1 a5 l0 07 <br />PRODUCER THIS CERTIFICATE Is ISSUED AS A MATTER OF INFORMATION <br />R'Q8 International Southwest ONIV AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />S1JUachard Insurance Group HOLDER. 7NIS CERTIFICATE DOES NOT AMEND• EXTEND OR <br />P • O. Box 60130 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. <br />Grand Junction CO 81506 <br />Phona:970-245-8011 Fax: 970-245-8016 INSURERS AFFORDING COVERAGE NAICN <br />INSURED INSURER A: Fat LO Br9 Mntaal CaSaalt (.• <br /> INSURER s: <br />SEM Cona 21LCti0A Ce. INSURER C; <br />627 24 1~2 Rd, IIait I <br />d Jun <br />ti <br />CO 81505 <br />G INSURER D; <br />on <br />ran <br />c <br /> INSURER E: <br />COVERAGES <br />THE PDLIGES PF INSURANCE U6TED BELOW MAVE PEEN ISSUEp 70 7HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATEP. NOTWIIHSYANDING <br />ANY RFAURiEMENT, TERM OR CONPRION OF ANY CONTRACT OR OTHER DOCUMENT WRM PESPECT To WHMAI THI6 CERTIFICATE MAY 9E ISSUED OR <br />MAY PERTAIN, 7HE INSURAACE AFFORDED BY7NE POLICIES PESCRISEP HEREIN L7 SUBJECT TO ALL THE TFJ:MS, EN4USIONSANP CONDITIONS OF SUCH <br />POLICIES. AOGREGATE LA/lTS SHONN MAY HAVE SEEN REDUCED BY PAID CLAIMS, <br />mLTR N9 TYPE OF INSURANCE POLICY NUMBER - DATE NMSiDIYY PA M IW~ 4Mrrs <br /> GENEPAI-LABILITY EACH OCLUARC-NCE SS, OQO OOO <br />A_ _ X COMMERCIAL GENEPAL LMPILRY 9X90868_ _ <br />~ _05(]0 /O.L _ _0$/_7,0/00__ pR IS aeeeureneel S 100 000 _ <br /> cuwsMADE X^ opcua MEDExP(Anrarepersm) s 5,000 <br /> PERSONALS APV INJURY S1 000 000 <br /> GENEMLAOGREGATE L 2 000 000 <br /> GEN~LAGGREd17E <br />L <br />IMB <br />APPLIES PER: PRODUCTS •ODMPIDP AGG E2 ODO 000 <br /> p <br />~ <br />~ <br />pOLICy JEOT LOC <br /> AV TpMOBILE LIABILr1Y <br />COMPINEO6INGLELIMR <br />s1,000,000 <br />A X ANY AUTO 9X90868 05/10/07 05/10/08 (E9 ArepenU <br /> ALL OWNED AllTp3 ROPILY INJURY <br />E <br /> 6CHEWL~AUfOS (PArpm:an) <br /> X HNB:DAUTOS 6001LY INJURY <br />~ <br />S <br /> X NON-0YJNED AUTOS lPar xcpanU <br /> PROPERTY oAMAGE <br /> <br />P E <br /> ( <br />•rnaiaenU <br /> DA RAGE LwBILnY AUTO ONLY•EA ACGOENT S <br /> ANYAUTO OTHER THAN EAACC S <br /> AUfO ONLY: AGG S <br /> E%CE66NMPRELLA IJAPILffY EACH OCCURRENCE S <br /> PCCU0. ~CLAE.IS MADE AGGREGATE E <br />. <br /> _ <br />f <br /> OEOUCTIBLE E <br /> RETENTION E f <br /> YroRHERS COMPENSATION AND <br />' TORY LRAITB ER• <br /> EMPLOYERS <br />LIABILITY <br />ANY PROpRIETOWppR7NEFLEXECUTAnc <br />E.L EACH ACCIDENT <br />i <br /> OFACFRlMEMSER EJrLUOEDr E.L DISEASE-EA EMPLOYE S <br /> N yyeee, Eemlpe un001 <br /> 6PECIAL PRDVISpN9 Aebw E.L DI6EABE • POLICY LbnIT S <br /> OTHER <br />DESCW PnDN OF OPERATIONS I LOCATNINS f VEXICLES I ETtCLUSIPN9 ADDED BV ENDORSEMENT I SPECIAL PROVL5ION6 <br />R8: Blue Ribbon ECiae-Pile No C-e1-087. State Of Colorado, Division Of <br />ESinerala & Geology ie included as an Additional laaured•*10 Daya Notice Dua <br />to Noa_paymeat OF Premium.••or iacur substantive changes or Failure t0 <br />renew. <br />State OE Colorado <br />DSVisien Of Minerals & Geology <br />1313 Sharman Street Room 215 <br />Denver CO 80103 <br />O O O 0 D 00 I 6HDULD ANV OF THE AaDYE OEECRIOED POUpEB PE CANCELLED BEFORE THE pIpIRATIO <br />DATE THEREOF, THEI66UING INSDRER LV1LL er~Lx4cMAn- *3O DAYS WRITTEN <br />NOTCE TO THE CERTFICATE MOLDER NAMED TD THE LEFT. BUT B6SNAL6 <br />(2007108) <br />