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GENERAL43783
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GENERAL43783
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Entry Properties
Last modified
8/24/2016 8:12:35 PM
Creation date
11/23/2007 12:38:26 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
9/6/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br /> <br />4 r- 1 <br />l <br />J ':. . <br /> <br />H <br />" :y L'i~i ~ <br />III IIIIIIIII'111111 <br />f <br />I~~~~~~:~~ <br />~ , <br />+ <br />- ISSUE DATE (MM/DD/Y <br />~ n <br />. <br />r / ~ <br />k .~ <br />. <br /># <br />~ r -~.,~, , 9101194 <br />. ~ a <br />.eagc n,.n. <br />m.r .- ~ <br />. <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> <br />RHH of Washin <br />ton <br />ITIC DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />g <br />, <br />. POLICIES BELOW. <br />3131 Elliott Avenue. Suite SOO <br /> <br />Seattle. WA 98121-1047 COMPANIES AFFORDING COVERAGE <br /> NY A <br />206-291-4500 LETTER <br />Federal Insurance Company <br /> COMPANY B <br />INSURED LETTER <br />Basin Resources, InC. <br /> <br />Attn: Robert Weinstock COMPANY ^ <br />LETTER l~ <br />14300 Highway 12 ~~FCFiVED <br />Weston, CO 81091 COMPANY <br />LETTER D <br /> COMPANY SEP Og 1994 <br />E <br /> LETTER <br />~ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE <br />LISTED BELOW HAVE BEEN ISSLE104C ~~IE 91~S~Jfl~b IX4FJEOI®BQVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br /> DATE (MMIDDIYY) DATE (MM/DO/VY) <br />GENERAL LIABILITY GENERAL AGGREGATE S <br />X COMMERCIAL GENERAL LIABILIT`a7103S96 9/O 1 /94 9~O 1 i9S PRODUCTS~GOMPIOP AGG. S 2000000 <br />CLAIMS MADE X OCCUR. PERSONAL 8 ADV. INJURY E 1000004 <br />X OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE S 1000000 <br /> FIRE DAMAGE (Any one Ine) E 250000 <br /> MED EXPENSE (Any one person) S 1 0000 <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE <br /> <br />ANY AUTO E <br />LIMIT <br />ALL OWNED AUTOS 'BODILY INJURY <br />SCHEDULED AUTOS (Pal person) E <br />HIRED AUTOS ' <br />BODILY INJURY E <br />NON-OWNED AUTOS IPer accitlenp <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE f <br />E%CESS LIABILITY EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE E <br />OTHER THAN UMBRELLA FORM P ~~ <br />WORKER'S COMPENSATION STATUTORY LIMITS <br />__.._. _ <br /> ' EACH ACCIDENT S <br />AND <br /> DISEASE-POLICY LIMIT S <br />EMPLOYERS' LIABILITY <br /> DISEASE-EACH EMPLOYEE E <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS <br />Re: The New Elk Mine Permit aC-61-012 <br /> .: ~g ~ .. - <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> <br />State of Colorado ~ EXPIgI~TION DATE THEREOF, THE ISSUING COMPANY WILL ~e#6~iVfl(3~iX~ <br />3V <br />Mined Land Rec 1 ama t i on Off 1 Ce MAIL <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />' <br /> <br />Attn: Joseph Dudash : LEFT. ~}EA~~E~C7~R~{7~''{I7CRjQSHC§F~R~F'~~E~FEiS~CR~-S~S~ <br /> <br />1313 She <br />rman Street. Room 215 ~~ R~~~R~°~~~~ ~#~~~~~ <br />r <br />Denver, CO 80203 AUTOO IZ REP <br />T VE 398250060 <br /> ~ <br /> <br /> <br />;: _ 1, ~ ~ GI~~~ . ,. I <br />
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