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GENERAL43836
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GENERAL43836
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Entry Properties
Last modified
8/24/2016 8:12:38 PM
Creation date
11/23/2007 12:39:51 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981024
IBM Index Class Name
General Documents
Doc Date
8/10/1992
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
From
MARSH MCLENNAN
To
DNR
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III Illllllllllllllll <br /> <br />M rah & <br />Mc~en_ <br /> <br /> <br />DIVISION ~;i- <br />P.O. BOX 75055, LOS ANGELES,CALIFORNIA 90075 MINERALSBGEGui'~;:` <br />TELEPHONE (211) 380-1600 <br />~ Mr. Daniel I. Hernandez ~ C ^ Mr. Gerald A. Fawcett ~ <br />State of Colorado ~ Kaiser Steel Resources <br />T Department of Natural Resources y 8300 Utica Avenue, Suite 301 <br />O Mined Land Reclamation Division Rancho Cucamonga, Ca. 91730 <br />1313 Sherman Street T <br />L Denver, CO 80203 J O L J <br />Policy Nust»r and Cemyony Subi~d DaN <br />CE0000077 New Eneland Ins. Co. Certificate of Liability Insura ce 8-6-92 <br />ACTION REQUESTED E N C l O S U R E 5 <br />^ Complete/Sign b. Return ® Certificate of Insurance (Revised) <br />[] For Your Use, or Information ^ Payroll Report Form <br />^ For Your File ^ Application for Bond <br />^ ^ Safe Driver Report Form <br />Remarks: Certificate Holder: <br />State of Colorado <br />Department of Natural Resources <br />Mined Land Reclamation Division <br />1313 Sherman Street <br />Denver, CO 80203 <br />^ Lost Policy Release <br />^ Forms to Report Loss/Accident <br />Sincerely yours, <br />i ~ <br />'i i Lt' Escobar .,LZ~-~~ <br />urce <br />Account Representative <br />
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