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GENERAL44046
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Entry Properties
Last modified
8/24/2016 8:12:54 PM
Creation date
11/23/2007 12:47:40 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981016
IBM Index Class Name
General Documents
Doc Date
1/10/2004
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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i c~ <br />ACORD,~ CERTIFICATE OF LIABILITY INSURANCE oiiioizoo4' <br />PRODUCER FAX (303) 756-8818 <br />Keller-Lowry Insurance InC <br /> <br />1777 S Harrison St #700 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver, CO 80210 <br />INSURERS AFFORDING COVERAGE <br />INSURED Walsh Environmental Scientists & INSURERA~ Hartford Insurance Co <br />Engineers, LLC iNSURERe: Pinnacoi Assurance <br />4885 Pearl East Circle, #108 iNSUHERC: <br />Boulder, Colorado 80301 INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />INSR <br />LTR TypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />GATE MMIDDIVY POLICY EXPIRATION <br />DATE MM/DDIYY LIMITS <br /> GENERAL LIABILITY 34UUNEM8078 01/10/2004 01/10/2005 EACH OCCURRENCE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fuel $ 300, QOO <br /> - - GL:.iida MADE -OCCUR- -- - - - " - - - - -- ~ - - -MEU-EX (~qny pne person)- ~ $ - j , OOO <br />A X Blkt Addl Insd End PERSONALBADVINJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PERK PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> X POLICY X PRO- <br />JECT LOC <br /> AU TOMOBILE LIABILITY 34UUNEM8078 O1~lO~2OO4 O1~lO~2OO5 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $ 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br />A SCHEDULED AUTOS (Per person) <br /> <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> <br />(Per accldant) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXCESS LIABILITY 34XHUEU4384 01/10/2004 01/10/2005 EACH OCCURRENCE $ 4,000,000 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $ 4 , OOO , OOO <br />A $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND 045661 07/01/2003 07/01/2004 TORY LIMITS X ER <br /> <br />B EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ I , OOO, OOO <br />- - -- EXEC-OFFICERS-&-PARTNERS- --- "- -- - --- E.LoISEASE-EaEMP~ovE s ~ ~1,000,0~0 <br /> INCLUDED E.L. DISEASE-POLICY LIMIT $ 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXLLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />e: Hawks Nest Mine Project <br />'Professional Liability Coverage Is Excluded From The Above Policies." <br />VCRIIrIVnIC nVL/CR gUUI11UNALINJUKtU; IN]UKER L[IItR: LLLNIIVIY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />State of Colorado lO DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, <br />Colorado Dept. Miners & Geology <br />Erica Crosby BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />1313 Sherman St. #21S OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />Denver, CO 80202 AUTHORIZED REPRESENTATIVE /1 ~ / _ <br />D..L....a Q~L..I -0..~ fTI'/U IIOOV -Ll~a~o-G•-c.-/-L X'•/~-r~„l~.`.~i. <br />
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