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GENERAL44370
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GENERAL44370
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Entry Properties
Last modified
8/24/2016 8:13:08 PM
Creation date
11/23/2007 12:59:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981016
IBM Index Class Name
General Documents
Doc Date
10/30/1990
Doc Name
HAWKS NEST MINE WEST AREA REVEGETATION PROJECT RN-COAL-MINES-5
From
MLRD
To
BOB MONDORF
Permit Index Doc Type
RECLAMATION PROJECTS
Media Type
D
Archive
No
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<br /> ~ ~ ISSUE DATE (MM/DD/VV) <br /> 10-24-90 <br /> PRODUCER <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFICATE MOLDER. THIS CERTIFICATE DOES NOT AMEND, <br /> Skip L e s s e r t E%7END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P0. Box 275 <br /> COMPANIES AFFORDING COVERAGE <br /> Morrill, Ne. 69358 <br /> LETTERNV A Farmers Truck Insurance Exchange <br /> COMPANY <br /> <br />INSURED 9 Liberty Mutual Insurance Co. <br />LETTER <br /> COMPANY C <br /> Flock Restoration InC. LETTER <br /> Rt 2 Box 247 COMPANY D <br /> Morrill, Ne. 69358 LETTER <br /> COMPANY E <br /> LETTER <br /> <br /> THIS IS 70 CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW H AVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF AN Y CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WMICM THIS CERTIFICATE MAY <br /> BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE P OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONS, AND CONDI- <br /> TIONS OF SUCH POLICIES. <br /> CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POUty EFFFLTIVE <br />DATE IMM/pOM'I POUty ExPIRAiIDN <br />DATE IMMIODA'1'I ALL LIMITS IN THOUSANDS <br /> GEN ERAL LIABILITY GENERAL AGGREGATE $ <br /> COMMERCIAL GENERAL LIABILITY PRpOULiG~LOMPIOPG AGGREGATE ,$ <br /> <br /> CLAIMS MADE ©OCCURRENCE 4582 27 O7 H-OS-9O B-OS-91 PERGONALAADVERTISNG INJURY $ <br /> OWNER'S 8 CONTAACiORS PAOTELnVE EACR OCCURRENCE $ <br /> FIRE DAMAGE ZANY ONE FIREI $ <br /> MEDICAL EMPENSE IAIIV ONE PERSON) $ <br /> AU TOMOBILE LIABILITY <br /> ANYAUro 4582 27 07 -OS-90 B-OS-91 `~L $ 500 <br /> <br /> ALL OWNED AUTOS <br />BODIIV <br /> <br />scHEDULEO AUTOS INJGRY <br />IRER PERSDNI <br />$ I n c . <br /> HIRED AUTOS BpDILr <br /> <br />NON~OWNED AUTOS INJURY <br />~inpexn <br />$ I n c . <br /> GARAGE UABILITV <br />PRDPFRtt <br />Inc , <br /> DAMAGE $ <br /> E%CESS LIABILITY EACH AGGREGATE <br /> OCCURRENCE <br /> $ $ <br /> OTHER THAN UMBRELLA FORM <br /> <br />OR <br />' STATUTORY <br /> <br />B W <br />KERS <br />COMPENSATION <br />AND <br />WC1 341 400640 019 <br />10-18-90 <br />10-18-91 $ IEALN ALLIDENTI <br /> EMPLOYERS' LIABILITY $ IDIGEASE POLICY uMlil <br /> $ IOIGEASE~EACH EMPLOYEEI <br /> OTHER <br /> DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> ~ ~ <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX~ <br /> State o f Colorado <br /> pIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO <br /> Abandon Mine Land O f Reclamation MAIL 3 ODAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> D 1 V 1 5 1 0 n <br /> LEFT, BUT ILURE TO MAIL SUCH NO SHALL IMPOSE NO OBLIGATION OR <br /> 1 3 1 3 Sherman S t . <br /> LIABI V OF NV KIND UPON THE CO PAN ,ITS AGENTS OR REPRESENTATIVES. <br /> Denver, CO. 8OZO3 <br />.•. AUT REPRESENTATIVE <br /> <br />
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