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NAME AND ADDRESS OF AGENCY <br />Frank H. Hall & Co. of Mass., Inc. <br />89 Broad Street <br />w <br />BOStOn, I1aSS. UL11U ~EiTER-~ /1Ii1SilranCe Company of North AmerlCa <br /> COMPANY <br />- <br />P <br />E <br />ifi <br />l <br /> FER <br />LE, <br />oyers <br />ac <br />c <br />mp <br />NAME AND ADORE55 OF INSURED /~ <br />COMPANY <br />- <br />Blue Ribbon Company ^ <br />LETTER V <br />A Colorado General Partnership <br />P80R18, (:OlOradO LEOTTERNY D <br /> COMPANY E <br /> LETTER L. <br />This Is to certity that policies of insurance listed below have been issued to the insured named above and are in force a[ this time. Notwithstanding any repuirement, term or condition <br />of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the <br />terms, a%clusions and conditions of such policies. <br />M <br />ANY PO <br />ICY Limits of Liability in Thousan 5 <br />P <br />CO <br />LETTER iYPEOF WSURANCE POLICY NUMBER L <br />ExPIRATION PATE EACH gGGREGATE <br /> OCCURRENCE <br /> GENERAL LIABILITY <br /> BODILY INJURY S 3 <br />A ®COMPREHENSIVE FORM 6/1/83 <br /> <br /> ^PREMi5E5-OPERATIONS PROPERTY DAMAGE S 3 <br /> ^ E%PL0510N AND COLLAPSE ISL 209169 <br /> Hg2gRD <br /> ^ UNDERGROUND HAZARD <br /> ^ PRODUCTS/COMPI ETED <br /> OPERATIONS HAZARD BODILY INJURY AND <br /> ^CONTRACTUAL INSURANCE PROPERTY DAMAGE 31,000 31,000 <br /> ^ BROAD FORM PROPERTY COMBINED <br /> DAMAGE <br />^ INDEPENDENT CONTRACTORS <br /> ^ PERSONAL INJURY PERSONAL IN JURY S <br /> AUTOMOBILE LIABILITY BODILY INJURY <br />3 <br /> (EACH PE RSONI <br /> ^ COMPREHEn51VE FORM BODILY INJURY 3 <br /> ^ OWNED (EACH ACCIDENT) <br /> ^ HIRED PROPERTY DAMAGE f <br /> BODILY INJURY AND <br />3 <br /> NON~OWNED PROPERTY DAMAGE <br /> COMBINED <br /> EXCESS LIABILITY <br /> RODILY INJURY AND <br />B ®UMBRELLA FORM TD BE DETERMINID 6/1/83 PROPERTY DAMAGE = 5)000 S 5,000 <br /> ^ OTHER THAN UMBRELLA OOMBINED <br /> FORM <br /> WORKERS' COMPENSATION ST qi UTORY <br /> and <br /> EMPLOYERS' LIABILITY 3 .i u w .rc loi n.. <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES <br />Cancellation: Should an of the above described olicies be cancelled efore fall cn <br />y p e explr lion a ereof, the issuing com- <br />pany will ~pOppmE mall 30- days written notice to the below named certificate holder.c)oc <br />NaMC AND ADORC53 OF CERTIFICA FE HOLDER <br />Colorado Department of Natural Resources <br />Mined Reclamation Board <br />Mined Land Reclamation Development <br />1313 Sherman Street <br />Denver, Colorado 80203 <br />COMPANIES AFFORDING COVERAGES <br />DATE ISSUED' JllTe l~l~B2 <br />F.B. Hall & Co. of Mass., Inc. <br />C_ J <br />AUTHOR ED REPRES <br />BY~ <br />ACORD 25 (1~J9) <br />