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GENERAL44475
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Last modified
8/24/2016 8:13:15 PM
Creation date
11/23/2007 1:03:30 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981034
IBM Index Class Name
General Documents
Doc Date
5/17/2000
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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CERTIFICATE OF LIABILITY INSURANCL~PID PJ DATE (MMIDDrrY! <br />acoRn <br />_ SEMCO-1 .. 05/12/00 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />up Inc <br />r <br />c AOLD <br />T <br />E <br />III I II I II I <br />B R <br />II IIII III <br />HE CO <br />BELOW. <br />Grand <br />Junction <br />CO <br />81506 COMPAN ES AFFORDING COVERAGE <br /> <br />Pam Johnson COMPANY <br />Phone No. 970-245-8011 FezNc 970-245-8016 A Employers Mutual Casualty Co. <br />INSURED COMPANY <br /> B <br /> COMPANY <br />SEM Construction Co. C <br />715 Horizon Drive, Suite 219 <br />d COMPANY <br />MAY 1 7 2000 <br />Gran <br />Junction CO 81506 D <br />COVERAGES ~ ~~ <br />I~~ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEFYSG~ERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TOW H THIS <br />CERTIFICATE MAY BE ISSUED OR AMY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMRS <br />LTR DATE (MMIppM7 GATE (MMIDD/YY) <br /> GE NERAL LIABILfIY GENERAL AGGREGATE f 2 , OOO , OOO <br />A X COMMERCIAL GENERALLIABILRV 9X9086801 OS/10/00 OS/10/O1 PRODUCTS-LOMPioPACC s2, 000, 000 <br /> CLAIMS MADE ~ OCCUR PERSONAL E ADV INJURY f 1 ,DOD , OOO <br /> OWNER'S 6 CONTRACTOR'S PROT EACH OCCURRENCE f 1 , OOO , OOO <br /> FIRE DAMAGE (Any one fire) f 100,000 <br /> MED EXP (Any one person) f S, OOO <br /> AUT OMOBILE LIABILfIY COMBINED SINGLE LIMB f 1 , OOO , OOO <br />A X ANVAUTO 9X9086801 OS/10/00 05/10/01 <br /> ALL OW NED AUTOS BODILY INJURY <br />f <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br />f <br /> X NON~OWNED AVTOS (Per acadent) <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LIABILRY AUTO ONLY-EA ACLIDEM f <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE f <br /> EXCESS LIABILRV EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM f <br /> WORKERS COMPENSATION AND WC STATU~ OTH- <br />TORY LIMITS ER <br /> EMPLOYER5 LIABILRV <br />EL EACH ACCIDENT <br />f <br /> THE PROPRIETOR/ INCL EL DISEASE- POLICY LIMB f <br /> PARTNERS/E%ELURVE <br /> OFFICERS ARE' E%LL EL DISEASE ~ EA EMPLOYEE f <br /> OTHER <br />DESCRIPPON OF OPERATIONS/LOCATIONSNEHILLESISPECIAL REMS <br />Re: Aed CanYOn Mine - File No. C-81-034 <br />State of Colorado, Division of Minerals and Geology is included as an <br />Additional Insured. *10 Days Notice Due To Non-Payfnent Of Premium <br />CERTIFICATE HOLDER ~ ~ ~ ~ CANCELLATION <br /> COLOMIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />State of Colorado EXPIRATION GATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Di Vision of Minerals 6 Ge01Ogy 3O* DAYS WRRTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 Sherman Street, Aoom 215 <br />Denver CO 80203 <br /> AUTHOR REP SE TIVE <br /> S <br />ACORD 2SS (1195) ~ ~ ~ ~ ~ ~ " ACORD CORPORATION 7988 <br />
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