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GENERAL46590
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Entry Properties
Last modified
8/24/2016 8:20:39 PM
Creation date
11/23/2007 2:46:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
7/13/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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acoRO CERTIFICATE OF LIABILITY INSURANCE <br />III ~I~~I~~I~~~~~ ~I~ <br />~"~ a <br />" <br />: <br />, <br />, <br />9 <br />a nni lcn ur 1NFORNATION <br />FT°O1~ THIS CERTIFICATE IS l~wcu n~ <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />S e d g w i c k o f Tennessee Inc . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELON. <br />P. 0. Box 1 9 8 1 0 COMPANIES AFFORDING COVERAGE <br />Knoxvi 11 e, TN 37939-2810 COMPANY <br />423-584-9101 A FEDERAL INSURANCE CO <br />INSURED COMPANY <br /> B <br />TRAPPER MINING I N C COMPANY <br />P D Box lsJ C <br />CRAIG CO B 1626 COMPANY <br /> D <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING A11Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MA5' BE ISSUED OR MAY PER7AiN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN i5 SUBJECT TO ALL THE TERMS, <br />E%C LUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHONN MAY HAVE BEEN REDUCED BY PAID CLA MS. <br />LT~R TYPE aF INSURANCE POLICY NUMBER POLIt.Y EFFECTIVE <br />IM~Y~ POUCV EXPIRA710N UMRS <br />R GEN ERAL'LIABIUTY- - ~-7-1-0'0 0 1 8 7%-ZO / 9-8 7% 2 0/ 9 9 GENERAL-AGGREGATE-- 6- O O-O-O O O <br /> <br /> % COMMERCIAL GENERAL LIABILITY PPODUCTS-COMP/OP AGG S <br /> CLAIMS ~ OCCUR <br />MADE % PERSONAL 8 ADV INJURY S <br /> OWNER'S ACONT PRO7 EACH OCCURRENCE 5 l O D Q Q Q O _ <br /> FIRE DAMAGE I Any ons lire) S <br /> MEDEXP IA~yon<Person) 5 1 D 0 0 0 <br /> AUtO MOBILE LIABILRY R ECE! VE <br />COMBINED SINGLE LIMIT <br />5 <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY 6 <br /> JUL (Per parson) <br /> SCHEDULED AUTOS 1 3 ~g <br /> <br /> HIRED AUTOS BODILY INJUR`/ <br /> NON~OWNED AUTO Division of Minerals fl IPer ecuaenp S <br /> R <br />Y 6 <br /> P <br />OPERT <br />DAMAGE <br /> GARA GE LIABILITY AUTO ONLY-EA ACd DENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT g <br /> AGGREGATE E <br /> ~~~~~ EACH OCCURRENCE 5 <br /> UMBRELLA FORM AGGREGATE 5 <br /> OTHER THAN UMBRELLA FORM <br /> VIORgAANS COMPENSATgN AND WC STATU~ OTH- <br /> EMPLOYERS UA&LI7Y TORY LIMITS ER <br />_ _ _ <br />. _ _ _ _ _ - <br />EL EACH ACd DENT _ __ <br />y <br /> THE PROPRiETOP/ <br />PARTNERS/E%ECUTiVE RJCL EL DISEASE ~ POLICY LIMIT g <br /> OFRCERS ARE: ExCL EL OISEASE~EA EMPLOYEE S <br /> ORIETI <br />DESCwPnoN of oPEnarioNSnnrnnoNSr~FJ+cL.ES/sPECUL nE~AS Insurer w i l l notify division w h e n e v e r <br />suhstantive changes are made in the policy including any termination <br />or failure to renew. This policy applies to permit pC-81-010 and <br />includes coverage for property damage and personal injury resulting <br />CERTIFICATE HOLDER r o m a use o e x p o s T v e s~CFI l A-r7pN <br /> SHOULD ANY OF THE ABODE OESOCBED POLICIES BE CNICEIIFD BETURE THE <br /> E7(PIRAIgN DATE THEREOF. DIE ISSUING COIAPANY WILL)MNL <br />COLORADO DEPT O F NATURAL RESOURCES 1 0 axrs vrtanETl NOTICE ro THE Cl7TI1F1rJ1TE HOLDETT NAMED roTHE LEFT <br />DIVISION OF MINERALS & GEOLOGY <br />215 CENTENNIAL BUILDING <br />1313 SHERMAN STREE7 ~~ <br />DENVER CO 80203 <br /> AuTHOw~ <br /> Senior Vice President <br />2 - 2 3 _ _ _ (c)ACORD CORPORATION 1983 <br />
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