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DATE (MM/DD/YY) <br />ACORD,r GERTIIIICATE.OFLIABIUTY INSURANCh;; o3/ie/os <br />eaoouctR <br />Aon Risk services inc. of Pennsylvania THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Dominion Tower, loth Floor AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS i <br />625 Liberty Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Pittsburgh PA 15222-3110 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br />exone~ 866 283-7124 eAZ- 866 430-1035 <br />INSUaeD INSUaeR n: National Uni On Fire Ins Co of Pittsburgh <br />Ndtl Ondl Kl ng COdI, LLC <br /> <br />4424 County RDad 120 INSURER B: <br />Hesperus CO 81326-9545 USA INSURER C: <br /> MSURER D: <br /> MSURER G <br />COVERAGES This Certificate is no[ intended to s ecif all endorsements covers es lertns conditions and exclusions of the li ' D <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I NSURED NAMED ABOVE FOR T DILATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY COMRACT Oft OTHER DOCUMENT WITH RESPECT TO H THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE M IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TVPE OFIN'SURANCE <br />POLICY NUMBER POLICY EFFECTIV POLICY EXPIRATION <br />LIMITS <br /> DATEIMM\DD\YY) DATE(MM\DDIYY) <br />A GENERAL LIABILITY GL544j702 12/1$/04 12/13/D$ EACH OCCURRENCE $j,DDQ, DDD <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anv one lice $1,000,000 <br /> CLAMS MADE ^X OCCUR MED E%PfAnv one cersoN $$,DDD <br /> PERSONAL&ADV INNRY $j,000, 000 <br /> GENERAL AGGREGATE $4,000,000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMP/OP AGG <br />f4,000,OOO <br /> PRP <br />X <br />~ <br />~ <br /> ' <br />POLICY <br />LOC <br />IECT <br /> A UTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ca aceidmD <br /> ALL OWNED AUTOS BODILY INIURY <br /> (Pcr prsan) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY MIURY <br /> NON OWNED AUTOS (Per uciJmq <br /> PROPERTY DAMAGE <br /> (Per eccigenp <br /> <br /> GAMCE LIABILITY AUTO ONLY- EA ACCIDEM <br /> ANY AUTO OTHERTHAN [A ACC <br /> AUTO ONLY: <br /> nGG <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCNR ^ CLAIMS MAD[ AGGREGATE <br /> <br /> DEDUCTB3Lfi <br /> RETENTION <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> ' T RY LIMRS ER <br /> LIABILITY <br />EMPLOYERS C.L. EACH ACCIDENT <br /> E.L. DISEASE-PULICY LIMIT <br /> E.L. DISEASE-CA EMPLOYEE <br /> OTHER <br />DESCRIPTION OF OPERAt10N8/LOCATIUNSNEHICLES/E%CLOSIONS ADDED DY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: Permit CO-OlOLA; CDMB Permit c-81-035 <br />certificate Holder is added as an Additional insured as required by written contract but limited to the operations <br />of the Insured under said contract, and always subjec t to the policy terms, conditions and exclusions. <br />CERTIFICATE HOLDER CANCELLATION <br />Office of surface Ml nl ng sHOULD ANY OF THE ABOVE DESCRIBED POLICIEN BE CANCELLED DEFORE THE EXPIRATION <br />western Regional coordinating DATE THEREOF,THE ISSUMG COMPANY WILL 6NB6AVOPrTO MAIL <br />1999 Broadway, Suite 3320 30 DAYS WRITTEN NOTICG TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, <br />Denver co 80202 usA <br /> AUTHORIZED REPRESENTATIVE ~ ~ /~_ <br />A RD 2- 97 A RD CORPOR TI N t <br />L <br />d <br />E:. <br />C <br />v <br />9 <br />L <br />v <br />a <br />0 <br />S <br />O <br />n <br />V <br />W <br />N <br />O <br />O <br />z <br />v <br />m <br />C <br />Y <br />U <br /> <br />