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GENERAL46651
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Last modified
8/24/2016 8:20:50 PM
Creation date
11/23/2007 2:49:23 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981025
IBM Index Class Name
General Documents
Doc Date
5/16/2002
Doc Name
Certificate of Liabilty Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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acoRn CERTIFICATE OF LIABI LITY INSURANCE GPID DATE (MM/DD/YY) <br /> EMCO-1 05/14/02 <br />PRODUCER REC ON <br />EIVE ONLY AND CONFERS NO R GHTS U O THE CERTIFICATE <br />Blanchard Insurance Grcup Inc. HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 60130 MAY 1 6 2002 ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. <br />Grand Junction CO 81506 <br />Phone: 970-245-8011 Fax: 970-245-8016 INSURERS AFFORDING COVERAGE <br />INSURED IVISIDB A }yBplOyerS Mntnal CaSU81ty CO. <br /> INSUAER & <br />SEM Construction CO. INSUflER C: <br />715 HorizoII Dr1Ve~ SLllte 219 <br />tion CO 81506 <br />G <br />d J INSURER D: <br />ran <br />unc <br /> INSURER E: <br />COVERAGES <br />THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFOflDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR TYPE OF INSURANCE POLICY NUMBER GATE MM/DDlYY GATE MMIDDM/ LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $S~OOO~OOO <br />A X COMMERCIAL GENERALLIABILIN 9X90868 05/10/02 05/10/03 FIREDAMAGE(Anyonelire) $ 100,000 <br /> CLAIMS MADE OCCUR MED E%P (Any one person) $ S~QQQ <br /> PERSONALBADV INJURY $1~000~000 <br /> GENERAL AGGREGATE $2~000~OQO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2~000T OOO <br /> POLICY jECo-T LOC <br /> AU TOMOBILE LIABILITY <br />COMBINED$INGLE LIMIT <br />$1T OQD <br />OQQ <br />A X lWV AUTO 9X90868 Q5~1Q~Q2 O5/lO~Q3 (Ea accident) ~ <br /> ALL OW NED AUTOS BODILY INJURV <br /> SCHEDULED AUTOS (Par person) E <br /> ][ HIRED AUTOS BODILY INJURV <br />$ <br /> ][ NON-OW NED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> <br />(Per accident) § <br /> GARAGE LIABILT' AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THgN EA ACC § <br /> AUTO ONLY: qGG $ <br /> EXCESS LIABILRY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> 8 <br /> DEDUCTIBLE S <br /> RETENTION S b <br /> WORKERS COMPENSATION AND TOAY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> _ E.L. EACH ACCIDENT § <br /> E.L. DISEASE-EA EMPLOYE E <br /> E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BV ENDORSEMENT/SPECIAL PROVISIONS <br />Re: North Thompson Creek-File No C-81-025. State Of Colorado, Division Of <br />Minerals & Geology is included as an Additional Insured.*10 Days Notice due <br />to Non-Payment Of Premium.**Or incur substantive changes or Failure to <br />renew. <br />VCXIIrIliA1C IIVLUCM Y ADp1T10NRL M15UREDI INSUREALETTER: A I:AIYVCLLAIIVIV <br />0000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />State Of COlOYadO DATE THEREOF, THE ISSUING INSURER WILLHE~Q~MAIL *30 DAYS WRITTEN <br />Division Of Minerals GeOlOgy NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ayA~j-11FIOCI~IX~Sd[. <br />1313 Sherman Street Room 215 <br />Denver CO 80203 ~ ~~`(-. <br />i <br />ACORD 25-S <br />
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