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GENERAL46847
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GENERAL46847
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Entry Properties
Last modified
8/24/2016 8:21:16 PM
Creation date
11/23/2007 2:56:36 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
General Documents
Doc Date
11/22/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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AIC/®1:11. CERTIFICATE OF INSURANCE III IIIIII'IIIIIIIII E`"~°°""' <br />18-93/JP <br />' MIQ)UCEB THIS CERTIFICATE IS ISSU 99y ORMATION <br />ONLY AND CONFERS NO nvnro Mr~n rn~ ~,cRTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />THE LINDEN COMPANY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.O. BOX 60130 C_O_MPANIES_AFFORDING CO_VE_R_A_G_E_ _ _ <br />GRAND JUNCTION, CO 81506 COMPANY <br />A EMPLOYERS MUTUAL CASUALTY COMPANY <br />INSURED _ _ _ - _ _ COMPANY _ _ _ _ `r _ _ - __ <br />MINREC, INC.• _- -- -_ - _- -- - -- - <br />SEM CONSTRUCTION CO. coMPANv <br />773 VALLEY COURT C _ __ ~QV ~ `~. 1993 <br />GRAND JUNCTION, CO 81506 COMPANY <br />i D .... <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 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, <br />EXCLUSIONS AND COND7710NS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO ~ I POLICY EFFECRVE POLICY EXPHiAT1011~ <br />TYPE OF INSURANCE POLICY NUMBER DWIS <br />LTB GATE IMM/ODlYY) DATE (YWDDM') <br />GENERAL DABILRY GENERAL AGGREGATE E~ ~ 0-00 , 0(T~ <br />A X ~, COMMERCIAL GENERAL LIABILITY 9X9086894 OS-10-93 OS-10-94 pgpDUCTSCOMP/OP AGG i 2,000,000 <br />I J CLAIMS MADE [X J OCCUR i ~ ERSONAL d AOV INJURY E 1 , 000 , OOO <br />OWNER'Sa CONT PROT i i I EACH OCCURRENCE S 1,000.000 <br />X PER PROJECT AGG. I, FlRE DAMAGE IAny one e,el YlE 50,000 <br />-~ ', MED E%P (Any one person) S S , OOO <br />AUTOMOBILE DABILRY <br />A X {ANY AUTO 9X9086894 <br />Al L OWNED AUTOS <br />SCHEDULED AUTOS <br />?{HIRED AUTOS <br />I ]t ~ NON-0WNED AUTOS <br />GARAGE iIABILITY <br />ANY AUTO <br />- __-_-_ -__ -L_ - <br />EXCESS LABILITY <br />UMBRELLA FORM ' <br />' lOTHER THAN UMBRELLA FORM <br />'' WORKERS COMPENSATION AND <br />EYPLOYEBS' DABILRY <br />I <br />THE PROPRIETOR/ I INCL <br />PARTNERS/EXECUTIVE I ' <br />OFFICERS ARE: ~ E%CL I <br />OiHEq { <br />~ ~ COMBINED SINGLE LlMR S ], ~ OQQ , 000 <br />OS-10-93 OS-10-94 _ ___ ___ <br />BODILY IIUURY f <br />i IPa Person) <br />BODILY INIURY S <br />IPer erritleral _ _ -__ <br />I - - <br />I ~i PROPERTY DAMAGE ~ S <br />T- AUTO ONLY-EA ACCIDENT f <br />' ~ OTHER THAN AUTO ONLY: ~-~~~ ~-~ <br />EACH ACCIDEM{ S _ _ <br />_~ ~ _ AGGREGA~f <br />I -~- ~ - ~ EACH OCCURRENCE f <br />AGGREGATE t f -~ <br />if <br />-----~ - ~ ~-- I I STATUTORY LIMBS T <br />EACH ACCIDEM - I f _ _ _ <br />'~ '~ DISEASE ~ POLICY LIMB ~f <br />_ _ _ _ _ i4 DISEASE _ EACH EMPLOYEE S i <br />i _I _ <br />REA15 <br />-" - ALL-OPERATIONS%ALli -LOCATIONS--- <br />RE: BLUE RIBBON MINE - FILE NO. C-81-047 <br />CERTIFICATE HOLDER <br />DIVISION OF MINERALS AND GEOLOGY <br />STATE OF COLORADO <br />1313 SHERMAN ST., ROOM 21S <br />DENVER, CO 80203 <br />ACORD 2SS (3/93) <br />CANCELLATION <br />~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />I EXPIRATgN DALE THEREOF, THE I,~SIIING COMPANY WILL ~tffi>;AYti(~(Xd1 MAIL <br />I <br />~9_ DAYS W WTTEN NOTICE TO THE CERTIFICATE HOL°FA NAMED TO THE LEFT, <br />dEXXBYXY61KX0i76KXfF0C X7000XXdFNtGXIDXXOFXp}XINDd~Vd9C <br />AUTHORQED REPHESEMTA _ __ __- _ _ _-__ _-- <br />1 <br />~~\, ORD CORPORATION 1993 <br />
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