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GENERAL48159
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GENERAL48159
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Last modified
8/24/2016 8:24:03 PM
Creation date
11/23/2007 4:08:39 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981039
IBM Index Class Name
General Documents
Doc Date
6/7/1993
Doc Name
PURCHASE REQUISITION
Permit Index Doc Type
RECLAMATION PROJECTS
Media Type
D
Archive
No
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~~ ~„_- --~-_ =-- -- ~~. :~~~:':_~ .-,~-~-.._. - __i,~ _ _~~y °_~ ~,PC N0. 253 DU3 <br />~ CLIL,QRADO !u^ `bf BUREAU <br />0{NY>~, ~~rM~f Od1~'~ ~ POLICYTOECLARATION <br />AMENDED DECLARATION <br />EFFECTIVE: 04/26/93 <br />POLICY NUMBER a~ AdEN4 NAME AND PHON& NUM88R F.B. N0. PAOE <br />CS170435 08/20/92 08/20/93 54-584 PAM YOUNG <br />879-4999 087654 ' 4 <br />NAMfiD INSURED <br />OON 6 JUDY SHERRDD <br />COVERAGE LIABILITY (OTHER THAN MOTOR VEHICLE) COVERAGE <br />006 <br />COVERAGES <br />LIABILITY (OTHER THAN ROTOR VEHICLE) <br />FORS COMBINED BINDLE LIMIT <br />BODILY INJURY, ANO PROPERTY DAMAGE <br />MEDICAL PAYMENTS TO OTHERS <br />FIRE LEGAL IIABILITY(FARM STRUCTURES) <br />NAMED PERSONS MEDICAL <br />NAMED PERSONS MEDICAL COVERAGE - PERSONS INSURED <br />DONALD SHERRDD <br />DAVID SHERRDD <br />PAULA SHERR00 <br />LIMITS OF LIABILITY <br />EACH EACH <br />PERSON OCCURRENCE <br />--------- 500,000 <br />5,000 50,000 <br />------ 25,000 <br />2.500 ------ <br />JUDITH SHERRDD <br />KEVIN SHERRDD <br />LOCATION OF INSURED PREMISES <br />ACRES BIDGS TWSP RNGE COUNTY ACRES BLDGS TWSP RNGE COUNTY <br />1318 4 07N 85M ROUTT, CO 2 2 07N 85W ROUTT, CO <br />700 0 07N 86W ROUTT, CO <br />TOTAL ACRES 2,020 <br />TOTAL PREMIUM FOR ITEM6 LISTED ABOVE 1416 <br />OPTIONAL COVERAGES AND ENDORSEMENTS APPLYING TO YOUR LIABILITY COVERAGE <br />""*""*""*""*"",r"*"s""x"*"""""""""""""x"sx""""""""""*"**"**""*""*"***""««*"* <br />END. COVERAGE/ENDORSEMENT <br />N0. DESCRIPTION PREMIUM <br />OPTION DIVERSION-CONTAINMT-CHANNELING-CONTROLLING WATER <br />OPT OTHER INSURED LOCATION OCCUPIED BY INSURED <br />CS102 ADDITIONAL NAMED INSURED <br />{70 <br />ss <br />s26 <br />5/04/93 " = LIENHOLDER <br />
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