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acl~ru. CERTIFICATE OF INSURANCE ~~ ~~~~~~~~~~~~~~~~ 'BB°E6"T;~ 91'YY' PRODUCER ` _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. S6S Underwriters, InC E%TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW I PO Box 17582 ' SLC, Utah 84117 COMPANIES AFFORDING COVERAGE INSURED Tim Chervick dba Swift Creek Consulting 618 EastSm44fl Vernal, Utah 84078 OMPANY A Scottsdale Insurance LETTER COMPANY B LETTER COMPANY C ~~ - ~_-~ ~ -- --~ LETTER COMPANY D LETTER _ _ ___.. _ . __ _. .. COMPANY E LETTER JUL 1_~_199i Re rti;inea i4rL~_ c/@/I;giiOn Q(yic~Cr- ~ COVERAGES _ . __~,~._~:.-.._7L'_.y::,S~f:;c.'..; r. •'-: _,a _~_~_. :=..._..._.._ ..__ .. ___ ~ ... _. .. I THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED, NOTWITHSTANDING ANV REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO ~ POLICY EFFECTIVE POLICY EIIPIRATION ~LTR TYPE OF INSURANCE POLICY NUMBER ~ ppTE IMM/OD/YY) DATE (MM/DD/YY) ALL LIMIT9 IN TNOUSANOS GENERAL LIABILITY A _ X .COMMERCIAL GENERAL LIABILITY ' CUIMS MADE. X OCCUR. OWNER'S 8 CONTRACTOR'S PROT. ~ AUTONOBILE LIABILITY ' ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS ' HIRED AUTOS NON~OWNED AUTOS GARAGE LIABILITY EXGES9 LIABILITY OTHER THAN UMERELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTNER GLS 383836 GENERAL AGGREGATE __S SOD, '' PRODUCTS~COMP/OPS AGGREGATES SOD, 6-27-91 7-9-91 PERSONAL 8 ADVERTISING INJURY S EACH OCCURRENCE S SOD, FIRE DAMAGE (Any pne Ilre) ~ S MEDICAL E%PENSE (Any one perepnll S COMBINED SINGLE I f LIMIT ' I BODILY-_--~- --~--~~ INJURY ~ f (Per perapn) BODILY INJURY S (Per acceenU PROPERTY S . _ _..._ __ ._ _ DAMAGE EACH AGGREGATE OCCURRENCE S S STATUTORY f (EACH ACCIDENT) ' f (DISEASE-POLICY LIMIT) f (DISEASE-EACH EMPLOYSE DESCRIPTION OF OPERATION9ILOCATIONB/VENICLE9IBPECIAL ITEMS The state of Colorado, mined land reclamation, is added as additional insured in respects to work performed by the above named insured in their interest. a.cnnrra.nrc nvwcn - arnnvca.uar rvn . .._ I .. _ Additional Insured ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Sate Of Colorado j E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 'Mined Ldnd ROClamatl On MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1313 Sherman Street Rm 21S LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Denver CO $0203 LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS EPRESENTATIVES. AUTH` ODD REPRESENTAT _ ACORD 25.5 y11/89) ~ '~ nACORD CORPORATION 1985