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GENERAL48422
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GENERAL48422
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Last modified
8/24/2016 8:24:49 PM
Creation date
11/23/2007 4:19:27 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981028
IBM Index Class Name
General Documents
Doc Date
10/24/2003
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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+~-COE~DrN CERTIFICATE OF LIABILITY INSURANCE Izrovzoo4 D10/16/2003) <br />PRODUCER <br />Locklon Companies <br />8110 E Union Avenue THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />RTHE VE _AFFORDEDBYTHEPOLICIESBELOW <br />DenverC080237 EiECEIVED <br />•~ (303) 414-6000' INSURERS AFFORDING COVERAGE - <br />INSURED <br />l <br />h~C <br />~Ad <br />C INSURERA: CONTINENTAL CASUALTY <br />p <br />oors <br />o <br />ompany <br />1030130 , <br />Coors Energy Company <br />INSURER B ' <br />311 10th St., Mail #NH2O0 Division of Minerals and Geology INSURER <br />Golden CO 80401 <br /> <br />COVERAGES PO <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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> TypE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE I zSO OOO <br />A X COMMERCIAL GENERAL LIABILITY 249219970 IOI20/2003 12/01/2004 FIRE DAMAGE An one lire XXXXXXX <br /> CLAIMS MADE ~ OCCUR MED EXP An one rson XXXXXXX <br /> X VCOdOrS PERSONAL 8 ADV INJURY 1 zSO OOO <br /> GENERAL AGGREGATE 1 zSO OOO <br /> GEN'L AGGREGATE OMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1 zSO OOO <br /> POLICY PRO- LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />~~~ <br />$ 2,~~~ <br />A X ANY AUTO 24922001$ 10/20/2003 t2/01/21)U4 IEa accitleml , <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />$ XXXXXXX <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br />BODILY INJURY <br />' <br />$ }{XXXXXX <br /> X NON-0WNEO AUTOS (Per accidem). <br /> PROPERTY DAMAGE <br /> $ XXXXXXX <br /> (Per accitlenn <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ XXXXXXX <br /> ANV AUTO NOT APPLICABLE OTHER THAN EA ACC XXXXXXX <br /> - AUTO ONLY: AGG XXXXXXX <br /> EXCESS LIABILITY EACH OCCURRENCE $ XXXXXXX <br /> OCCUR ~ CLAIMS MADE NOT APPLICABLE AGGREGATE $ XXXXXXX <br /> XXXXXXX <br /> UMBRELLA <br />~ <br /> FORM <br />DEDUCTIBLE XXXXXXX <br /> RETENTION $ XXXXXXX <br /> PEN <br />U <br />O NB~AP <br />PLICABLE- .__ <br /> <br />__- WC STATU- OTH- _ <br />_ <br /> --- <br />~WORKERSC <br />M <br />SAiION-AN - <br />- M <br /> EMPLOVERS'LWBILITV E.L. EACH ACCIDENT $ XXXXXXX <br /> E.L. DISEASE-EA EMPLOYEE XXXXXXX <br /> EL DISEASE-POLICY LIMIT $ XXXXXXX <br /> OTHER <br /> Q ~+' <br /> Cs) <br /> 0 Zti <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ~ -w-. Ep) <br />RE: Keenesburg Minc. ++ N Fri' <br />[-7 <br />, <br />N r y <br />~ R~ <br />_ <br />V <br />~ 4,7 <br />"~ l7 <br />1439971 <br />CO Dir. of Minerals & Geology <br />Mined Land Reclamation Board <br />Attn: Shawn Smith <br />1313 Sherman Street <br />Denver CO 80202 <br />ACORf] 25-5 !7/971 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL"^`^`~^° T^ MAIL- DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />DF <br />AUTHORIZED REPRESENTATIVE ~~ ~~ ~~ ~~ // <br />UJV,hLCv~.. +`~ <br />~ ACORC <br />~~ <br />
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