GENERAL48459

• Permit No: C1981015
• IBM Index Class Name: General Documents
• Doc Date: 12/1/1983
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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AND ADURE55 Of AGENCY
'Fred. S. James b Co. of Colorado, Inc.
'600 South Cherry Street, Suite 720
,Denver, CO 80222
COMPANIES AFFORDING COVERAGES
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IEITEP f1 National Union Fire h
NAML AND apDR(5$ 7 INSURED
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,Dorchester Coal Company iE
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'United Bank of Arapahoe
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I Suite lf3300 ~i ~"~N ~ - _ ;_ I~'~3
9350 E. Arapahoe Rd • f.OMPANY
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Englewood, CO 80112 EutrR _o L;,r
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This n to ceNfy that polities of msvrance fisted below nave been Issued
n to the Insured named aoove ano are In force at mis time. ~ QIrIW i77Ytl/9pgf I Md[n or conanlon
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of a
y contract or ocher document wall respect to wh¢n Ihls cenlocaf e may oe 155Ued or may pendi n, the Insura ecl to all the
nce aflortletl by toe ppLOes tlescnpeedd he
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terms, e%Clusrons dnd contlitrons of such policies. t
Limits of Liahdity in Thousands ( O) >i
COMPANY
LETiCP TY PE OiINSURANCE POIICY NUMDER POLICY
E%PIRAr10N DATE [pf.H
AGGREGATE ,
OCCURRENCE
GENERAL LIABILITY
enDR)IN)uur t 500 s 500 ~~"
® COMPPE H~N$IVE fORr.1
A ®PREA+Isesl-DVERArioNS EGA9405281RA 8/31/84 =II,PERIYU
+MAL ' t
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E I 250 250
®CtPL0510~+ AND COLL GPSC

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® UNOCPGRDUND 'HA1ARp i
© PPOpUC tS.COMPLFICD
~t pPERArrION$ IIA)aMp IDpL. iN1UHV Ar:D ~ '
L^: CONIRACf UAI w511PAN[C rc;,PFPIr DAMAGI
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iNDCPCNDENt CONI PG[tOPS .
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AUTOMOBILE LIABILITY "on. R+lul:':
E:rH PE~AN+1 +
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O CFVnPRE HF NS WE IJu•n
e~D4Y i:: II1Rr
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A 0 D,+NED EAA9405280RA 8/ 31 f 84 i E'~" pcc'DeNn 0 ~
X~ _IOFD LP~on p:.r.u;.. ~ s 100 I t'
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nN U:•NEO -
;:4RI ~ UP :•<.[ I S
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- 'c %C ESS LIABILITY I
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I _~~.I, I:. roll.<:ro '
it ~ UAIBFf LLA FORM ~ ~ ~ Ur. r.'. ai ( S $ '
V'i NEH rIIAN U'ABNELL- I
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°ORM ~.
WORKERS' COMPENSATION 5ran1 rpev .l
and
EMPLOYERS' LIABILITY

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OTHER
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DCti RIPIION OF UPCge UO NS~LOCpIiCN$ :iPiCLCS
Coal Mine -Fruita ill, Fruita, CO
November 29, 1983
pprE IssuEn
Cancellation: Should any of the above descfOhed oohcies be cancelled before the explranun date thereDl. the isswng com-
a pany well enoea vor to mall dws mntt~n notice to the below named certlhcDte holder. but failure to
mall such noUCe shall Impose no obhpatlon or haughty of any kind upcn the company.
Nar.+E. Arro,mpREas of cFPnnc GrE IIDL DER
Colorado Pline Land Reclamation
1313 Sherman St., /1423
Denver, CO 80203
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