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a-IDII~:D. CERTIFICATE O~-INSU_RANCE IBBDlo/25/90Yr) "4s - PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GNLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, CONTRACTORS INSURANCE CENTER E%TEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW 518 28 Road, Suite B2U1 ' Grand Junction, CO 81501 COMPANIES AFFORDING COVERAGE COMPANY A LETTER GLOBE INDEMNITY CODE suB.coOE COMPANY B INSURED LETTER COMPANY `. Mountain Region COrP. LETTER 174 31 Road COMPANY D Grand Junction, Co. 81503 LETTER COMPANY E LETTER V Cl1MYCJ _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION .TR DATE (MM/DDIYYI GATE (MM/DDIYYI A GENERAL LIABILITY x COMMERCIAL GENERAL LIABILITY G5P 003104 1 1 / 14/90 1 I / 14/91 x CLAIMS MALE OCCUR. x OWNER'S 8 CONTRACTOR'S PROT. x xcu A AUTOMOBILE LIABILITY x ANY AUTO GSP 003104 ~ 11 / 14/90 11 / 14/91 ALL OWNED AUTOS SCHEDULED AUTOS x HIRED AUTOS x NON~OWNED AUTOS GARAGE LIABILITY E%CESS LIABILITY OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYEflS' LIABILITY OTHER ALL LIMITS IN THOUSANDS GENERAL AGGREGATE E PRODUCTS~GOMPIOPS AGGREGATE E PERSONAL 8 ADVERTISING INJURY E EACH OCCURRENCE E FIRE DAMAGE IAny one lire) E MEDICAL E%PENSE (Any one person) E 2000 2000 1000 1000 so 5 COMBINED SINGLE E LIMIT ]000 BODILY INJURY E (Per person) BODILY INJURY E IPer accitlanD PROPERTY E 'DAMAGE EACH AGGREGATE OCCURRENCE E E STATUTORY E (EACH ACCIDENT) E IDISEASE-POLICY LIMIT) E IDISEASE-EACH EMPLOY (DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/flESTRICTIONSISPECIAL ITEMS THE STATE OF COLORADO, MINED LAND RECLAMATION, IS ADDED AS ADDITIONAL INSURED IN RESPECTS 70 WORK PERFORMED BY THE ABOVE NAMED INSURED IN THEIR INTEREST. CERTIFICATE HOLDER "':`: CANCELLATION ;'x°-~'-~~+~-, - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE STATE OF COLORADO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MINED LAND RECLAMATION MAIL -DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1313 SHERMAN ST, RM 215 LEFT, BUm FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR DENVER, CO BO203 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 25-5 AUTHORIZED REPRESENTATIVE ©ACORD 1988