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GENERAL49399
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GENERAL49399
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Entry Properties
Last modified
8/24/2016 8:28:17 PM
Creation date
11/23/2007 5:05:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
9/8/1995
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iii iuiiiiiiiiu iii <br />.. <br /> <br />AC::tti:. G`ER~iFfC,ATE CAF ~:~~ ~~ <br />~ IfM DATE (YY/L7L7/W) <br /> <br />,. <br />1N5URANCE. <br /> <br /> <br /> CONFERS NO RIGHT6 UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />RHH of Wesh i ngton, Inc . DOES NOT AMEND, E%TEND OR ALTER THE COVERAGE AFFORDED BV THE <br />3131 Elliott Avenue, Suite 500 POLICIES BELOW. <br />Seattle, WA 98121-1047 COWPANIESAFFORDNGCOVERAGE <br /> <br />206-281-4500 VO <br />\ C0IPANV <br />LETTER A <br />\~ <br />vv Fede el In u ^nce Com an <br />(~ <br />` <br />C/ <br />~ <br />~ COYPANSL~IB <br /> LEiiF~ <br />O <br />Ba <br />i <br />R <br />I <br />~ ~ <br />n <br />esources, <br />nc. <br />s <br />S~ C <br />6 IIER <br />Attn: Robert Weinstock <br />~ <br />~ <br />14300 Highway 12 <br />rjoc ~IERXV D <br />~ <br />0 <br />Weston, CO 91091 <br />c <br />~~ <br />J~5 CAYPANY <br />LEEEER E <br />O\ <br />....:.:.:::..:...:..::..:.....:.::~:RL'w:;::;~::z:~:::~;:::::::.:.:;:::;:::::::::::::::::::::.:::.:::::::.:::::::::::.:::::::.:::.:.;::.::::::i.:::.: <br />THIS IS T O CERT IFV T HA 7 T HE POLICIES OF INSURANCE LIST ED B ii::iG;~~:i;ii~i~:«:: ~Liwa:.i;::'r~c_k:i~:E;~a_:~ :;;:z;f_ a::z~:.::_~s::.~.::::cc:~::~:::z..::.~;..:::::::~.:::.;::;:.;...::.;::::::::,,:.::, . , <br />ELOW HA V E BEEN ISSUED T O T HE NISURED NAMED ABO VE FOR THE POLICY PERIOD <br />INDICATED. NOT WITHST ANDING ANV REQUIREMENT, TERM OR C ONDITION OF ANV CONTRACT OR OTHER DOCLMENT WITHRESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEPe~fS. <br />E %CLUSIONS AND CONDITIONS OF SUCH POLICIES. LMIiS SHO WNMAY HAVE BEEN REDUCED BV PAID CLAMS <br />CO <br />L TYPE Dr NNWANOE POLgYNYF®i PDLNIY V![DTM POLgY [%PWATq LIMITS <br /> DATE (YY/DD/`/Y) OAiE (YY/00/YV) <br /> DEN LRAL LIABLRY GENERAL AGGRFW TE t 2000000 <br />A X CUMEPCIALGENFRALIIABIIIIY 37103596 9/01/95 9/01/96 PRODUCTS-CO'.1P/OPAGG. S 2000000 <br /> CLAIMS MADE ~ OCCUR. PEflSONAI 8 ADJ. INJURY S 1000000 <br /> X OwNFR'S 8 CONiRACiOR'S PROs. EACX OCCURRENCE t 1 OOOOOO <br /> FIRE OIJMGE U one lirel i 2S000O <br /> MFO. EXPENSE IA ore erso i 10000 <br /> AUT OAgeId LIABLRY COMBINED SINGLE <br />t <br /> ANY AU70 tIMII <br /> All OWNED AUTOS BODILY INJURY t <br /> SCHEDULED AU105 IPer persoN <br /> NIRfO AUI05 BOOIIY INJURY f <br /> NON-OWN[0 AUTOS IPer accitlenll <br /> GARAGE LIARILIIY PROPER IV OAhuGf S <br /> fOLDEei L1ABLRY FACM OCCURRENCE t <br /> IMBRFLLA FORM AGGREGATE i <br /> <br />OIHFR IXAN UMBRELLA FOAM ............ ... ....... .... .. .. . .. . . <br /> WOIe071'i OOAPOieATgM SIAIUIOR! LIMI i$ <br />~ <br />~~ ~~ <br /> ~, EACX ACCIDENT i <br /> t <br /> DISEASE-POLICY LIMIT <br /> [YROY W' LIADLRY <br />DISEASE-EACH EMPIO+EE <br />t <br /> oTNEn <br />DRCRPTgN W OPPAATgNeFLOCATgNLVQIX:LCLIfPEC1AL 17EMY <br />Ra: Th• Naw Elk Mina Permit iC-81-012 <br />CERTIF CA'CE fiOLl)ER . : 'i, • ' '" , 10!# <br /> s SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> 'ii EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL 6{~Ili•AV&KXOI <br /> ~~~~ MAIL 30 DAVSWRITTENNOTICE TOTHECERTIFICATE HOLDERNAMEDTO THE <br />State of Colorado > LEFT,~~~4}~1~C~{FjQ~{•}{r1~,~q~i}{~I~T',1~9~Ii~,~,Q~}{Vp~~~s]~2[Qf~{ <br />Mined Land Reclamation Offiea it-. 4d9~14!'{Vn9fk?LYti~7[`~?~€J4RI?4~FF4~14~T4R~R4CIfiF1!~AX#7FR'i`~.. <br />!::: <br /> <br />Attn: Joseph Dudesh . <br />~~~~~ <br />` <br /> <br />1313 Sherman Street, Room 215 ,::; AVTNOR ATNE <br />i <br />~" 39 50080 <br />;:; <br />Denver CO 80203 <br />, ~'~~ <br />:~• ::..........:....~ <br />.,...:.:..:i'%'::r:isr::.~`::::;;:,.r:isr:::::.:~::;:::.:'::;:~;.s`~~^:~~.:~~.:%:~:.:~:::::~s.:;:::<F:~:::~ <br />:~AQOkD~:26%5;.: !!9 :::.:::~:.,..::.::.::.~ :.::::::.:.:..::.:::.:::::..:::.::.::..::..::..::..::.::::...::.::.::..:::....: ;':::::::,..;...:~^:::.'.;.•.:r!x::~;:!:;:~::n::,s,~;":;:~;:r:::::,s,::; `::::':i: ~::"':::'~:::'r;.. .:: .... ... ... ...... ,. ..... <br />::.:::.:::.::~:.:~:.::..::::.::.::.::~.::~:::..::..::..::.:::.:::.:.:.:.:.:.:,.:.:::.::.~::.:::.~::.::... ORD:G.QRPD.RAT.I.G.N.1980.::::. <br />v <br />.; . <br />
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