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GENERAL49550
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GENERAL49550
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Last modified
8/24/2016 8:28:49 PM
Creation date
11/23/2007 5:11:40 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981029
IBM Index Class Name
General Documents
Doc Date
2/28/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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.t.9o4®~oP. CERTIFICATE OF INSURANCE DII DID~I~~IDD~~~DID ~15iDEDA'glyl~~~l <br />999 -- <br />PROOUEEiAT TOP INSURANCE AGENCY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />3?_0 FEDERAL STREET NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />I P • C . BD X 14 39 ~ EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />' BLUFFIELD COMPANIES AFFORDING COVERAGE <br />~~IV 247010000 <br /> <br /> <br /> <br />NfuneDSUN GOP.I GOMPANYs INC. <br />P.D• L1D:C Lb <br />MILNER <br />CO x04770000 <br /> <br />- COMPANY <br />LETTER A OlD R_PU3LIC INSURANCE COMPANY <br />COMPANY <br />LETTER B <br />LETTERNYC <br /> <br />COMPANY <br />LETTER D <br />COMPANY E <br />LETTER <br />COVEIiA~IES ~ - _ _ - ~ <br />_ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATION ALL LIYIT9 IN THOUSANDS <br />DATE (MM/DD/1'y') DATE (MM/OD/VY) <br />A GENERAL LIABILITY GENERAL AGGREGATE >E ~ D'Jn ~ <br />X COMMERCIAL GENERAL LIABILITY t4L 14 20 3 3/01 /91 3 /01/ 92 PRODUCTSLOMP/ORS AGGREGATE ~ ~ ~ (~,^, Y <br />CLAIMS MADEX OCCUR. PERSONAL 8 ADVERTISING INJURY ~ ~ I~ QL` 9 <br />OWNER'S 6 CONTRACTOR'S PROT. EACH OCCURRENCE >~ ~ (~ DID e <br /> FIRE DAMAGE (Any ons Ilra) 3 5 V ~ <br /> MEDICAL EXPENSE (Any one peroonl f <br />AUTOMOBILE LIABILITY COMBINED <br /> SINGLE i <br />pNY AUTO LIMIT <br />ALL OWNED AUTOS BODILY <br /> INJURY i <br />SCHEDULED AUTOS (Per Person) <br />HIRED AUTOS BODILY <br /> INJURY i <br />NON~OWNED AUTOS (Per eceltlsnt) <br />GARAGE LIABILITY <br />PROPERTY <br /> i <br />DAMAGE <br />EXCE39 LIABILITY EACH AGGREGATE <br /> OCCURRENCE <br /> i f <br />OTHER THAN UMBRELU FORM <br />-WORNEH'8-COYPENBATIOR- ' <br />AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />A POLLUTION ZPlti4 <br />' _ STATUTORY <br />- ~- -_ ~ ~ - - ~ -f ~ ~ ~ -_~ _ ~ - (EACH ACCIDENT)- -~ <br />i (DISEASE-POLICY LIMIT) <br />f (DISEASE-EACH EMPLOYEI <br />3/O1/~1 3/O11S2 1v000~ <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEY9 <br />CERTIFICATE HOLDER <br />GL1lORACD MINED LAND RECLAMATION OIV <br />ATTN MS SUSAN J kOSJRYv 423 <br />Cl:NTE"JNIAL BLOGv 1313 SHkRMAN <br />ST.T DENVER CO E02030000 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL ~ I D DAYS WRITTEN NOTICE 70 THE CERTIFICATE HOLDER NAMED 70 THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORREO REPRESENTATIVE FLAT TOP INSURANCE AGI=Nf~~( <br />QC ACORD CORPORA710N 198E <br />
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