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ACORD CERTIFICATE OF LIABI QP ID P DATE (MM/DD/YY) <br />LITY INSURANCE <br /> S <br />EMCO-1 05/30/03 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> <br />Blanchard insurance Gzoup Inc. I <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.Q. Box 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES 6ELOW. <br />Grand Junction CO 81506 <br />c <br />~~p <br />Phone: 970-245-8011 Fax:970-245-8016 V~ INSURERS AFFORDING COVERAGE <br />INSURED ^ <br />~ INSURERA Employers Mutual Casualty CO. <br />^ ~0 <br />r <br />~ INSURER B: <br />`\ <br />a <br />struction Co. ~U\`O~ <br />SEM Co ~~ Rc <br />n <br />d Junction1C0~81506e 219 <br />pTp\s p° <br />Gr3 INSURER D: <br />II <br />~p <br />~~ <br />p INSURER E: <br />COVERAGES O~~~D~~ <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 ANV CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV 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 MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR TYPE OF INSURANCE POUCY NUMBER DATE MM/DD/YY DATE MM/OD/YY LIMITS <br /> GEriERAL LIABILITY EACH OCCURRENCE E I.000~OOO <br />A X COMMERCIAL GENERAL LIABILITY 9X90868 05/10/03 05/10/04 FIRE DAMAGE (Any one rre) E 100000 <br /> CLAIMS MADE ^X OCCUR MED EXP (Arty one person) $ 5 ~ 00 0 <br /> PERSONALS ADV INJURY §l. OOO, OOO <br /> GENERAL AGGREGATE $2~000~000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS~COMP/OP AGG E2~000~OOO <br /> POLICY jE O LOC <br /> AU TOMOBILE LIABIIRY COMBINED SINGLE LIMIT <br />51~000~000 <br />A X ANYAUTO 9X90868 05/10/03 05/10/04 (Eaaccldent) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCREW LED AUTOS <br />(Par person) S <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON-OWNED AUTOS <br />(Per accident) E <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN ~ RCO $ <br /> AUTO ONLY: AGG E <br /> E%CES§ LIABILITY EACH OCCURRENCE § <br /> ~ <br /> OCCUR ~CWMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE E <br /> RETENTION E E <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' UABILffY <br /> <br />J _ _ _ E.L. EACH ACCIDENT § <br /> EL: DISEASE- EA EMPLOYE § <br /> E.L. DISEASE ~ POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATION§ILOCATIONS.NEHICLES/E%CLUSIONS ADDED BY ENDOR$EMENT/SPECIAL PROVISION§ <br />Re: North Thcalgtsoa Creek-File No C-81-025. State Of Colorado, Division Of <br />Minerals & Geology is included as an Additional Insured.*10 Days Notice due <br />to Noa-Payment Of Premium.**Or incur substantive changes or failure to <br />renew. <br />l:tli I IYII;A 1 t MULUtH N ADDRIONAL INURED; INSURER LETTER: _ {iA1Vl:CLLA I IVIY <br />0000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />State Of COlorad0 DATE THEREOF, THE ISSUING INSURER WILL)®MAIL ~QOAYS WRITTEN <br />D.iV1810II Of MlneralS Ge OlOgy NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />1313 Sherman Street Room 215 ~~w~wonx>m~LxaaomP~Dei~asm~sxDlnuT~nmct <br />Denver CO 80203 <br />