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GENERAL49994
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GENERAL49994
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Entry Properties
Last modified
8/24/2016 8:29:56 PM
Creation date
11/23/2007 5:35:09 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981018
IBM Index Class Name
General Documents
Doc Date
1/28/2002
Doc Name
CERTIFICATES OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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11I .I~.I~.I~.... .E.~ <br />~,.- ...:. .:....:.::..: ..... ...... .'. :.:: .:. :.':~::... .:...:::':::..:::.:......:::..~.....:::~:~::::....:.::.:::.::.:::.:'::.::::::::.:: ::::::::':':: :': CERTIFICATE NUMBER .::. <br />:::::..; '..°;..;'.' <br />:.I~~~II~~~~~II~~~~~I <br />;.' <br />'' <br />';;;; <br />';;CERTIF{C:ATE' <br />F <br />-O <br />:INSU <br />RANCE;`:: <br />. <br />;; <br />; <br />; <br />i ......:.:...:. 999 . <br />. <br />. <br />: <br />. <br />- <br />oDl o0 <br />PRODUCEfl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />Marsh USA Risk 8 Ins Sf VS IIIC. NO RIGHTB UPON THE CERTIFICATE HOLDER OTHER THAN THOBE PROVIDED IN <br />60 EdSt SOUth T Ie THE POLICY. THIS CERTIFICATE DOES NOT AMEND. EXTEND DR ALTER THE <br />EIN <br />BED H <br /> <br />Suite 1600 . <br />ER <br />COVERAGE AFFORDED BY THE POLICIES DESCRI <br />Sa]t Lake City. UT 84111 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />JENNY MARTIN 801-539-7400 A GREAT NORTHERN 1NSURgNCE CO <br />INSURED CpMPANY VCD <br />Blue Mountain Energy, a wholly awned subsidiary of B `. <br />Deserzt Generation 8 Trans. <br /> <br />10714 South Jordan Gate'waY CpMPANY <br />~ 8 2 <br /> C <br />00 <br />Suite 300 <br />South Jordan. UT 84095 c <br />PANV !ylsion ollyi <br /> D <br />ne1a(s S G <br />CO. ERAG ...... ......:.:...:........ .... <br />7HIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CO NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY <br />BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIE S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND E%CLUSIONS <br />OF SUCH POLICIES. LIMITS SHOWN A1AY HAVE BEEN RCDUCED BY PAID CL AIMS. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE IMM/DD/1'YI POLICY EXPIRATION <br />DATE IMM/DD/YYI LIMITS <br />A GEN ERAL LIABILRY 73194464 12/30/01 177307 DZ GENERAL AGGREGATE • 2, DDD, DDD <br /> A' COMMERCIAL GENERAL LIABILITY PRODUCTS ~ COMP/OP AGG • Z. QQD. DDD <br /> CUIMS MADE OCCUR PERSONAL 6 ADV INJURY • 2. DDD. DDD <br /> OW NER'S N CONTRACTOR'S PROT EACH OCCURRENCE • 2. DDD. DDD <br /> H <br />u FIRE DAMAGE (Any ane L•e) 100.000 <br /> - MED ExP IAny one oersonl a ]D. DDD <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT • <br /> ANY AUTO <br /> ALL OWNED AUTOS BODIIV INJURY • <br /> SCHEDULED AUTOS IPer Oersanl <br /> HIRED AUTOS BODILY INJURY • <br /> NON~O W NED AUTOS IPer acctlenD <br /> PROPEflTV DAMAGE • <br /> <br /> GARAGE LIABILRY AUTO ONLY ~ EA ACCIDENT • <br /> ANY AUTO OTHER THAN AUTO ONLY: <br />:..... <br />`:: ~: ~ ~ "'"" ' <br /> EACH ACCIDENT • <br /> AGGPEGATE 0 <br /> E%CEBB LIABILRY EACH OCCURRENCE <br /> UMBRELLA FORM AGGPEGATE • <br /> OTHER THAN UMBRELLA FORM <br />- • <br /> W BTATU~ OTH- ~ " ' '~~~~' ' <br />~ <br />~ <br />~ <br />~ <br />~ <br /> VVORKER'B COMPENSATION AND TORY LIMITS EA <br />:. ~: '.T :.. .. ...:......... <br />" <br />' ~ <br />~: <br />' <br />' <br />"" "" <br /> EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT <br /> THE PROPFIETORI INCL EL pISEASE ~ POLICY LIMIT • <br /> PARTNERSIE%ECUTIVE <br />• <br /> OFFICERS ARE: ExCL EL DISEASE - EA EMPLOYEE <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES !SPECIAL ITEMS <br />RE: DESERADO MINf /N R4NGELY. CDCDR4D0 (PERMIT #C-81-0181 <br />CERTIFICATE HpCD~R ':... .:;: :::: ."~.: CANCELLATION `: .. ~~. <br /> SHOULD ANV OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE <br /> THEREOF, THE INSUflER AFFORDING COVERAGE WILL ENDEAVOR <br />E%PIRATION DATE <br />57ATE OF COLORADO _ <br />TO MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLDER NAMED <br />DIVISION DF M/NER4L5 B GEOLCD^Y <br />1313 SHERMAN ST. <br />RDC4N 215 HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />, <br />DENVER. CD 80203 LIABILITY OF ANV KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS <br /> OA REPRESENTATIVES. <br /> MeraH USA RiaL 6 Ina Brva Inc. • <br /> BY: <br />...:...:....:........:..~:.......:~:~:.::'~::':':~~:.;::~;:::':~::~~;:.~::~':~::;:~;'.~':~:::`:.:;.:~::'.:':::':::::.~:" ':'JHMMt 2 :'~:'~VAL8x~A9:OPs:::l:.:.:":" ZZI'.... <br />(* 10 DAYS FOR NON-PAYMENT) STATE <br />
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