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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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<br />ACORD <br />CERTIFICATE OF LIABLLIT ,.. <br />Y: INSU:RANCE <br />; <br />` <br />zTEizM9a ' <br />' <br />: <br />, .., <br />.:........... <br />.. <br />, <br />. <br />PnopucEn ~ ~ ~~~~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />AON RISK SERVICES, INC. OF MN HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />8500 No rmandale Lake Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 1200 '~(ECEIVE COMPANIES AFFORDING COVERAGE <br />G <br />Minneapolis, MN 55437 COMP/WY <br />612-897-5800 A <br />IxsulEp <br />COMPANY <br />DESERET GENERATION & 8 FEDERAL INSURANCE COMPANY <br />y <br />V~I MIRBf21$ O GeObgY <br />TRANSMISSIO <br />R <br />N POWER COOPE <br />ATI COMPANY <br />Attn: Michelle Maxfield C <br />8722 $OLLth 3DD We St COMPANY <br />Sand UT 84070 D <br />COVERAGES ~ ~ ~~ <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 ANY 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. <br />CO TYPE OF INdLP1ANCE POUCY NUMBER POUCY ffFKTIVE POUCY F%RRATION UMITd <br />LTR PATE IMM/00/YYI DATE IMMRIOM'1 <br /> GEN ERAL UABIUTY GENERAL AGGREGATE S 1 OOO OOO <br />B E COMMERCIAL GENERAL LIABILITY 9873194464 12/30/97 12/30/98 PRODUCTS~COMP/OP AGG S 1 DGD GDD <br /> CLAIMS MADE ®OCCUft PERSONAL 6 ADV INJURY 5 1 OOO OOO <br /> OWNER'S d CONTRACTOR'S PROT EACH OCCURRENCE f 1 OOO OOO <br /> FIRE DAMAGE IAny ena lira) S 1OO ODO <br /> MED E%P IMy one peraonl 5 lO OOO <br /> AUT OMOBILE UABIUTY <br /> COMBINED SINGLE LIMIT S <br /> ANY ADTO <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />IPar peRanl ! <br /> HIRED AUTOS <br />BODILY INJURY <br />S <br /> NON-OWNED AUTOS IPar eccitlanll <br /> <br /> PROPERTY DAMAGE 5 <br /> OARAGE UABIUTY AUTO ONLY ~ EA ACCIDENT S <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE f <br /> E%CE56 UABIUTY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM i <br /> WORMERS COMPENSATON AND WC BTATU- OTH- <br /> FMPLOYEAS' UNBIUTY <br /> EL EACH ACOIDFNT ! <br /> THE PROPRIETORI INCL EL DISEASE ~ POLICY LIMIT S <br /> PARTNERB/E%ECUTIVE <br /> OFFICERS ARE: E%CL EL DISEASE ~ EA EMPLOYEE S <br /> OTHFA <br />pESCNYDON OF OPFAATIONS/LOCATONSNENCtE3/SPECIAL ITEMS <br />Re: Deserado Mine in Rangely, Colorado (Permit #c-81-018) <br />GERYIFICA7E HOLDER: ~:..:': ~::: ~~:: ~. ~~~~ ~:::':::~~.::.:.~::~ ...:.::..::..~...:::..::~:: :.~..'..':::.:..: <br />, ~..:':: CANCELLATION :"~~.:~':~%:::;'.;::.;~.:-:~1::::.:.::.::^;.::::.. ~:.. ~.~.:~~..':.:.:.:::::~:::;:::~~:::::~:^~:::.:~..:::. <br /> SNOUID ANY OF THE A80VE DESCRBEO PODCIEd BE CANCELLED BEFORE THE <br />STATE OF COLORADO E%RRATION DATE THEREOF, THE IdSNNO COMPANY WILL ENDEAVOR TO MML <br />D1V 1510n Of Minerals & Geology 3O DAYd WNTTEN NOTIOE TO THE CFATIRCATE NOIDER NAMED TO THE LffT. <br />1313 Sherman St. , ROOM 215 BUT FAILURE TO MNL SUCH MOTILE SMALL IMPoSE NO OBDGATIOM OR DIIBIDTY <br />Denver, CO SO2O3 OF AMY KIND UPON T CO ENTS OR REpgESENTATIVFS. <br /> <br />A HORS REPR NT VE <br />DT ATI oaaoolooo <br /> <br />I <br />~ACORO 25=S'(T7951:;~~:~~:~::-~::.::'::.~::.:::::~.::':~! ..:.:.:.:.::::::: ~: ::~ ~::.::::::' :; .':,: .. :,:: .. ...~.:::::.;~:....~..::.:..; .: ~:: ...:.: ~... ..: ~:~: R :~ ~ORATION..:1988~ <br />
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