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GENERAL52058
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Entry Properties
Last modified
8/24/2016 8:38:04 PM
Creation date
11/23/2007 7:24:39 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1989074
IBM Index Class Name
General Documents
Doc Date
2/12/2004
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABI LITY INSURANC~OP ID A DarE IMMIDDm) <br /> RZ-1 02/06/04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Gallagher Construction ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />580 California St., Suite 1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Francisco CA 94104-1098 <br />Phone: 800-500-7202 Fax:415-391-1882 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Zl1r1Ch American Insurance Co. <br />American Civil Constructors, INSURER e: National IInlOn Fire <br />Inc. <br />Attn: Arlene INSURER C: <br />1601 W. Belleview Avenue INSURER D: <br />Littleton <br />CO 80120 <br />, NJSURER E: L <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH aFatAPo®f Minerals and GeDIBr <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV 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 />ILTR TYPE OF INSURANCE POLICY NUMBER DATE MhVDD/CYYVE pATEVMM/DDIVYON LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1, GGO, OOO <br />A X COMMERCIAL GENERAL LIABILITY GLO 3495305-03 07/01/03 07/01/04 FIRE DAMAGE (Any one fire) $300,000 <br /> CLAIMS MADE OCCUR ~ MED EXP (Anyoneperson) $5,000 <br /> X Contractual Liab. INCLIIDED. PERSONALSADV INJURY x1,000, GGG <br /> X X.C.II. included GENERALAGGREGATE $2,000,000 <br /> GEN'IAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 <br /> POLICY X PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />A X ANV AUro HAP 3495306-03 07/01/03 07/01/04 (Ea acdtlenp <br /> ALL O W NED AUTOS BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br />BODILY INJURY <br />$ <br /> X NON-OWNED AUTOS (PerattitlenQ <br /> PROPERTY DAMAGE <br /> <br />(Per accitleny $ <br /> GARAGE LVIBILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESS LIABILITY EACH OCCURRENCE $S, OOO,OOO <br />$ X OCCUR CLAIMS MADE BE3205485 07/01/03 07/01/04 AGGREGATE $5,000,000 <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION E 2S, GGG $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br /> <br />A.. EMPLOYERS' LUIBILITY <br />~ __ __ ___ _ ~ <br />WC _3374190-03~-_- <br />07/01 <br />/03 <br />07/01/04 <br />E.L. EACH ACCIDENT <br />$1,000,000 <br /> _ E.L. DISEASE - Fil EMPLOYEE $ 1, G G O , G G O <br /> E.L. DISEASE-POLICY LIMIT $Z, GGG, GGG <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONSRDDED BV ENDORSEMENTISPELIAL PROVISIONS <br />Landmark Reclamation, Inc. and Rimrock Mine are named as Additional Insured <br />per the attached Endorsement. <br />RE: Permit #. C-89-074 <br />laKIlYIVAIt KVLUCK N ADDITIONAL INSURED; INSURER LETTER:_ gAKGCLLAIIVK <br />COLDIO 5 SHOULD ANY OF THE ABOYE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THEISSUING INSURER WILL BIIBF hVBR TO MAIL ~Q_DAYS WRITTEN <br />Colorado D1 V1810n Of Minerals NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />and Geology I <br />1313 Sherman, Room 215 <br />Denver, CO 80203 R°""`"~~-~-~~"` <br />
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