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GENERAL52268
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GENERAL52268
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Entry Properties
Last modified
8/24/2016 8:38:12 PM
Creation date
11/23/2007 7:35:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
General Documents
Doc Date
9/19/1997
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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' ::q's :::.: ....: .... ....:.. ..: ..: .. :. .. ... ..:... <br />A~:~N:~~. <br />o~t~~~aTE o~ . .. ,.. .....:.. .. ::,:~1. III IIIIIIIII IIII III ~:F's:r:: ....DAY[(WIDWrYI~....:. <br />~~su <br />a~ <br />. <br />x_,._......- .... <br />MOdloaN ,,... .,, ....~ .. wc~ ; 999 ::.:I <br />~ <br />... ..,.•-. 9/18/97 ': <br />. .,.. .,.. ..... <br /> THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION <br />Aeordi• ReagerHarr is ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THI$ CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lexington Green Two, Suite 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />3201 N i eho I •av i l l e Road COMPANIES AFFORDING COVERAGE <br />Lexington, KV 405 03-3 3 1 1 (~~C~~~~rp COMPANY <br />808-273-8800 A Federal Insurance Company <br />INauaao <br />EP 19 1997 <br />`OBANY <br />Grand Valley Caal Company <br />Kinvsst, InC. COMPANY <br />P.O. Box 1409 <br />I Ilws.nn cp 0.HnJr~l: ,i Gaul C <br />apy <br />P i kev i I I e , Ky , 41501 couPANr <br /> D <br /> t c .. <br />THISISTO CEflTIFY THAT THEPOLICIES OF INSURANCE LISTED BELO W HAVE BEENISSUED TO THE INSURED NAMEDABOVEFOR THE POLICYPERIOD <br />INDICA7ED,N0T W I7HSTANDING ANY REQUIREMENT, TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENT W ITHRESPECTTO WHICHTHIS <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 BY PAID CLAIMS. <br />~ TYra OINWaAMOi PeLIOr MUYaa rOLN:Y [frlCrlY! rOLICT liPlaAneN LWm <br />LTII DAYa (YMmen'Y) DALL (MYa)fNrY) <br /> OaN FRAL LIAaaJn (fENERAL AOOREOAIE i 2000000 <br />A X COAaOiCIALOElERALLIABILITY 3710-45-17 9/16/97 9/16198 PRODUCTSLOIP/OPA00 f 2000000 <br /> f1A11.6 MADE ~ OCCUR PERSONAL 6 ADV INJURY f 2000000 <br /> OWAIEA'S a COMRACiORS PROT EACH OCQlAAFJ1CE f 2000000 <br /> FIRE DAMAOE (AmJ ana fka) f 1 OOOOO <br /> LED E%P (Art/ one canon) f 10000 <br /> AUr OYOaY LWaJR <br />COMBINED SINOLE LIMIT <br />f <br />A X ANY AUTO BAP7320-38-21 9/18/97 9/18198 2000000 <br /> ALL OWNED AUTOS BODILY INJURY f <br /> SCFEDLLED AUTOS (P.r parson) <br /> X HIRED AUTOS BODILY INJI6IY f <br /> X NpiOWAED AUTOS (Pa aodOanD <br /> PROPERLY DAMAGE f <br /> <br /> OMAaa WHfJTY AUTO ONLY • EA ACCIDENT f <br /> ANY AUTO OTHER i11AN AUTO OILY: <br /> EAd ACCIDENT f <br /> AQ(iREOATE t <br /> RCaY LWfJTr EACH OCG6WENCE f <br /> Aar A FORM AO(1fE0ATE f <br /> OTHER TFUN IAa~ FORM f <br /> vroaanu ODYPiaaAT10N MD STANTORY LIMITS <br /> fAPLOraa•LYLaLJr'/ <br />EACH ACCIDEM ' <br />f <br /> TIE PROPRIELOR/ <br />PART}6iS/E%EMIVE INCL DISEASE • POLICY LIYIi f <br /> OFFICERS ARE: E%CL DISEASE • EACH EIPLOYEE f <br /> oLHa <br />oaaoAlmoN or orlaAnoNaaaunoawsHla.lanvsuAL nlYa <br />A^ respects: Mine No. 1, located ^t McLane Canyon on 5. R. 139, 19 miles <br />north of Loma, Colorado: Mine Na. 2, located at Munger Canyon on S. R. 139 <br />about 18 miles north of Lama, Colorado. INCLUDES EXPLOSIVE COV. <br />1:FpTY9CAT>Qil , ;' i C1~t1CELU1TlON.`: ~ . <br />• <br /> aNOULO ANr oP YNS Asovs oasallsm LroLlcaa w uNenr.m avesa <br />tHa <br /> s%PUATIOM own YHasor, YNa uwlNO C01pMrYaY7!]E)iiYaiClYoYi7G16 YAL <br />O i v i a i e n o f M i n e r a l s a n d 30 oAw wan7a Nona Te tHa CflITIrICAYi N01.0l11 NAYfD 70 7Ha Lary, <br />Geo I ogy A" d~~YrYaiuciill[tfdk7ili747C7i~b <br />R ~diX <br />YiHt <br />m.215 <br />1313 Sherman Street, > <br />_ <br /> <br />Denver <br />CO 80203 Afien An - r--;~ ~, <br />r / L.y•; _ <br />• ;~ <br />089353000 <br />, ~ <br />, <br />, <br /> / <br />::AC .98::;:E;';?.'.•:::~:::,:;::;::~::.,.:::r ::.::::::::::...:.::::..::-:::<<.,;a <br />Q~~ 9/ ~::::>::::.::;,, :; ;:<<:::iz: <`:a.<:-::?:;<'<>`d'':";"{5..::;><;~ Ofd ORPORA ;t)i~f:< <br />,.,.. AC C T70lt <br />
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