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GENERAL52350
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GENERAL52350
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Entry Properties
Last modified
8/24/2016 8:38:16 PM
Creation date
11/23/2007 7:40:22 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981034
IBM Index Class Name
General Documents
Doc Date
5/10/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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a/:/1i:i~. CERTIFICATE OF INSURANCE <br />ISSUE DATE /MM/DD/YY) <br />5-10-91rc <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> I <br />T <br />I <br />III IIIIIIIII"~I'll EXTEND OR ALTER <br />THE COVERAGE A F <br />D, <br />ORDED BY THE <br />E <br />T <br />The Linden Company PO <br />C ES <br />BELOW <br />P.O. Box 60130 999 <br />COMPANIES AFFORDING COVERAGE <br />Grand Junction, CO 81506 <br /> COMPANY <br />LETTER A Employers Mutual Casualty Company <br />.~--.__ - ___-__-..__ .-.._-. _. _ _ _ <br />_ COMPANY B <br />INSURED LETTER <br />SEM Construction CO. LETTER V C' <br />773 Valley Court <br /> <br />Grand Junction, CO 81505 COMPANY <br />LETTER D <br />.-_____ ____..-._-.__. _. _. <br /> COMPANY E <br /> LETTER <br />COVERAGES " _ ~-.~. ..,o;p ...yt.,..~...~,. t.y. ~ ,,. <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 ANV 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 BY PAID CLAIMS. <br />'- <br />CO TYPE OF INSURANCE POLICY NUMBER <br />TR POLICY EFFECTIVE POLICY E%PIRATION <br />LIMITS <br />;DATE (MM/DD/YY) DATE (MM/OD/YY) <br />GENERAL LIABILITY GENERAL AGGREGATE _ f 2 , OOO , OOO <br />MERCIAL GENERAL LIABILITY ~ 9X9086892 S-1O-91 S-1O-92 PROOUCTS~COMP/OP AGG. S 2 , OOO , OOO <br />~ <br />CLAIMS MADE X OCCUR. I PERSONAL f ADV. INJURY S 1, OOO , OOO <br />OWNER'S ACONTRACTOR'S PROT.~ EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE (Any one Ilra) S_ SO , D00 <br />~ MED. E%PENSE IMy ona pawn) S 5 OOO <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />f <br />A X ANY AUTO ~ n n ~ v LIMIT --- <br />1,000,000 <br />ACL OWNED AUTOS ~ ~ ~ BODILY INJURY <br />S <br />SCHEDULED AUTOS (Per perwn) , <br />X HIRED AUTOS ~ BODILY INJURY <br />f <br />x NON-OWNED AUTOS (Par acclEenp <br />GARAGE LIABILITY ~ <br /> PROPERTY DAMAGE f <br />. EXCESS LIABILITY - EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE f <br />~ i ` <br />OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br />WORKER'S COMPENSATION <br /> EACH ACCIDENT f <br />AND __ _.-- ._ __- ~-._. <br />i DISEASE-POLICY LIMIT S <br />EMPLOYEft4'LIABILITY i -----'-'-" -- --^-"--- <br />OISEASE-EACH EMPLOYEE S <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEMICLES/SPECIAL ITEMS <br />Minrec, Inc. is named as an "Additional Insrued" <br />~ <br />~ C <br />' <br />/ <br />~~ <br />RE: Mining Permits - C-81-025, C-81-047 and C-81-034 <br />~( <br />GI~ <br />~~ <br />G <br />( <br />CERTIFI_CAT_ E H_OLDE_R_ '_ ~ ~- - , _-, ,~, _ ~ ~,.,. ~::.~,t,.:.: ~ CANCELLA_ TION <br />, <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Mined Land Reclamation O].V1Sl.On EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />1313 Sherman, ROOM 215 MAIL ~~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />Denver, COB O2O3 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, <br /> NORIZ REPRES IVE <br /> <br />wrnen ne_C ,v,Cm I <br />J'~ECnRD CnWOTTG ATInN 1CCD <br />
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