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GENERAL52444
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Entry Properties
Last modified
8/24/2016 8:38:19 PM
Creation date
11/23/2007 7:44:52 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
8/29/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~CF >~ONE~,PREVIOUSLY aSEN14"DATEDf..ri/.LPL/•Y.4~.x'+:'/ <br />I <br />A~i~~~ 1e II IIIIIIIIIIIII III ~v r <br />-'~. rc DATE (YA4DD/Y1T <br />, <br />~ <br /> sss 8724!94• <br />~.. ~ ~ <br />PaooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Sedgmick James of TNi Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P: i-.0.:~ Box ~ 1 981 0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Knoxv"ills. TN 37939-2810 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> A Federal'Insurance Co.. <br />INSURED COMPANY <br /> B <br />Milliams ".Fork _ GompanY: coMPANr <br />P..O...Bax 187 ~ ~-~~r,FIVED <br />Craig" CO" 81626 coMPANr <br /> D <br />COME ~ES :;,,. ;3z~• "~ ,~,; ;a, x <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 REOUIREMENi, TERM OR CONDfTION OF ANY CONTRACT OP,OTHE <br />DOGUMF~tCrk/ T~pE <br />R <br />O <br />I <br />~ <br />' <br />" 1 <br />~ <br />~ <br />O ALL <br />HE <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES'DESCFMI <br />TERMS, <br />WEX(E7k <br />S <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ <br />LTR 7YPE OF INSURANCE PODCY NUMBER PODCY EFFECTIVE <br />DATE MM'uD/YYl POl1CY EI(PIM110N <br />GATE (MSVDD/YYI UMI~ <br />A GE NERALDABILT' (95)37100018" 7!20/94 7/20/95 GENERAL AGGREGATE S 2000000 <br /> X COMMERCIALGENERALIIABILRY PRODUCTSCAMP/OPAGG S 1000000 <br /> CLAIMS MADE O OCCUfl PERSONALS ADV INJURY f ' 1 OOOOOO <br /> OWNER'S6 CONE PROT EACH OCCURRENCE S OOOOOO <br /> FIRE DAMAGE M onefrv f ~ 1 00000 <br /> MED E%P M one reon S ~ 1 ~~~~ <br /> AU TOMOBILE WBILRY <br /> COMBINED SINGLE LIMIT f <br /> ANY AUTO <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />S <br /> NON-0WNED AUTOS (Par AotlEent) <br /> <br /> PROPERTY DAMAGE f <br /> GAI UCE LIABILR'T AUTO ONLV~FJr ACCIDEM S <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDEM S <br /> AGGREGATE S <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELU FORM S <br /> WORXER9 COMPFJiSATLON AND STATUTORY LIMBS ' <br /> EMPLOYERS' DABRIfY <br />EACH ACCIDENT <br />S <br /> THE PROPRIETOW INCL OISFaSE -POLICY LIMIT S <br /> PARTNER&E%ECUTIVE <br /> OFFICERS ARE: EXLL DISEASE-EACH EMPLOYEE f <br /> OTHER <br />OESCRIPIION OF OPERATgNS40CAT10N5NEHICLESSPECULL fTE1R <br />INSURER WILL NOTIFY DIVISION WHENEVER SUBSTANTIVE CHANGES ARE MADE IN THE POLICY INCLUDING ANY <br />TERMINATION OR FAILURE TO RENEW. THIS POLICY APPLIES TO PERMIT 1FC-81-010 AND INCLUDES COVERAGE <br />FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. <br />E. _ 'DE-' ;; -,:~,: :x. -;.z:;>~° -:,,::: >: :;:..,. C~CELLATION _.._.,., <br />COLORADO DEPT OF NATURAL RESOURCES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DIVISION OF MINERALS ~ GEOLOGY ATION DATE THEREOF, THE ISSUING COLO'ANY WILL $ MAIL <br />EXP <br />I <br />R <br />ATTN KEN COBHAM '' <br />/A <br />~ <br />~ DAYS WRffrEN NOTICE TO THE CERTIFlCATE HOLDFA NAMED TO THE LEFT, <br /> <br />215 CENTENNIAL BUILDING <br />MAN ST <br />1313 S <br />E <br />H <br />R <br />DENVER CO 80203 A~~~~"m~y+ / ~~- <br />~ <br />V <br />+f <br />/~ <br />"P <br />~ <br />, ; <br />";-• OACO <br />ARATION 1993 <br />RD <br />COlip__,, ;3/93) -.¢rixFq°} v `__'~~s viYw~~-"r'.-~w'~' n§`wiitsc" d ,:...i' i_r .:C <br />CO <br />R <br />2-:: 24. <br />
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