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GENERAL52626
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Entry Properties
Last modified
8/24/2016 8:38:26 PM
Creation date
11/23/2007 7:54:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981016
IBM Index Class Name
General Documents
Doc Date
1/16/1996
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
RECLAMATION PROJECTS
Media Type
D
Archive
No
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<br />KeOer{owry Iltwrarre Inc <br />9801 E Fblida Ate 1100 <br />Denier co eozTa-zs9e <br />m6UPED <br />James P Walsh A Assadafes Inc EW <br />1888 Peed Earl tilde, i10B <br />Boulder CO 80301 <br />Yy., <br />..,.. s, ~ III I II I II I II IIII III F.~er • ~.:~-~ <br />R1~I ~//~, +~, -1 ~. s,<~, ISSUE DATE MAN <br />ltu e 1 V,~3i'.'ya i~ !'YTS {I}, .. <br />THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFEAS NO RIGHIS UPON THE CERTIFlCATE HOLDER. THIS CERTIFlCATE <br />' DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />' POLIGES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />cGMrAxr A Harthud Inwlarwa <br />IETTEP <br />COMPANY B <br />LETTER <br />~iF <br />~;ER"" c <br />~~~G` <br />9 ~ <br />"" <br />~ 6 <br />~E~ <br />LPN D <br />z°~°9~ <br />~ <br />.,b a v E <br />THIS IS TO CERTIFY THAT THE POLICIES OF 111 SURANCE LISTED BELOW HAVE BEEN ,ISSUED TO THE INSURED NAMEII~ABOVE FOa THE~POLICV PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDrt10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT l0 WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PODCIES DESCRIBED HEREIN IS SUBIECi TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMR$ SHOWN MAY HAVE BEEN REDUCED BY PAID CUIMS <br />~ TYPE OF INSIIiIANCE POULY rAmIBEIi ~ ~ ( Po ~ I AuDDYY1 UMIIe <br />A GDVFTIAL ~~ 34UUNEM807B 6111058 O1n057 cENERU AGGPEGATE s <br />2,000,000 <br />~( WMMERCUL GEHERAi UABIUtt PRODLCTSCOMP~OP AGG S 2 ~ ~ <br />. , CI.VMS IA4DE )( OCLUfl FEfl~NAL 6 AOV INIURY S 1,000,000 <br />OWNER'B S ~MPACIORS PROs EAGX OCCURRENCE S 1000000 <br /> FlRE DAMAGE (Arty ae firtl S 900,000 <br /> MEp. EYPENEE (A^r ma perm) S 1O,OOD . <br />A "~dgBRE ~~ 3WUNETA8078 0111058 0111057 coMaNEO slncLE <br />-- <br /> X AM' Auro uwT s 1000000 <br /> Ail avNED AUTOS _ <br />BOdLY INIURY . <br /> <br />SCMELUED AUTOB <br />~°f re,m1 _ <br /> X HIRED AUf05 BODILY INIURY <br /> X NJNOWNEO AIfT05 IP°' °~°I S <br /> cu+ASE uAalutt ~ ~-- ~- <br /> PWOPEAtt DNAAGE S <br />A ' ExT~ss LuelLm 3/XHUEUA3B1 01110198 0111057 Erg occuRREHCE s ~ ~ 3000000 <br /> 1( UMBPEUI~ WRM MiGREGATE f 3DDQODD <br /> OTHEP THAN UMBREW TORM . _ __ _. ... .. ~~-F :~ ;: R~,' ';. °. )S.. . <br /> WOfOFIte COIffQISAIgN erPTUTORY UMIiS .. ' <br />A AM 34WFAS2B87 055155 055158 EACH aWDEHr f 100000 <br /> dGEASE~POULV UMR S 50DDD0 <br /> FMRDYFAS ~~ <br /> gGE0.5E -EACH EMPLOYEE S 100000 <br /> OTFE71 <br />Attv~S ilce Crosby E:e: Her aTc Naet Nine Pro]act <br />~~` ~~ ~ SHOULD ANY OF THE A&]VE DESCRIBED POLIGIES'8E CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 10 DAYS WRRTFN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />Stab 01 Cdoredo LEFT, BUT FAILURE TO MAIL SUGH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />Cob Dept Miners 8 Gedogy <br />1373 Sherman $L, 1215 LIABILRY OF ANV KIND UPON THE COMPANY. ITS AGEMS OR REPRESENTATIVES <br />Gamer CO 80202 <br />AUTHpi® REPRESEmrAnvE 7 ~1P _ ~ <br />Robert L SlbeOus, CIC `~y ,~?~4'~ <br />ACORD7?~~C!~)~. ~ _ ~ , '`.;.. -.:c~ , ,,.; :'Cs`.i. ' "d-.~. . _... ~a.., .. _ .. - ~- ~ ®ACORD7CORPORATION'.1990'`L <br />
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