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GENERAL52891
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Last modified
8/24/2016 8:38:37 PM
Creation date
11/23/2007 8:07:43 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981021
IBM Index Class Name
General Documents
Doc Date
6/9/1998
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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CERTIFICATE OF INSURANCE III IIIIIIIIIIIIIIII <br />AlDllltll <br />® <br />06/05/98 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Van Gilder Insurance Corp. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />700 Broadwa Slllte 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />yr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver, CO 80203 COMPANIES AFFORDING COVERAGE <br />COMPANY <br />AUnited States Fidelity & Guaranty Co <br />INSURED <br />Flatiron Companies COMPANY <br />BFiremans Fund Insurance Co. <br />P.O. Box 229 <br />Boulder, CO 80306 coMCNv <br /> COMPANY <br />I D <br />COVERAGES ~ ~ ~ ~ ~ . <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 REQUIREMENT, TERM OR CONDITION OF ANV 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 SUB.IECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE (MM/DD/YY) OLICY E%PIRATION <br />DATE (MM/DD/YY) LIMITS <br />A GEN ERAL LIABILITY 1MP30114796803 06/01/98 06/01/99 GENERAL AGGREGATE 52 OOO OOO <br /> X OMMERCIALGENERALLIABILIT PRODUCTS-COMP/OPAGG 52 OOO, OOO <br /> CLAIMS MADE ~ OCCUR PERSONAL fl ADV INJURY §L O O O , O O O <br /> WNER'S 8 CONTRACTOR'S PROT EACH OCCUAAENCE Sl O O O O O O <br /> X Per Location FIRE DAMAGE (Any one lire) §SO, OOO <br /> re ate MEDEXP(Anyoneperson) s5 000 <br />A AUT OMOBILE LIABILITY 1MP30114796803 06/01/98 06/01/99 <br /> COMBINED SINGLE LIMIT Sl, OOO, OOO <br /> X ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br />§ <br /> SCHEDULED AUTOS (Per parson) <br /> X HIRED AUTOS RE EIVED <br />BODILY INJURY <br /> <br />X <br />NON~OWNED AUTOS <br />(Per acmCenq § <br /> L <br /> JUN . <br />~ 1998 PROPERTY DAMAGE S <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> Division of M nerals & Geology <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT § <br /> AGGREGATE § <br />A E%CESSLIABILITY 1MP30114796803 06/01/98 06/01/99 EACMOCCURRENLE s15, 000, 000 <br /> X UMBRELLA FORM AGGREGATE Sl S, 0 0 0, O O O <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION ANO STATUTORY LIMITS <br /> <br />-- EMPLOYERS' LIABILITY <br />---- --- _ <br />__-, _ ,_ - __ <br />_`__- _ <br />_ <br />EACH ACCIDENT <br />S <br /> THE PROPRIETOFV INCL __ DISEASE-POLICY LIMIT § <br /> PARTNER$/EXECUTIVE <br /> OFFICERS ARE: EXCL DISEASE~EACH EM PLOVEE E <br />B OTHER Excess XXK00083444265 06/01/98 06/01/99 $5,000,000/Occurence <br /> Umbrella $5,000,000/Aggregate <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS <br />RE: Bourg Mine <br />Permit Number: C-81-021 <br />CERTIFICATE HOLDER ~ CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />D1V1 SlOn Of Minerals & Geology E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL END~~j[ <br />1313 Sherman Street, Room 215 3O-DAYS WRITTEN NOTICE TO THE CERRFlCATE HOLDER NAMED TO THE LEFT, <br />Denver, CO 80203 <br /> ~amaawx oET~~ox:eee~»scx <br /> AUTHORREDR RESEN E <br />I <br />ACORD 25-5 (393)1 Df 1 S4 611 M4 6 04 <br />BER ~ ~ ORD CORPORATION 1993 <br />
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