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GENERAL52896
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GENERAL52896
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Last modified
8/24/2016 8:38:37 PM
Creation date
11/23/2007 8:07:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981021
IBM Index Class Name
General Documents
Doc Date
8/20/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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AI:NI:11. CERTIFICATE OF INSURANCE III IIIIIIIII IIII III ISSUE DATE IMM/DD/VVI <br />999 8/20/91 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Uan Gi Lder Insurance Col-p POLICIES BELOW. <br />700 PI-oadway, Suite 1035 <br />Ilenver , CO 80203 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />A <br />303--837-8500 LETTER <br /> COMPANY <br />B <br />INSURED LETTER <br />F'Latir~on Companies COMPANY <br />dba I Wa lden Coa L Company LETTER C <br />F~.O• POX 2cy9 <br /> COMPANY <br />D <br />PouLder LETTER <br />CO 84306 <br /> COMPANY <br />E <br /> LETTER <br />GENERAL AGGREGATE $ 2 f OOO f OOO <br />6/01/91 6/01 /92 PRODUCTS-COMP/OP AGG. $2 f OOO, OOO <br />as <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 INDICATED, <br />NOTWITHSTANDING ANV REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 1b WHICH THIS CERTIFICATE MAY Bf <br />ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />I CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMBS <br />LTR DATE IMM/DD/VYI DATE IMM/DD/YYI <br />GENERAL LIABILITY <br />A X COMMERCIAL GENERAL LIABILITY 0X4894292 <br />CLAIMS MADE X OCCUR <br />OWNER'S K CONTRACTOR'S PROT. <br />AUTOMOBILE LIABILITY <br />A X ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GARAGE LIABNTV <br />0X4894292 <br />EXCESS LIABILITY <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' DABILITY <br />OTHER ~ -- - ~ - - ~ ~ ~ ~-~~- <br />DESCRIPTION OF OPERATONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />RES Pom-g Af i ne <br />l __ _ _ <br />CERTIFICATE HOLDER <br />State t'li Tied Land Rec Lamat i Dn <br />1313 Sherman Street <br />Denver, CO 80203 <br />PERSONAL 8 ADV. INIURV E S , OOO , OOO <br />EACH OCCURRENCE $1 , 000, 000 <br />FIRE DAMAGE (Arty orre Ine) $ 5O) 000 <br />_ MED. E%PEN$E IAny ore personl $ ~ 1 000 <br />COMBINED SINGLE <br />$ <br />6/01/91 6/O1/92DM'T 1,000,000. <br />BODILY INIURY $ <br />Iper personl <br />BODILY INIURV $ <br />IPer acntlenp <br />Emp lDyers I~iutua L Ins Co <br />PROPERTY DAMAGE E <br />--~-~ EACH OCCURRENCE ~ ~-~ $ - -~ ~-- ~~ <br />AGGREGATE $ <br />STATUTORY LIMITS <br />EACH ACCIDENT $ <br />pISEASE-POLICY LIMIT $ <br />DISEASE-EACH EMPLOYEE $ <br />- _-._ -_ -. _. -- PUG 2 6 1991 - <br />Mined Land <br />CANCELLATION <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL ";O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />030321000 <br />acoRD z$-s 11/sol "ACORD CORPORATION 1990 <br />
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