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GENERAL53034
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GENERAL53034
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Last modified
8/24/2016 8:38:43 PM
Creation date
11/23/2007 8:15:48 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
7/26/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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aCl~i:~~. CERTIFICATE OF INSURANCE ISSUE DATE IMM/DD/YY) <br />7~1 ~~ ~.: <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />~ ^ , 9'P 1 : k J ~ me s O f NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />Tr: nn a 5.; e C • n f . EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />?. C'. BOX 19 ,1O <br />~;noxvi 11-~. TN 379^-? S10 COMPANIES AFFORDING COVERAGE <br />COMPANY <br />LETreR A Federal Insurance Go. <br /> COMPANY <br />B <br />INSURED/ LETTER <br />~ I <br />~ f -t <br />t <br />~ <br /> / COMPANY r <br />. <br />~y11111.ms Fork Company LETTER . <br />!~• J. BDX 187 <br /> COMPANY <br />D <br />Crdly L.O 316215 LETTER <br /> COMPANY E <br /> LETTER <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 MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION ALL LIMITS IN THOUSANDS <br />LTR DATE IMMIDD/YV) DATE IMM/DDIYY) 1l <br />1 GENERAL LIABILITY 71376280 7/10/90 7~20~91 GENERAL AGGREGATE E 2OOt~ <br />`( COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE( OCCUR. <br />OWNER'S 8 CONTRACTOR'S PROT <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AU70S <br />HIRED AUTOS <br />NON~OWNED ADTOS <br />GARAGE LIABILITY <br />E%CESf LIABILITY <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />OTHER <br />I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS <br />I CERTIFICATE HOLDER <br />.;olorado ;4ine Land fteclama pion <br />ivi~ion Attn: Tony Waldron <br />1:513 Sherman Street <br />lenvcr. CO 8005 <br />PRODUCTS-COMPIOPS AGGREGATE f 1 OOO <br />PERSONAL 8 ADVERTISING INJURY f 1 OO J <br />EACH OCCURRENCE E 1000 <br />FIRE DAMAGE (Any one fire) f 1 OO <br />MEDICAL E%PENSE (Any one person) f 1 /] <br />COMBINED <br />SINGLE f <br />LIMIT <br />BODILY <br />INJURY E <br />IPer person) <br />BODILY <br />INJURY f <br />IPer acclaenU <br />PROPERTY f <br />DAMAGE <br />EACH AGGREGATE <br />OCCURRENCE <br />E E <br />STATUTORY <br />f (EACH ACCIDENT) <br />E (DISEASE-POLICY LIMIT( <br />f (DISEASE-EACH EMPL01 <br />-3~t-' L : -~ C.:~ S~: <br />il'xla r~ L1 ~ ~ 'ir. U ;•. V1~ <br />JUL '~ `t :;L~ <br />MIP1r,:i LAIVL. <br />i rFy.l AA.1h Tl/1FJ Yir'n <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL1 J 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 ANV KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br /> <br />
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