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GENERAL53086
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GENERAL53086
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Last modified
8/24/2016 8:38:45 PM
Creation date
11/23/2007 8:19:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
General Documents
Doc Date
5/12/1997
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABIL ITY INSURANCE III IIIIIIIIIIIII ~II <br /> ,9i97 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS ggg IN <br />The Linden ComQany ONLY AND CONFERS NO RIGHTS ~rvly I nt l.tH I IHICAiE <br />of Grand Junction, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. BOx 60130 ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. <br />Grand Junction CO 81506 COMPANIES AFFORDING COVERAGE <br />Janet Neil COMPANY <br /> A Employers Mutual Casualty Co. <br />Pnen, Nn. 970-245-8011 Fa, Np. 970-245-8016 <br />INSURED <br />COMPANY RECEIVFn <br /> B <br />SEM Construction CO. COMPANY May <br />C <br />~ ~ <br />MINREC, Inc. (ATIMA) Ilryl <br />~99~ <br />715 Horizon Drive, Suite 219 <br /> <br />Grand Junction CO 81506 COMPANY <br />p <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 ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY 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 BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER -POLICY EFFECTIVE POLICY EXPIBi.TiO:i LIMITS <br />LTA DATE IMM/DDIVVI DATE IMM/DDIYYI <br /> GEN ERAL LIABILITY GENERAL AGGREGATE 52,000,000 <br />A X COMMERCIAL GENERALLIABILrtY II 9X9086898 OS~lO~97 OS~SO~98 PRODUCTS COMP;OPAGG 52, QUO,OOO <br /> CLAIMS MADE ~ OCCUR PEfl50NAL & ADV INJURY S 1, QQQ, QQQ <br /> OWNER'SBCONTPACTOR'$PROT EACH OCCURRENCE S1, OOO, QQQ <br /> FIRE DAMAGE IAr1V one hrel 5 rjQ, QQQ <br /> MED EXP IAnv orre person) S 5, QQQ <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT 51, QQQ, QQQ <br />A X ANV AUTO 9X9086898 QS~1Q~97 QS~1Q~9B <br /> All OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTO$ <br />IPeI pcrspnl S <br /> ]( HIRED AUTO$ <br />BODILY INJUR\' <br /> <br />$ <br />NON-OWNED AUTOS <br />IPer acr,~rlentl S <br /> <br /> <br />I PROPEPTV DAMAGE S <br /> GAR AGE LIABILrtY AUTO ONLY EA ACCIDENT 5 <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCDENT 5 <br /> AGGREGATE 5 <br /> E%C ESS LIABILRY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE 5 <br /> OTHER THAN UMBRELLA FORM 1 5 <br /> WORKERS COMPENSATION ANp ' WC STATU OTH~ <br />rTOR\'LIMITS [R I <br /> EMPLOYERS' LIABILITY <br /> EL EACH ACCIDENT 5 <br /> THE PROPRIETOR/ <br />PARTNERS/E%ECUTIVE INCL EL DISEASE ~ POLICY LIMIT <br />- 5 <br /> OFFICER$ ARE E%CL EL DSEASE ~ EA EMPLOYEE 5 <br /> OTHER <br />DESCRIPTION OF OPERATIONS/IOCATIONSIVEHICLESISPECIAL ITEMS <br />RE: Blue Ribbon Mine - File No. C-81- 047 <br />Additional Insured: State of Colorado, Division of Minerals & Geology <br />•10 Da s notice due to nonpa ent of premium. <br />CERTIFICATE HOLDER CANCELLATION <br /> COLOMIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL MAIL <br />State of Colorado 3O•DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Division of Minerals & Geology <br />1313 Sherman Street, Room 215 <br />Denver CO 80203 <br /> AUTHORIZED REPRESENT E <br /> Janet Neil <br />ACORD 25-5 11195) ' ACORD CORPORATION 1986 <br /> <br />
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