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ACORD CERTIFICATE OF LIABILITY INSURANC III IIIIIIIIIIIII III (MM/DOM'7 <br /> /30/00 <br />PRODUCER THIS CERTIFICATE IS ISSUED I 99y ION <br />~ <br /> I ., vrvly I n~ vin I Ir IL.N I t <br />ONLY AND CONFERS NO RIGH <br />Blanchard Insurance Group Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand Junction CO 81506 COMPANIES AFFORDING COVERAGE <br />Eileen A. Blanchard COMPANY <br />A Employers Mutual Casualty Co. <br />Pnone No. 970-245-8011 Fax NO 970-295-8016 <br />INSURED COMPANY <br /> B <br /> COMCPANY I II IA1 O ~ /000 <br />~JU1' L <br />SEM Construction Co. <br />715 Horizon Drive, Suite 219 COMPANY <br />Grand Junction CO 81506 D Division of Minerals 8 Geol <br />COVERAGES <br />THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTA TYPE OF INSURANCE POLICY NUMBER PDATE (MM/DD/WI POATE (MM/D ADM')N LIMRS <br /> GEN ERAL LIABILRV GENERAL AGGREGATE f 2 , OOO , OOO <br />A X COMMERCIAL GENERAL LIABILRY 9X9086801 OS/10/00 OS/10/O1 PROOUCrs~coMP/OP AGG s2,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY f 1 , OOO , OOO <br /> OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE f 1 , OOO , OOO <br /> FIRE DAMAGE (Any one Rra) f 100,000 <br /> MED EKP (Any ona person) f 5 , 000 <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT f 1 , DDD , DO D <br />A X ANY AUTO 9X9086801 O5/10/00 05/10/01 <br /> ALL OW NED AUTOS BODILY INJURY <br />f <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br />f <br /> X NON-OWNED AUTOS (Per accitlent) <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT f <br /> AGGREGATE f <br /> E%CESS LIABILITY FACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM _ f <br /> WORKERS COMPENSATION AND TORY LAM TS OER <br /> EMPLOYERS LIABILRY <br />EL EACH ACCIDENT <br />f <br /> THE PROPRIETOR/ INCL EL DISEASE -POLICY LIMIT f <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: E%CL EL DISEASE - EA EMPLOYEE f <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />Re: Hlue Ribbon Mine - File No. C-B1-047 <br />State of Colorado, Division of Minerals 6 Geology is included as an <br />Additional Insured. *10 Days Notice Due To Non-Payment O£ Premium <br />CERTIFICATE HOLDER CANCELLATION <br /> COLOMIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />State o£ Colorado EXPIRATION GATE THEREOF, THE ISSUING COMPANY WILL MAIL <br />D].Vl SI.On of Minerals S Geol Ogy 3O• DAYS WRNTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 Sherman Street, Room 215 j~~~p.~XC7P6~By~A1~OS7fdG149yXBG]~7C ~ <br /> <br />Denver CO 80203 " <br />(/ <br />~sswcv~cDaxomo~xowwmxDSx~xacmaa>sxasctrw,aovESCx (JJ,~, <br /> p <br />AUTHORIZED REPRESENTATIVE ~ / <br />G <br />/ <br /> // <br />/ / <br />n <br />, / <br />Eileen A. Blanchard'L~``L/~°~1/, ~L~'-L """'~~ <br />ACORD 25-5 (1/95) ACORD CORPORATION 1988 <br />