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GENERAL54179
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GENERAL54179
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Entry Properties
Last modified
8/24/2016 8:39:29 PM
Creation date
11/23/2007 9:15:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
General Documents
Doc Date
1/17/2006
Doc Name
Certificate of Insurance Faxed
From
AON Services
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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"RN-17-2006 17 49 RON RISK SERVICES <br />P.03i03 <br />_.~chment to ACO~b Certificate for Nxc Aegnisit;Dn, uc <br />...a :stns, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the <br />!.~~sye afforded by the insurer(s). This a[tachment does not contain all [erms, conditions, coverages or exclusions contained in the <br />ry. <br />Sato <br />:' Acquisition, lLt <br />,q2d County Road 120 <br />..esperus eo 81326 usA <br />'_17I)ITIONAL POLICIES <br />If a policy below dots n <br />INSURER <br />INSURER <br />lNSURP,R <br />MSVRER <br />INSURER <br />of include limit information, refer to the corresponding policy an the ACORD <br />certificate form for policy limits. <br />i <br />~ ~ <br />~ ADD'L <br />WSRD <br />~ 7YPE OF WSURANCS PoLI[YNUmelue <br />POWCY DYSCRIrTON rOL1CY <br />YlroeCrlYx <br />-AT8 roWCY <br />RILPIRAtION <br />-ATC <br />LIMITS <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br /> <br /> <br /> <br />DCtSCpIPitON OP US'P.MTIONS/LDCATWNS/V[]UCLES2XCLVSIONS ADDED aY 6NDDR5@.1®VTRPaC1ALPROMSIONS <br />Re: OSm Permit CO-OlOlA; COmB Permit C-81-035• <br />Division of minerals and Geology is named as an 4dditional Insured as required by written contract hue <br />limited to the operations of the Insured under said Contract, and always subject to the policy terms, <br />conditions and exclusions. <br />cancellation drovisiorK shown herein is sub"ect co shorter or longer time periods depending on the <br />jurisdiction of, and neason for, the cance~latian. <br />Certificate No : ~ 57tX716345865 <br />
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