My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL54625
DRMS
>
Back File Migration
>
General Documents
>
GENERAL54625
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:39:50 PM
Creation date
11/23/2007 9:41:29 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
General Documents
Doc Date
5/7/1997
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORD CERTIFICATE OF LIABIL ITY INSURANCE <br />~~I ~~~~I~~I~~~~~~I~ <br /> 97 <br />SE <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A R <br />The Linden ComEany ONLY AND CONFERS NO RIGHTS UPON THE CERT99Ca lE <br />of Grand Junction, 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 />Janet Neil COMPANY <br /> A EmPloyere Mutual Casualty Co. <br />PNPn. NP. 970-245-8011 Fa. Np 970-245-8016 <br />INSURED COMPANY <br /> B RECEIVED <br />SEM Cone truction CO. COMPANY <br />MINAHC, Inc. (ATIMA) C <br />715 HOri ZOn DrlVe, STllte 219 <br /> <br />Grand Junction CO 81506 COMPANv <br />p <br />COVERAGES Islon Ot Minerals LY .,c,,, <br />,, <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 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 />GD TYPE OF INSUIIANCE POLICY NUMBER POLICY EFFECTIVE POLICY C%PIRATION LIMITS <br />LTA DATE IMM/DDIYYI GATE IMM/DDJYYI <br /> GEN ERAL LIABILITY GENERAL AGGREGATE 52,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 9X9086898 05/10/97 05/10/98 PROOUCrs~coMPJOP AGG 52,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL !. ADV INJURY 5 1, OOO, OOO <br /> OWNEW58 CONTRACTOR'S PPOT EACH OCCURPENCE 51,000,000 <br /> FIRE DAMAGE IAny one Ivel 5 50, 000 <br /> MED E%P IArry' une per spnl 5 5, ODO <br /> AUT OMOBILE LIABILITY <br /> COMBMED SINGLE LIMIT 51,000,000 <br />A X ANY AUTO 9X9086898 05/10/97 05/10/98 <br /> ALL OWNED AUTOS <br />BODILY INJUP\' <br /> SCHEDULED AUTOS IPer permnl 5 <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON~OWNED AUTOS <br />IPer pcnpenU 5 <br /> <br /> PROPERTY DAMAGE 5 <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 <br /> ANY AUTO OTHEfl THAN AUTO ONLY: <br /> EACH ACCIDENT 5 <br /> AGGREGATE 5 <br /> E%CESS LIABILITY EACH OCCUPRENCE 5 <br /> UMBRELLA FOPM AGGREGATE S <br /> OTHER THAN UMBRELLA FOPM 5 <br />' WORMERS COMPENSATION AEID - ~YJC ST ATJ~ OTH~ <br />I ORS LIMITp EN ( - <br /> EMPLOYERS' LIABILITY <br /> EL EACH ACCIDENT S <br /> THE PROPRIETORI <br />PARTNERS <br />E%EC <br />TIVE INCL EL DISEASE POLICY LIMIT 5 <br /> / <br />U <br /> OFFICERS ARE: E%CL EL DISEASE - EA EMPLOYEE 5 <br /> OTHER <br />DESCRIPTION OF OPEIIATIONSILOCATIONSIVEHICLESISPECIAL ITEMS <br />RH: Blue Ribbon Mine - File No. C-81- 047 <br />Additional insured: State of Colorado , Division of Minerals & Geology <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 ENOEAV OR TO MAIL <br />State Of COlOrddO 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />Dlvisi On Of Minerals & GBOlOgy <br /> <br />1313 Sherman Street, Room 215 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />' <br />Denver CO 80203 OF ANY MIND UPO PANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED PEP SENTATIVE <br /> Janet Ne <br />ACORD 25-5 (11951 ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.