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GENERAL54756
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GENERAL54756
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Entry Properties
Last modified
8/24/2016 8:39:56 PM
Creation date
11/23/2007 9:46:59 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981015
IBM Index Class Name
General Documents
Doc Date
6/1/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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'f~ <br />III IIIIIIIIIIIII III ~'-,,~"~A' <br />F INSURANCE TMEg11ClPSpF3CRIfEDBE1DWAREfU61ECFTOE%fLD51ON5ANOT111VENFICATONOPI MpRNpAFPIpMAl1VELYNOR <br />999 NEGATfvELY AMENDS. EXTEND] OR ALTEIL%THE COVERAGES AND/OR E%CLU110N1 AFPORDPD RY OR (OMTAIN® IM (Alp FOIJClP3 <br />NAME AND ADDRESS OP AGENCY <br /> COMPANIES AFFORDHiG COVERAGES <br />Adams & Porter <br />510 Bering .Drive COMPANY A National Union Fire Insurance Co. <br />LETTER <br />Houston. Texas 77057-1408 <br />713/975-7500 COMPANY <br /> LETTER <br />NAME'~A~9p~1~J1~~mical Company mcludmg COMPANY <br />LETTER <br />American Shield Coal Company <br />P.O. Box 1636 COMPANY I/ <br />LETTER <br />Silsbee, Texas 77656 <br /> <br /> COMPANY E Division of rvluierais x Geology <br />LETTER <br /> <br />Thia lia m curdy alai pobcvA of InunnCC lulcd below bn been iswed to the inured rum above and ere in force al Ihia ume NawiNaMMing any rcgmrcmrnL term or mMihon of my corllnWl or <br />dhr drxumenl wiN rnpen to which this r<niGcau may be rowed or may pcraain. Ne maurance anorded by the pohacs drsrnled heron a sublal to all the urma, eacluslom and roMitiom of each policies <br />I <br />COMPANY <br />LETTER <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />roucY EFFECnvE <br />DATE IMMIDD~YYI <br />Pou[Y ExPIRAnoN <br />DATE IMM/DD/YYI <br />ALL LIMfiS IN THOUSANDS <br />~ <br />I GENERAL LIABILITY <br />GENERAL AGGREGATE s 2 OOO <br /> ® COMMFRCIrL GEN <br />F <br />A <br />AL LIAa11lTT a ~ <br /> " <br />yy <br />rr" <br />^ CIAIMI MADE L'l OCCURRENCE PRODUCTS~COMPlOfS <br />1 <br />000 <br />A ^ GL7708707 05-30-93 05-30-94 AGGREGATE , <br />, <br />s <br /> OWNERS! LYINTMRO0.1 PROTER1vE <br /> ^ PERSONAL b ADVERTISING <br />INIURY 1 000 <br />S a 1 <br /> <br /> <br /> ^ EACN OCCURRENCE f 1,000, <br /> <br /> <br /> ^ FIRE DAMAGE ZANY I FlREy S SO, <br /> ^ MEDIGL EXPENSE L <br /> <br />I ZANY I PFRSONI f s <br /> AVI'OMOTIVE LIABH.I7Y csL <br /> S <br /> ANY AUTO <br /> All OWNED AUTO] BODILY INIURY <br />S <br /> SCHEDULED AVmS IPER PERIONI <br /> HIRFn Atrt05 BODILY INIURY <br />f <br /> NON-0W NED AV}O.S <br />IPER ACCIDENTI <br /> GARAGE WBIIIIY PpOPERTY <br /> DAMAGE S <br /> EXCESS LIAan,rrY EACX AGGREGATE <br /> ^ OCCURRENCE <br /> ^ OTNER THAN OMBRELLA FORM <br />f <br />1 <br /> <br />' STATUTORY <br /> WORI(ERS <br />COMPENSATION <br /> f ICaCH AmDENf1 <br /> •AND <br /> <br />~' - <br />~ - <br />~S <br />' _ _ _ _ <br />~ 3 (DISEASE POIJCY LIMT <br />~ QsLPI.OYER <br />LIABSLfI <br />Y 1 IDISP YSE F.YCH EMPLOYEEI <br /> <br />I OTHER <br />DESCRIPTION OF OPERATIONSILOCATONSNFJIICLELRFSTRICT10N3/SPFLUL REMS <br />Restoration/Reseeding of approximate/y 7.8 acres in Section 30, Northeast quarter of Township 8 South, <br />ge 101 West (approximately 20 miles north of Fruita, Colorado). <br />I <br />Caxell~tioo: Should any o((~ above described policies be cancelled before the expiration dale thereof, the issu-~i-~n-~gg-~-~tour n will didiifa~€YrX <br />NQSmail days written notice to the below named certificate holder,M>Yi[liltlYrS~t~I1(iC~1GttdSi~~~~Il~X <br />F(bt SBiPl4N lOR Ndbi1 NX DaDwDX SFOY }iilyxv~] [dt d(a45~XdyX X <br />May 28, 1993 <br />NAME AND nDDRESS OF CERTIFICATE HOLDER. DATE ISSUED <br />i <br />i Colorado Mined Land -~ :~:. ~ \ <br />Reclamation Division .st%•,.,P.e;.,-, ~. ~/ "`~ <br />I <br />' 1313 Sherman Street, 2nd Floor AU fHORIZED REPRESENTATIVE <br />~ Denver, Colorado 80203 <br />aDRM IQTB <br />
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