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GENERAL55067
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GENERAL55067
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Entry Properties
Last modified
8/24/2016 8:40:09 PM
Creation date
11/23/2007 10:01:54 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
9/6/1996
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />999 .. ... .. .:.. .................:..::::. .::... .. ...'::5:::.::•....... ..::::f:: <br />-- <br />A\nl~~~~. <br />~~ <br />~ <br />,.::..:. :. : <br />~ <br />:. ...,... . .:.. ..:<?:~:~:?:Faf:':s::5::o::t:::,:~,.i3:`;:F;i: i:~i:~~:ii°"~i:,'s~:i:~..:. .. ,Y~ <br />F ss L L T R Y f BArz \..MIDWYYS t: <br />~ <br />.. <br />H a~F <br />i i1F .YIt ie?~ 11 <br /> <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aon Risk Sa rvicas of WA, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, E7fTEND OR <br />1420 Fifth Avenue, Suit• 1200 ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW. <br />Seattle, WA 98101-4030 COMPANIES AFFORDING COVERAGE <br /> CO~PANv <br />206-749-4843 A G eat No the n In u ane• Co. <br /> OoIVaNY <br />Basin Resources, Ina. B D~~rYC~~/~-r' <br />e/o Lise Dssting ~~AM' 4~' n <br />40 East Broadway C 6 ~9. <br />Butte, MT 59701 DoIPANY <br /> D <br />f. ,... f.::. R .:.:..::.:.:. ..:.::.:.:::::::..::::::.:.::.:::..:.::..:. <br />G , ...::..:.:.......R..::.:..: <br />:::.'~ .:: :...... ..................:..:..:...............................:..... .:.:.~............ ~...,..:~::~::.:~::.:::.:.. 1;.. . <br />..,:..,.:..:..:.................,.~.:..,...~.,.. ~....~...:.. , n.,R.... <br />,......... .. .,.. .. .. 9 <br />......F.~.b..f..~.........c.......e..w....... n..S~. Y.....L.R.R ]. h......~....~..Y'.:.::i:..?:9.:::a::L::::.:isC::~:.::.`::::::9~:.'.`:.9:~:i:: <br />T HIS IS T O CERT IFV T HAT THE POLICIES OFINSURANCE LISTED BELOwHA V E BEENISSUED T O T HE INSURED NAMED ABO VE FOR THE POLICY PERIOD <br />INDICATED. NO T W IT HST ANDINGANV REQUIREMENT, TERM ORCONDIT IONOF ANVCONT RACT ORO T HERDOCUMENi W IT HRESPECT T O W HICHT HIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERT AIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />Ex CLUSIONS AND CONDITIONS OF SUCH POLICIES. LMITS SH OWNMAV HAVE BEEN REDUCED BY PAID CLAMS. <br />~ TYPaef HCURANCC POLmY NYL®1 MDLkY VFEOT1Ye POLMIY [XPmAT LIMRa <br />Lrz DArz (YWDWYY) D1rz (YWOmYY) <br /> GEN ERAL LIABLRY OE IERAI AOOREOAIE { 2000000 <br />A X CAYIERC4LCEIEPALLIIBILIIY 37103596 9/01/96 9/01/97 PfN]OUCrscolv/aPA00 t 2000000 <br /> <br />. 0.AIY5 YAOE X^ occur PERSONAL a snv InAdiV { 1000000 <br /> X OWNER'S6CONIRAOIORSPROI EA0IOCQAaENCE t 1000000 <br /> FIRE DAYAOE (Arv/ w lira) t 25GD00 <br /> YED E7~ (An/ anA preen) t <br /> AYT OAIOeal LIABLIrY <br />COYBIIED BINDLE LIYU <br />f <br /> 4M' AU70 <br /> ALL OWNED AUiO$ BODILY INL.FiV i <br /> SCIfIXLED AUTOS ~° ~~) <br /> HIRED AUTOS BODILY INJIAiv <br />i <br /> NON-OWNED AUTOS (Pr eooidenq <br /> PROPERTY W WOE { <br /> <br /> OARADE l1AeLrtY AU70 ONLY ~ EA 4CCIOEN7 t <br /> <br />ANY AUTO <br />OVER THAN AUID ONLY: . ........ ... .. ... . <br /> <br />..... <br /> EACH ACCI(ENT t <br /> AOOREOAIE t <br /> [lleesi LIADLRY EAp10CLt1a1ENCE t <br /> UY3ELLA FORM AOOPEOAIE 1 <br /> OiIETi ONN UIEPELLA FORY f <br /> WORKm1FCOAVENLATMMI AND ~ <br />' SIAPJIORV LIMITS <br />..... <br /> CAeM.OYlRa <br />LIABLRY <br />EAQ1 ACCIDENT <br />1 <br /> ItE PRDFAIE70R/ INCL DISEASE - POLICY LIYII 1 <br /> PARiIERS/EXEp11IVE <br /> OFFICERS APE: E%CL DISEASE ~ EACH EIPLOVEE 1 <br /> otHm <br />Ra: Tha Nsw Elk Mins Permit 3C-81-012 <br /> ~~ <br /> sNOUD ANV ar THC Aeove orsaRam INa.mo re eAxonLm Ovole Txc <br /> owmATmY DArz TxmaoF. THC ewelo oowANr wu1Q~t~xq{Yu <br />State of Colorado 30 DarswxrtTOlYOTaeTOTxeaemrnArzxaLOrnYAYmroTHeLar, <br />Mined Land Reelemat ion Office ~~~{TR~+~~;~}~~,{~~~~j~},~}~x}~X <br />Attn: Joseph Dudash 1SftC7PiL)K1f0C7M101(7I8CX ,X07QCIIGC~(4C1f4{1d'J~i909[II0o7L <br />1313 Sherman Street, Room 215 250080 <br />De n v a <br />8 <br />0 <br />A <br />20 3 <br />. <br />~~ <br />. <br />. <br />. <br />. <br />.. <br />...~.:::: <br />::.:.:::::.::..:~ ~:,::,::.:::..::..:..,:.::.~.~ <.:.::.<..:::.;::..::..;:.::: <br />.: CLI 3S.:g.: =183.;>::.::<::>:.;:.::<.!.:::;:;::::~:::~~;;::;:..:~..:::~~:~:~~~:~::~:::~.~~.:r.:~;.:~;:::;:~ :::::::: .:::.::::.:~::::.:~:.:.:.-.::.:::.::~..,::..:. ..,:.:::.:,:..::..;::.:::;.;:::.::::.:::.:,:.:.:,,:.,.:,...: <br />:::::::::.::::.~::.~.:;:~:;.::.:::.:~::::::;:!;::::;;Ri'.:;'::;p::;?.:;::;;:::::':.<:;:TS;;::i'~R:.=.s:s::z. ~ ~::~.~ .. C!f.C.'.CS :: <br />1W1111~ <br />
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