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GENERAL55098
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GENERAL55098
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Entry Properties
Last modified
8/24/2016 8:40:11 PM
Creation date
11/23/2007 10:03:36 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1989074
IBM Index Class Name
General Documents
Doc Date
3/7/2003
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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NAMEp LVSUREG. Ab1ERICAN CIVIL CONSTRUCTORS, hC. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -OWNERS, LESSEES OR <br />CONTRACTORS {Form B) <br />Th:S endorsement modifies !nsura~tce provided under itte Following. <br />C;iMMERCIAL GENERAL LIA81LfTY COVERAGE PART. <br />Name of Person or Organization: <br />.~iCHEDULE <br />Ftimrock Mine <br />Re: Permit t{.C-89-U7A <br />rlf no entry appea^: above, inforrc~aticn required !o complete this endorsement H~01 be shown in the <br />Declaraticnc a5 applicable to Ns encorsement.j <br />we0 IS AN INSURED (Sec4on Ip is a.nlenced to !nClude as an in51'ed the Gerson or crganizaiion <br />shown in tt~e Schedule, but o!.7; with respect .o IiaoiGty arising out of "your work" for that insured by or <br />ror you. <br />Primary Insurance: - <br />It is further agreed that such insurance as is afforded b this policy for the benefit of the <br />above ArJdi'.ional Insureds) shall be primary insurance as respects arty claim, loss or <br />Ir-ob~lity arising out of the Named Insured's operations, and any ocher insurance <br />maintained by the Additional Insured(sj shat) je excess and non-contributory with the <br />insurance provided hereunder. <br />CG Z~ ? 0 t t B5 Copyright, Insurance Ser;icas Uffice, Inc., 1984 <br />
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