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GENERAL55160
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GENERAL55160
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Entry Properties
Last modified
8/24/2016 8:40:14 PM
Creation date
11/23/2007 10:05:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981039
IBM Index Class Name
General Documents
Doc Date
3/27/1985
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIIIIII ~'~~""~`~ <br />uERTIFICATE OF INSURANCE <br />Date March 27, 1985. <br />This is to certify that the following policies have been issued to: I~I~~ r ~ ~ "' <br />Name b Address of Insured Ryan Incorporated of Wisconsin and Ryan Inc. Central <br />P. 0. Box 206, Janesville, WI 53547 <br />Project Permit for Grassy Creek Coal Mining, Routt County, Colorado #5712 <br />WORKER'S COMPENSATION <br />Policy No. WC 1 054 607 Inception Date 4-1-85 Expiration Gate,5-1~_ <br />Insuring Company Bituminous Casualty Corporation __ <br />Coverage: Worker's Cumpensation - Statutory Employers Liability Limit: $ 100.000 <br />Locations Covered All States Endorsement Attached To Polic <br />COMPREHENSIVE GENERAL LIABILITY <br />Policy No. GL 1231492 Inception Date <br />Insurance Company Bituminous Casualty Corp 4-1-85 Expiration <br />oration Date 5-1-85 <br />Limits of Liability: <br />Bodily Injury Liability $ Each Occurrence Combined <br />$ Aggregate OR Single <br />Property Damage Liability $ Each Occurrence Limit $ 500,000 <br />$ Aggregate <br />Coverage Provided (Check Applicable Blank Yes No <br />Premises Operations x <br />Elevators, If Any x <br />Completed Operations/Products x <br />Blanket Contractual Liability to includ e coverage for "Hold Harmles s <br />Agreement" if such agreement is cont ained in the specifications <br />of subcontract, subject to policy te rms •. x <br />Personal Injury, Employee Exclusion Del eted x <br />Independent Contractors x <br />Employees as Named Insureds x <br />Broad Form Property Damage, Including C ompleted Operations x <br />Property Damage Liability covers: <br />Damage due to blasting x <br />Damage due to collapse x <br />Damage to underground facilities x <br />Broad Form liability Endorsement x <br />COMPREHENSIVE AUTOMOBILE LIABILITY: <br />Policy No. BA 1 360 790 Inception Date 4-1-85 Expiration Date 5-1-85 <br />Insurance Company BItUmInOLC Cacialry rnrn n r' <br />Limit of Liability: <br />Bodily Injury Liability $ Each Person Combined <br />$ Each Occurrence OR Single <br />Property Damage Liability $ Each Occurrence Limii$ 500,000 <br /> Yes No <br />Coverage is provided for operation of all - Owned Vehicles x <br /> Non-Owned Vehicles x <br /> Hired Vehicles x <br />
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