IFICATE OF INSURANCE - 1VORKERS C01~7PENSATION 8r LIABILITY ONLY
<br />III IIIIIIIIIIIII III is issued as a matter of information only and confers no rights upon the eertificnte holder.
<br />999 foes not amend, extend or alter the coverage afforded by the policies listed below,
<br />Project Description Be~Location:. Ryan Job No. 5712, Permit for Grassy., G~a~ Coal Mine
<br />Ccrtificatc Holder: Colorado Department of Natural Resourc~Cand Reclamation Division,
<br />Address: 1313 Sherman St. , Denver, CO 80203
<br />Architect:
<br />Insured: Ryan Incorporated Central; Ryan Incorpdrated of Wisconsin, Box 206, Janesville, WI
<br />Agent: Cobb, Strecker, Dunphy & Zimmermann, Inc. AddressP702 International Ln., Madison, WI
<br />1VORKERS'
<br />Policy No. WC 60 050 93 85 Effective Date 9/30/88 Expiration Date 9/30/89
<br />Insurance Company Transportation Insurance Company Address Milwaukee, Wisconsin
<br />COVERAGE -Workers' Compensation, Statutory. Employers' Liability Llmlt
<br />$1,000,OOOEech Accident $1,000,000. Disease Policy Limit $1,000,000. Disease Employee Limit
<br />GENERAL LIABILITY
<br />Policy No. GL 00 050 93 83 Effective Date 9/30/88 Expiration Date 9/30/89
<br />Insurance Company Transportation Insurance Company Address Milwaukee, Wisconsin
<br />( )Claims Made (x) Occurrence ( )Owner's & Contractors Protective ( )Other:
<br />LIMITS:
<br />General Aggregate Limit (Other Than Products -Completed Operations) 51,000,000.
<br />Products -Completed Operations Aggregate Limit 51,000,000.
<br />Personal .& Advertising Injury Limit 51,000,000.
<br />Each Occurrence Limit 51,000,000.
<br />COVERAGE PROVIDED: YES/NO
<br />Operations Of Contractor es
<br />Operations Of Sub-Contractor(Contingent) yam,
<br />Does Personal Injury Include
<br />Claims Related To Employment? Yes
<br />Completed Operations/Products Yes
<br />Contractual Liability (Broad Form) Yg.~
<br />Exceptions:
<br /> YES/NO
<br />Govcrnmcntel Immunity Is Waived lid
<br />Property Damage Liability Includes:
<br />Damage Due To Blasting Yes
<br />Damage Due To Collapse e~_s
<br />Damage To Underground Facilities es
<br />Broad Form Property Damage Ygg,
<br />AUTOMOBILE LIABILITY
<br />Policy No. BUA 40 50 93 86 Effective Date 9/30/88 Explratloa Date 9/30/89
<br />Insurance Company Transportation Insurance Company Address Milwaukee, Wisconsin
<br />Any Auto (x) All Owned Autos (:Q Scheduled Autos (x) hired Autos (x) Non-Owned Autos
<br />LIMITS:
<br />Bodily Injury $ Each Person
<br />5 Each Occurrence -OR-
<br />Property Damage 5 Each Occurrcncc Combined Single Limit $1,000,000. Each Occurrence
<br />UMBRELLA EXCESS Likl~il.iTY
<br />Policy No. UMB 60 057 59 70 Effective Date 9/30/88 Expiration Date 9/30/89
<br />Insurance Company Continental Casualty Company Address Milwaukee, Wisconsin
<br />LIMITS:
<br />Single Limit Bodily Injury $5,000,000. Each Occurrence
<br />And Property Damage $5,000,000. Aggregate
<br />COVERAGE PROVIDED:
<br />Applies in excess of the coverages listed above for Employers' Liability, General Liability, and Automobile
<br />Llablltty.
<br />Are any deductibles applicable to bodily injury or property damage on any of the above coveregesl No
<br />If so, list. Amount 5
<br />AGENT CARRIES ERRORS AND OMISSIONS INSURANCEI YES
<br />Should any of the above described policies be cancelled before the expiration date thereof, the issuing
<br />company will mail 30 days written notJce to the parties to whom thiss ce~ate is issued
<br />et~~t--~ Bison-r.l+F1~ cousin On 9/28/88 g M li, Jl'
<br />~L~
<br />~ Y
<br />'""` "~ ~c~ ~ Authoriz d Insurance Representative
<br />SFP3U1988
<br />r,~ii~ro I_kNo
<br />
|