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PERMFILE113860
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PERMFILE113860
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Entry Properties
Last modified
8/24/2016 10:10:02 PM
Creation date
11/24/2007 11:03:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984067
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
EXHIBIT 2 CERTIFICATE OF INSURANCE
Media Type
D
Archive
No
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i <br />~ /`S"'~'I"1`~° ~ /"1"'~ ~C"V' "`~" +~/^h"` 'ISSUE DATE (MM/DDM'1 <br />~ ~ ~ 3/24/87 <br />WOOdS InS LLranCe $erV1Ce, IRC. I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFCATE DOES NOT AMEND. <br />P.O. 'BOX 2430 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Farmington, NM 87499 <br />COMPANIES AFFORDING COVERAGE <br />rLETTERNY '~ Bituminous Fire and Marine Insurance <br />I COMPANY <br />CiSUPFp LETTER B <br />NY C <br />Peerless ResDUrceB <br />InD. LE?TEP <br /> <br />. <br />, <br />I, <br />1200 Florida Road <br />Durango, CO 81301 CETTERNV ~ I11AR 3 01987 <br />(~ COMPANY E FJIINED LAND <br />LETTER <br />~. ~.. <br /> <br />'HIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOP THE POLICY PERIOD INDICATED. <br />~OTWITHSTANOING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE IAAY <br />6E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CIUSIONS. AND CONDI- <br />TIONS OF SUCH POLICIES. <br />f COI <br />T"PE OF :.YSURANCE POLICY NUMBER ~:ULY EiEECTi:E LIABILITY LIMITS IN THOUSANDS <br />.~~r <br />y <br />+ <br />~ <br />, <br />LTR [ <br />E ~MMTXI/M <br />= <br />LVlA. <br />DCM9 <br />I EACH AGGREGATE <br /> OCCURRENCE <br />GENERAL LIABILITY ~ I <br />20C:Lv <br />l ~;•.+PREHeresrvE ~aRM I GL1244777 <br />P A I x 12/13/86 I 12/13/87 '^"'RY $ $ <br /> ~ <br />C <br />FREMISES/OP_RPTIOIIS <br />I <br />PROPERTY <br />D <br /> U>:OERGROUNO AMAGE $ $ <br /> E%PLOS;ON d COLLAPSE HAZARD '~ <br /> <br />I <br />X <br />FPODULTS/CONIPLETEO OPERAilONS i <br /> <br />X <br />CONTRACTUAL BI 8 PO <br />COMBINED $ <br />$ <br /> SOO, SOO <br /> <br />X <br />INDEPENDENT CONTRACTORS , <br /> BROAD FORM PROPERTY DAMAGE <br /> PERSONAL INJURY PERSONAL INJURY ~DD ~ <br /> n n <br /> A UTOMOBRE LIABILITY 3roLr <br /> <br />ANY AUTO MARY <br />IRA RPAWI $ <br /> ALL OWNED AUTOS IPPIV. PASS.1 90D1~ <br /> OTHER iHAN <br />ALL OWNED AUTOS ~ PgIV PASS. ~ VWRr <br />IPER iff10ENR $ <br /> HIRED AUTOS <br /> PROPERTY <br /> CON-0WNEO AUTOS I DAMAGE $ <br /> GARAGE LIABILIiV ~ <br /> <br />~ j BI a PO <br />COMBINED <br />$ <br /> EXCESS LIABILITY <br /> UMBRELLA FORM BI 6 PD <br />COMBINED <br />$ <br />$ <br /> OTHER THAN UMBRELLA FORM <br /> <br />' STATUTORY <br /> WORKERS <br />COMPENSATION <br />$ (EACH ACCIDENT) <br /> AND <br />Y <br />P <br />O <br />R <br />' <br />$ (DISEASE-POLICY LIMIT) <br /> EM <br />L <br />YE <br />S <br />LIABILn A <br />$ <br /> (DISE <br />SE-EACH EMPLOYEE( <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONBNEHICLES/SPECIAL ITEMS <br />Mining File IID-84-067 <br />Mined Land Reclamation Division <br />1313 Sherman Street. Room 423 <br />Denver, CO 80203 <br />Attn: John Doerfer <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br />PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 1D DAY~S~WRRiEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. BUT FAILU ~ MAIL SIjCH NOTICE SHALL IMPOSE NO OBLIGATK7N OR LIABILTY <br />OF ANV KIND ON HE CO 1Y^~sGENTS OR REPRESENTATIVES. <br />
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