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c~ctd <br />Y`/E RND PLORE$5 OF P:iENCY <br />Sleeping Giant Agency <br />~O. Box 772809 <br />eamboat Springs, ~ <br />OF <br />COMPANIES AFFORDING C04ERAGES <br />COMPANY e St. PaLLl <br />LETTER !l <br />80477 <br />COMPANY <br />EETTER <br />COMPANY ^ - <br />LETTER V <br />Consoliaated L LLe1 rJ I ~+C • L1~ COMPANY D <br />P.Q. Box 772067 LETTER <br />Steamboat Springs, N 80477. coMPANY E <br />LETTER <br />This is to certity that policies of insurance IisteO below have linen issued to the insured named aoove antl are m lorce at this time. Notwithstanoingony reQUiremenl, term or condlnon <br />01 any contract or otner tlocument with respect to which [his certificate msy be issued or may pertain, the insurance adorded by the pollees describeo herein .s subject to all the <br />tertrs. e%duslons and condniona of such oollCles. <br />PAN PoLI[r Limits of Liability in Thousands ( k <br />r <br />coM <br />LETTCR T'Y PE OF INSURANCE POI rCY NUMBER E%PIRAfION DATE EACH AGGREGATE > <br /> OCCURRENCE <br /> GENERAL LIABILITY <br /> <br />A <br />~cDNPREHEN5IYE FORM <br />CTC08300009 <br />7-1-85 to eoDlLr inJURY s <br />500 s <br />500 - <br /> ^ 7-1-86 <br /> PREMi5E5-0PERATIONS PROPERTY DAMAGE s i <br /> ^ ExpL05'On AND COLLAPSE LOO ZOO <br /> HAZARD <br /> ^ Vn DERGROUNO HAZARD <br /> ^ PPODUC iS'COMPL ETED <br /> DPEp ATIDNS HAZARD <br />^ BODIIY INJURY 4ND <br /> CDNTRA[TUAL INSURANCE PROPERTY pAMAGE S S <br /> ^ BROAD FORM PROPERTY COMBINED <br /> DAMAGE <br />^ INDEPENDENT CONTRACi0R5 ! <br /> ^ PERSONAL INJURY PERSONAL IN JURY S <br /> AUTOMOBILE LIABILITY BODILY InJURr <br />EACR PERSON <br />a 2SO y <br /> <br />A ~I~II <br />L1(CCMPREHENSIVE FORM <br />CK08300009 <br />7-1-85 ~ I <br />I <br />RODILY INIURY <br />f 5OO 1 <br /> <br />^ OwNEO <br />7-1-86 (EACH ACCIDENT) Ijl <br />, <br /> ^ HIRED pROPERTV DAMAGE S :j: <br /> <br /> <br />^ <br />BODILY INJURY IND E <br /> NON-0wNEO PROPERTY DAMAGE S <br /> COMBINED ~' <br /> E%CESS LIABILITY <br /> BODILY INJURY AND <br /> <br />A <br />® UMRAELLA rORM <br />583XB6539 o L.. <br />7-1-BS W <br />PpOPERTr DAMAGE <br />S 1,000 n <br />1,000 '.~~, <br /> ^ OiHER THAN UMBRELLA 7-1-86 COMBINED <br /> cOPM <br /> WORKERS' COMPENSATION ~ $rATUiORY .',; <br /> and <br /> EMPLOYERS' LIABILITY t s n <br />.e.r~.ce~ot+~~ y. <br />OTHER <br />I _ <br />- <br />OF OPERA i10N5/LOCATIONS,VEHICLES <br />Cancellation: Should any of the above described policies be cancelled before the a%pira[IOn date thereof. the Issuing com- <br />pany will endeavor to mail _~?_ days written notice to the below named certificate holder. but failure to <br />mail such noUCe shall impose no obligation or liability of any kind upon the company. <br />• +AMC AND ADDRESS Of CERTIFICATE HOLDER <br />~. David Shelton, Director Colorado <br />I Land Reclamation Division <br />j 423 Centenial Bldg. <br />1313 Sheanan St. <br />I Denver, ~ 80203 <br /> <br />DPTE ISSUED. <br /> <br />ilvF <br />t= <br />