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I <br />1111111k <br />THIS CF-Rr.FCAT'- IS 14op D AS A MATTER OF ON AND <br />13 _ �,:Cl;.73 _� <br />Co , __ HOLDEFL - jriiS <br />DOES NOT A-MS?410, 7-=ND OR AL =? THE COVERAGE AFFORDED By <br />POL:C:SS 3ELOW. <br />THE SWALFS AGENCY <br />2860 S CIRCLE 02108 <br />COMPANIES AFFORDING COVERAGE <br />COLD SPGS CO 80906 <br />. ... ....... ............. .. . .......... . .......... .. .... . ...... . .. . .. . . ......... ... . .... . . .. ..... ... .. .... <br />C LE C # P FR wr A <br />HAWKEYE SECURITY <br />.......................... .. . ... ....... .. . .......... ... . . ..... ... .. . ... . ....... .......... . . <br />........... ... . . ........... . .... .......................................................................................... <br />......... ...... ...... ..... <br />COMPANY <br />ViSURED <br />LETTER <br />................................. ................. <br />. ........................ . . ...... ....... ................................... ...... ..... . . . ... <br />COM P ANY <br />c <br />AZCO CONSTRUCTION INC <br />LEITER <br />2055 HWY 50 <br />........ ............................................................. ... <br />c 0 M P MY <br />PENROSE 81240 <br />'E'ER .............................................................................. ........... ................................... <br />......................... ... <br />COMPANY E <br />LETTER <br />COVERAGES <br />11-118 is TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TH INSURED NAMED ABOVE .: FOR . THE Poucy PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR <br />CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />....................................................................................................................................................................................................................... <br />Do <br />LTR: TYPE OP 1111111111RANCK POLICY <br />......... . ................................................................ <br />POW, EPPECTNE POLLY 93PMIIM <br />OATS (MIAOWM DATE IMIAIDDITY) Lmm <br />A GEMERAL, LUMILITY HAL204921311 <br />.11/09/91 11/09/92 GENER R . A . L AGGREGATE .31 0 0 <br />........ / .... 000 <br />X . COMMERCIAL GENERAL UMUUrf <br />.......... ......... <br />............ <br />PRODUCTS-COMPQP A" 2 1 0 0 <br />CLAIMS MADE: X : DOOM. <br />.................. . <br />...... ..................................... ........ .. ... <br />f.lq9.o.f.j0 <br />PERSON & ADV. "JURY al 000, 000 <br />. . . . . . .. . r <br />OWNERS & COMPAC PROT. <br />.......... <br />. ........................ ................. .. ..... <br />EACH OCCURRENCE. <br />$1 <br />. . .. . . . .................................. ... /.. ... .....-9. <br />.......... .................................................... <br />FREDAMAGE(Amr"livi 350 000 <br />MED. DIPINSE (AM HMIP o.vu 35,000 <br />AUrOGIOGM LIABILITY <br />.......... <br />COMBINED SINGLE <br />ANY AUTO <br />LIMIT <br />ALL OWNED AUTOS <br />......... ........ ............................... ................................ <br />......... <br />BODILY INJURY <br />3 <br />SCHEDULED AUTOS <br />(Pw <br />HIRED AUTOS <br />.................................................................... .. . <br />.......... <br />BODILY INJURY <br />s <br />NON-O"ED AUTOS <br />.......... <br />IPA 800doM <br />GARAGE UASILMY <br />....... . ..................................... ................................ . <br />PROPERTY DAMAGE s <br />EUZSS UA$LrrY <br />EACH OCCURRENCE 3 <br />UMBRELLA FORM <br />......... <br />........................................................... . <br />AGGREGATE 3 <br />OTHER THAN UMBRELLA PORIIII <br />.. . ..... ... . . ... ........ ........ . ..... ... ........ <br />WORKER'S COMPIDULATION <br />STATUTORY LIMITS <br />AM <br />EACH ACC=ENT 3 <br />...... . .. . . ............................ <br />EMPLOVERSP LUMMUrY <br />...................... ...... <br />0 . I . S. . E . A . BE P . 0 . L . IDY . . ULU r 9 <br />. ............. .... .................. <br />DISEASE-EACH EMPLOYEE 3 <br />OTHER <br />DESCRIPTION OF OPEMIMNSLOCATWOWWWEMCLESNOICLAL ITION <br />ADDITIONAL INSURED STATE OF COLORADO <br />REFERENCE: POVERTY GULCH/GOLD HILL <br />CEMIFICATE HOLDER.. ... . . :. . . � <br />� :. TIO <br />ADDITIONAL INSURED: <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE <br />EDGAR T HUNTER <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70 <br />3 0 <br />PIKES PEAK MINING COMPANY <br />MAIL DAYS wnrrrr:N NOTICE TO THE CERTIFICATE HOLDER NAMED TO E <br />PO BOX 191 <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />.l IfY OF ANY 'UND UPON THE COMPANY, TS AGENTS OR REPRESENTATIVES. <br />VICTOR CO 80860 <br />Z <br />i' jZAITNE RANSI E GEE <br />-OACORD CORPORATION IW <br />