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ISSUE DATE (MM/DD/YY) <br /> C E R T I F I C A T E O F I N S U R A N C Ein 06/04/92 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br /> NEIL-GARING AGENCY, INC. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br /> P. 0. Box 1576 <br /> Glenwood Springs, CO 81602 COMPANIES AFFORDING COVERAGE <br /> (303) 945-9111 COMPANY Hawkeye Security Insurance Co. <br /> LETTER A <br /> INSURED COMPANY <br /> LETTER B <br /> Dirt N Iron, Michael Frick dba & COMPANY <br /> Jerry's Excavating LETTER C <br /> 1417 326 Road COMPANY <br /> Silt, CO 81652 LETTER D <br /> COMPANY , <br /> LETTER E I <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTACT 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 HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO^. POLICY POLICY <br /> L'.. I TYPE OF INSURANCE P^.L':Y NUMBER C'FCC':4- EXPIRATION LIMITS � <br /> DATE DATE <br /> GENERAL LIABILITY GENERAL AGGREGATE IS 1 000,000 <br /> I A PP 064357 ( 05/15/92 05/15/93 PRODUCTS-COMP OPS AGGREGATE S 10 I <br /> [XI COMMERCIAL GENERAL LIABILITY PERSONAL & ADVERTISING INJURY $ 1 0 i <br /> [ ] CLAIMS MADE [X] OCCUR. EACH OCCURRENCE $ 1 000,coc , <br /> 1 [ ] OWNER'S & CONTRACTOR'S PROT.I I FIRE DAMAGE (Any one ire) <br /> I[ ) I MEDICAL EXPENSE(Any one person) S 5,000 <br /> j I AUTOMOBILE LIABILITY I COMBINED SINGLE I I <br /> i I I EX] ANY AUTO <br /> $ 1 O(10,OOO <br /> I , - � <br /> ."+ J ALL OWNED AUTOPPO64357 05/1./? OS:J:/93 BCOILY INJURY <br /> IE <br /> [ J SCHEDULED AUTOS (Per person)[ J HIRED AUTOS <br /> [ J NON-OWNED AUTOS BODILY INJURY ' <br /> [ J GARAGE LIABILITY (Per accident) S <br /> I[ ] <br /> PROPERTY DAMAGE I I <br /> I$ <br /> EXrFcc LIABILITY I I EACH OCCURENCE �S <br /> ![ JUmbrella Form I AGGREGATE <br /> [ ]Other Than Umbrella Form <br /> WORKER'S COMPENSATION STATUTORY LIMITS i <br /> I AND I EACH ACCIDENT <br /> EMPLOYERS' LIABILITY I DISEASE - POLICY LIMIT S <br /> DISEASE - EACH EMPLOYEE is ' <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> Vehicles: 1977 Dodge PU 1965 Hyster Lowboy <br /> 1990 Chev PU 1991 Skamper Camper Trlr <br /> 1981 Freightliner Tractor <br /> i <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> STATE OF COLORADO EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> DEPT. OF NATURAL RESOURCES MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE j <br /> ATTN: MAGGIE VAN CLIEF LEFT, BUT FAILURE TO MAIL SUCH TICE SHALL IMPOSE NO OBLIGATION OR <br /> 1313 SHERMAN ROOM 215 LIABILI OF NY KIND UPON THE , ITS AGENTS OF REPRESENTATIVES. <br /> DENVER CO 80203 <br /> AU ZED EPRESENTAT V <br />