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11929702/2,03592 :P20 /001 <br /> r CERTIFICATE OF INSURANCE <br /> issued by the <br /> COLORADO COMPENSATION INSURANCE AUTHORITY <br /> 720 South Colorado Blvd, Denver, Colorado 80222, (303) 782-4000 <br /> CERTIFICATE HOLDER: <br /> DIRK AND IRON <br /> ATTN MAX <br /> 1417 32 6 RD. <br /> SILT CO 81652 <br /> TO WHOM IT MAY CONCERN: <br /> This is to certify that this company has issued a Standard Workers' Compensation and Employers' <br /> Liability Policy as described below covering the liability imposed upon subject employers by the <br /> Workers' Compensation Act of Colorado, said policy being in good standing as of this date. <br /> POLICY NUMBER: 220359-2 07/02/1992 <br /> POLICY PERIOD: 04/01/1992 TO 04/01/1993 <br /> INSURED: PAYROLL PRINCIPALS INC. <br /> 201 CENTENNIAL ST STE 107 <br /> GLENWOOD SPGS CO 81601 <br /> ORIGINAL EFFECTIVE DATE: 04/02/1990 <br /> (" SEE BACK OF CERTIFICATE FOR CLASS COVERAGE AND OWNERSHIP COVERAGE DETAIL. ") <br /> IMPORTANT: THE COVERAGE DESCRIBED ABOVE IS IN EFFECT AS OF THE ISSUE DATE OF THIS CERTIFICATE. IT IS <br /> SUBJECT TO CHANGE AT ANY TIME IN THE FUTURE. <br /> All policies are subject to the following provision of the Workers' Compensation Act with respect to <br /> cancellation: <br /> Section 8-45-113. If any employer shall be in arrears for more than thirty days in any payment required <br /> to be made by him to the Colorado Compensation Insurance Authority as provided by this Act, he <br /> shall by virtue of such arrearage be in default of such payment and any policy issued to him by said <br /> Authority shall thereupon be cancelled without notice as of the effective date or renewal date of said <br /> policy. <br /> COLORADO COMPENSATION INSURANCE AUTHORITY <br /> ,H"KGN E NCOERN0I7 C.A.U. REP 1 (505) 782-4010 <br /> UPDATED 02/92 P267-01 <br />