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<br /> PRODUCER 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br /> Neil-Garing Agency, Inc. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br /> P.O. BOX 1576 POLICIES BELOW.
<br /> ................................. ......................................................
<br /> Glenwood springs, CO 81602-157 COMPANIES AFFORDING COVERAGE
<br /> (303) 945-9111
<br /> :..................................................................................................................................................................
<br /> COMP
<br /> LEA A Hawkeye-security Insurance Co.
<br /> .................................................................................................................................................................
<br /> _.................._.........__............................ cOMPANY B
<br /> INSURED
<br /> .....................................................................................................•-...........................................................
<br /> Dirt N Iron, Michael Frisk dba COMPANY C
<br /> & Jerry's Excavating .................................................................................................................................................................
<br /> 1417 326 Road OOMPANY p
<br /> Silt CO 81652 LETTER
<br /> COMPANY E
<br /> LETTER
<br /> .:
<br /> :...... .. ............ ......:.---�<.,<v�::.}:;t-}:,•}:;•}::•::::::::::.:.::::::.,.:-:....•:.,.:::.,-. .. .,.::::.;....::•-------........---- .�::z.:•<••;><rtt{:'::<tf}:.};:::::<••}::}:.}::::::>:z<s::<}:;.
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<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> IND!CATED, NOTWITHSTANDING ANY REQUIREMENT, TERV. OR CONDITION OF ANY CONTRACT OR OTHER DOCUMaff W!TMI PESP£CT TO WH!CH 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 /> ..............................................................................................................:.......................•...............................T..................--................................................................................................
<br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPRATION Lam
<br /> DATE (MMIDO" DATE(MM�ODIYY)
<br /> :..................................................................% ...............................................................:.................................:.................................;................................................,...................................
<br /> A cENERAI LIABUTY GENERAL AGGREGATE s 1 0 0 0 0 0
<br /> ...............................................;...........t.............c........
<br /> $ COMMERCIAL GENERAL LIABILITY PP 064357 PRODUCTS COMPIOP AGG. s 1,000,0C
<br /> PERSONAL a ADV.IN MIRY s 1 0 0 0 0 C
<br /> ;:.::.::::;<: CLAIMS MADE ; $ OCCUR
<br /> :.::::::::......... ?05/15/9 3 : O S/ 15/9 4............................................. .....................�........
<br /> OWNERS a CONTRACTORS PROT. : : EACH OCCURRENCE s 1,000,0C
<br /> ................................................:..................................
<br /> .
<br /> l FIRE DAMAGE(Any one ke).... _...............`'T.�.�.�.�
<br /> f.. ..
<br /> MED.EXPENSE(Anyone pemn):S 5,0 C
<br /> >..................................................................:.........................................................................................................................................................-•---.................----.........................................
<br /> AUTOMOBILE tlABatIY COMBINED SINGLE
<br /> } ANY AUTO.
<br /> LIMIT s
<br /> ALL OWNED AUTOS GODLY tUUFiY
<br /> (Per Person)
<br /> :SCHEDULED AUTOS
<br /> .......................................... ................................
<br /> -HIRED AUTOS BODILY
<br /> eo :s
<br /> NON-OWNED AUTOS :(Per e
<br /> :....................................................................................
<br /> {GARAGE LIABILITY
<br /> ........ PROPERTY DAMAGE E s
<br /> .....o........:.........................................................:....................................................................................................i.
<br /> ;EXCESS LIABILITY :EACH OCCURRENCE :s
<br /> }........,UMBRELLA FORM AGGREGATE............... 5
<br /> i OTHER THAN UMBRELu FORM .
<br /> .................................. ....... .. ........ ............ ...........................................
<br /> WORKM COMPENSATION STATUTORY LIMITS
<br /> :.......................................:.::..:.,...::...::.::.::.::.::...
<br /> AND EACH ACCIDENT s
<br /> ................................................................. ..............
<br /> DISEASE-POLICY LIMIT :s
<br /> EMPLOYERS'LIABILITY ........................................... .. ...................................
<br /> DISEASE-EACH EMPLOYEE S
<br /> ............................................... :........ .... ...............:.......... < .. ........................................ ............ ...............
<br /> :OTHER
<br /> RECEIVED
<br /> .............................................. . .................;...................................................................:.................................:..... ........................................................................................................
<br /> DESCRIPTION OF OPERATM&IOCATION&MV1111CLE&SPECIAL ITELIS
<br /> Certificate Holder is Additional Insured. Juu25.10
<br /> DIVES)—td OF
<br /> :..................:....... . .......
<br /> >c SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
<br /> MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br /> State of Colorado Dept. of Nat Res ? LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
<br /> Maggie van Clief <::> LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
<br /> 1313 Sherman Room 215 ; AUTOO REPRESENTATIVE
<br /> Denver CO 80203
<br /> 6.6
<br /> A: 0
<br /> N::>4
<br />
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