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09/03/2004 08:30 PEOPLES INSURANCE 4 13038328106 <br />ACOM CERTIFICATE OF <br />PRODUCER (719) 544-1311 FAX (719) 5d5- <br />Peoples Insurance Agency, LLC <br />P 0 Box 8210 <br />Pueblo, CO 81008 <br />INSURED Cat' S BacKnoe zervice <br />OBA: Randy & Cathy Maulin <br />486 East Gentry Drive <br />Pueblo West, CD 81007 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN <br />ANY REauiW -MENT. TERM OR CONDITION OF ANY CONT6 <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIO <br />POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN A <br />SR TYPE OF INBURANCE POLIO! <br />N 2V <br />GENERAL LIABD.TTY <br />x COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE a OCCUR <br />a <br />GEML AGGREGATE UW APPLIES PER: <br />POLICY J LOC <br />AU70h10BIL8 UABIUTY. <br />ANY AUTO <br />ALL OWNED AUTOS <br />A x SCHEDULED AUTOS <br />HIRED AUTOS <br />NON-OWNED AUTOS <br />GAR=B uABIUTY <br />ANY AUTO <br />EMESSNMSRELLA UABILRY <br />7 OCCUR F I CLAIMS MADE <br />DEOUC ISLE <br />RETENTION a <br />WORKERS COMPENSATION AND <br />EMPLOYERV LW9ILRY <br />OFFRCEWMEMEM EIMLUDE?U7 ?mVE <br />O <br />LIABILITY INSURANCE <br />n9R? HIS CERTIFICATE DOES wPqdm <br />NOT <br />INSURERS AFFORDING COVERAGE <br />IN3URERA: Colorado Casualty I <br />INSURER 8! <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />NO. 402 D01 <br />DATE fMMM01rryY) <br />09/02/2004 <br />FORMATION <br />IFICATE <br />E(TEND OR <br />rlES BELOW. <br />I NAIC p 1 <br />ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAIVUIN <br />ACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />EDUCED BY PAID CLAIMS. <br />EACH OCCURRENCE <br />DAMAGE TO RENTED S 1 F10o 00 <br />s 50,0001 <br />MED w (Any ene psyw) $ 5,0001 <br />PERSONAL 8 AOV MUR'r S 1,000100 <br />GENERAL AGGREGATE S 1,000.00 <br />PRODUCTS - COMPIOP AGG S , 000, <br />COMBINED SINGLE LIMIT 5 <br />(Ea aooldeng <br />BODILY INJURY S <br />jPwr pe-n) <br />BOOILYIN.IURY S <br />(Per mideM) <br />PROPERTYDAMAGE S <br />(Per =1&0q <br />AUTO ONLY - EA ACCIDENT S <br />OTHER THAN EA ACC S <br />AUTO ONLY: AGG S <br />FACE OCCURRENCE S <br />AGGREGATE S <br /> S <br />E.L. EACH ACCIDENT 5 <br />E.L DISEASE - EA EMPLOY S <br />E.L DISEASE- POLICY LIMIT S <br />?onis nwm <br />e o asGatatio of YIN "sureldundergeneral liability. <br />o Ora I <br />I <br />Colorado Div of Minerals & Geology <br />Attn: Gary Curtiss <br />SHOULD ANY OF THU AnOVC OCaGRroov Fu6-1cv <br />EXPIRATION OATH TNEREDF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />10 DAYS WRITTEN NOTICE TO THE CERTIFICATC HOLDER NAMED TO THE LEFT. <br />OUT FAILURE To MAIL SUCH NOTICE SMALL IMPOSE NO OBUDATION OR LIA®ILITY <br />... ............ „Gnu -rue wel ia= ITQ ApCYT'G nQ GCOQPrR?NTOTIYFA