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_GENERAL DOCUMENTS - C1981048 (2)
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_GENERAL DOCUMENTS - C1981048 (2)
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Last modified
11/2/2020 3:04:50 PM
Creation date
7/11/2008 2:25:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981048
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
PKA-9-440
Permit Index Doc Type
Reclamation Projects
Media Type
D
Archive
No
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DRMS Re-OCR
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Signifies Re-OCR Process Performed
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FROM : PARK AUENUE INSURANCE FAX NO. Jul. 16 1999 09:28AM P2 <br /> A CORD <br /> PHOOL;CER' .......,.. .1....,.. .. 2 v ; : DATE(MM/ '... <br /> THIS CERTIFICATE IS ISSUED AS q MATTER OF INFORMATION <br /> 8-733 ONLY AND CONFERS NO R1GIITS UPON THE CERTIFICATE <br /> PARK AVENUE INS FOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P 0 BOX 459 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br /> RATON NM 87740 COMPANIES AFFORDING COVERAGE <br /> COMPANY FEDERATED SERVICE INSURANCE COMPANY OR <br /> A FEDERATED MUTUAL INSURANCE COMPANY. <br /> iNsuaED 309 129 7 <br /> PURGATOIRE VALLEY CONSTRUCTION COMPANY <br /> 23478 HWY 12 B <br /> TRINIDAD CO 81062 COMPANY <br /> C <br /> COMPANY <br /> kz>4.....THIS IS TO CERTIFY .. r.<. ': sa �.3R,: s>x=•F ..yQ3k:< xiVkFtX <br /> x<a�,Fk#ilE>FIi?::.2.>::>:E�:L<3:<>f:x:i<:E' ! EYfi�of i2: i' <br /> THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED,NOTWITHSTANDING ANY REQUIREMENT, TERM OR 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 TCRMS. <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN.REDUCED BY PAID CLAIMS. <br /> T TYPE OF INSURANCE POLICY EFFEI:TrvE POLICY EXPIRATION <br /> LTR POLICY NUMBER LIMITS <br /> DATE(MM/DO/YY) DATE(nMM/DD/YY) <br /> GENERAL LIABILITY <br /> GENERAL AGGREGATE a 21000,000 <br /> X COMMERCIAL GENERAL LUIBWTY <br /> PRODUCTS-COMP/OP AGG 6 2,000,000 <br /> A CLAIMS MADE �occuR 624609 03/20/99 03/20/00 FERSONAL&ADV INJURY s 1,0)0,000 <br /> OWNER'S&CONTRACTOR'$PROT <br /> EACH OCCURRENCE a 1,000,000 <br /> FIRE DAMAGE(AnY Ono Ilse) 6 100,000 <br /> AUTOMOBILE LIABILITY MED EXP(Any one person) 3 55.000 <br /> X ANY AUTO . COMBINED SINGLE LIMIT 6 1,000,000 <br /> ALL OWNED AUTOS <br /> A SCHEDULED Auros 624609 03/20/99 03/20/00 BODILY person) 6 <br /> leer LY INJURY <br /> N <br /> X HIRED AUTOS <br /> X NON-OWNED AUTOS BODILY INJURY <br /> (Per accidont) = <br /> PROPERTY DAMAGE 9 <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY; <br /> EACH ACCIDENT S <br /> AGGREGATE a <br /> ExcEss LIABILtrr <br /> UMBRELLA FORM <br /> EACH OCCURRENCF a <br /> - <br /> S <br /> OTHER THAN UMBRELLA FORM ACCnEGATE <br /> WORKERS COMPENSATION AND a <br /> EMPLOYERS'LULLUUTY WC 5TATU- OTH- <br /> EL EACH ACCIDENT 6 <br /> THE PROPRIETOR/ ItuCl <br /> PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT -S <br /> OFFICERS ARE: REXCL <br /> OTHER EL DISEASE-EA EMPLOYEE S <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> Renew? (Y/N):_ r <br /> STATE OF COLORADO IS ALSO LISTED AS ADDITIONAL INSURED <br /> i41CtS>:�t'Y�.Qzt: S:' ;ok':>:k;';ae»:6z>j:§:Y,r<->.%�;�;��.w•:<.... <br /> a<.n.:�yD.• :g?!;;!.a.Y:k'.f'SStFR a z.x.as %'X.>d2'.•a>: 2 k,3','.• � bM�tIKi1L C "f{'��, >. RII'R3:3':•:.< f:t.k>FR:ii<�s$:ika�x kA:.;%Y;.%.%, ..>� f>2<,',! �i�f:s:i, <br /> :.fEs. )5.::"..:.._.._.:..��'k•:Y'm�r<.����=`:.:'��'.,f'� rkxaac;S.4EEiik3`,�`:i!';i"'•�;:` .�.e'�id>>�"s"`�`x:: :i:nf;:x;.: �S i3%i:r, ,,., <br /> •Y:'::... .<.w.' X:RF <br /> �..... <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> DIVISION OF MINERALS AND GEOLOGY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> 1313 SHERMANST. ROOM 215 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> DENVER, CO 80203 BUT FAILURE TO MAIL SUCN NOTICE SHALL IMPOSQ NO OBLIGATION On LIABILITY <br /> OF ANY KIND UPON T E COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> 7AUTHORCZED REPRESENTATIVE <br /> PROJECT--TRINIDAxxD^^ BASIN MINE PROJECT, PKA9-44 <br /> >�tE t4.,...a..y:. .�#& Ry?:yEtbklEX:�/IEs ftw&t <-.<_ - ...... ....... <br />
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