My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2008-05-09_REVISION - C1996084
DRMS
>
Day Forward
>
Revision
>
Coal
>
C1996084
>
2008-05-09_REVISION - C1996084
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 3:31:26 PM
Creation date
5/12/2008 10:15:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
REVISION
Doc Date
5/9/2008
Doc Name
Application Letter, Public Notice and Certificate of Liability Insurance (No Application)
From
Peak Project Management
To
DRMS
Type & Sequence
SO2
Email Name
KAG
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
<br />ACVRD OP ID D[If <br />CERTi~ICATE ~F LIABILITY INSURANCE n_z ~~ Ir~-oorrrrTl <br />oa 1s os <br />_ . THIS CERTIFICATE 1s tssu>:D AS ~ MATTER of INFORAIATIOw <br />w~aex~R OlILY AN4 CONKERS KO RIpHTS tlpON THE CE.R[tEiGATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />Puta>~ ~~ ALTER THE COVERAt~E AFFORDED BY THE POLICIES BELOW. <br />p0 BOS 9 41 <br />A9hlaud RY 41105 NAIC 4 <br />phoae:606-3Z9-3100 Tex:606-335-7757 INSURER3AFFOiC11N000YEltA~sE <br />.~,„„ IN8U~2 A: 1~'ederAl. _ ZaA . Ca . Z 02 81 <br />Mea S7. CO . LLC ~ <br />Lor®n~c~~t~,oo 1~C~~a~Y 1~ g191~Eac: <br />1~20~l~>1~a9.n 9Ct~reet <br />Good and 8S 67735 ~ <br />ANr lrerr, Te:RSt aR aoNDrrloN OP AAnr contw-cT~ ott+f~tooar~rwm+ REyECf TO wwat fl11s CERTlF1CAT6 wY ~ oR <br />YAYPBifAT1~~R19UMN~AFFOPf~e1/TNEPDI.K~E9bl/IB1~LSffi181~CTTO/1LLh0.'.~_ ~QFSttCM <br />POIJC168.INi011E01-tE LaNi'!! 8NOYMN OAAYlfAYE BEBO Piiot>C~7 BY pA1DCLA11N9. <br />-- -_ __.___W.s..-.- fOLSCY O~ TB URtTB <br />OQ1>aw. t~111811JTY <br />A ~ ~wEpCw.c001r3~I.W' 3711-14-56 <br />cu-we uAOE ~ oocuR <br />r~A~1-T~ulrrrnr~s ~ <br />~~,n n~nC <br />AuTOrs~ed.~ uAen~ <br />ANr AUfo <br />Au, owru~~utas <br />yc~oUlfiDAU7Os <br />~ AUTDS <br />t~oN.owe~AUtae <br />OARAG8IJA81LIiY <br />AMr A1I10 <br />E~ UA86.lTY <br />OCCUR ~ CU-fwM19 (~ <br />D~TIBLE <br />_...-1.~=-~.-. S _ <br />yYOR1031S 1901f~N98T~ AND <br />n~ <br />oslos/os~ ozloe/o4 <br />EAC~iOC>= s 1000000 <br />. s 100000 <br />~plpylnyc~wpeaso~u s 10A00 <br />s 1000000 <br />~~A~.ACip~DATE s 1000000 <br />PRDD11Ci9•CO>M~IOPAf13 s 1000000 __ <br />~ ~ ~ <br />ua~v <br />~ tv s <br />~ <br />~ Y <br />d <br />"~ s <br />enc <br />i <br />.~ <br />~ <br />°+ s <br />n <br />AitTO OtILY • 6A ACCYkTNT S <br />EA ACG <br />~ S <br />ArliD <br />Y: AQG S <br />EACH pCCUpRENCE s <br />AGGREQAt'B S <br /> 5 <br /> S <br /> <br />E1.8/JCN AGCY' s _~- <br />E,~, - E11 a~,or s r, <br />Et.o~gE-~rLUaT s <br />o>s~ernton OF ppERATp~ - wCATIO1i9 t Y~.ES r E1(C~u810N9 aaofio BY Ni ~ gpEgA1, pltpV~lONs <br />Permit C-ei-012 lava aik amine <br />permit C-96-084 Lorenci4;o Crayon rains <br />CE1iT(FICATE HOLDER CANCELLATION <br />$~N,D ANY 00 Tllfi ADOYE Dt p~tCES BE CANC~L6~ 66pRE TNfi ~(pIMTN7 <br />COLOR-~ ywL lO DAYB WR~TeN <br />011TH TM.'[hE {fi81RltO 1Ntt1J~'M~ <br />Colorado Division o>F >Iaiaerals NDTiC6TOTtiECE+~DATE-1DL~QNAMEDTDTliE•LEF?, • • • . <br />and (I~ology ~ ' <br />1313 Sheer Streot, Room 215 ._ <br />Aenver L'C 80303 R~NTA or <br />~ ACORD CORPORATION 4981 <br />ACORD 25 (2004(0!! <br />EE9-3 Z00/Z00'd 881-1 1B115ZE909t Rauesy meDlnd-nQa~ gg~80 8D-S~-833 <br />
The URL can be used to link to this page
Your browser does not support the video tag.