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2008-09-04_GENERAL DOCUMENTS - C1981035
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2008-09-04_GENERAL DOCUMENTS - C1981035
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Last modified
8/24/2016 3:36:04 PM
Creation date
9/4/2008 2:23:45 PM
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Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
9/4/2008
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
TAK
Media Type
D
Archive
No
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Attachment to ACORD Certificate for GCC Energy, LLC <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage <br />afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. <br />INSURED <br />GCC Energy, LLC <br />4424 County Road 120 <br />Hesperus Co 81326 USA <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br /> <br />INSR <br />LTR ADD'L <br />INSRD <br />TYPE OF INSURANCE POLICY NUMBER <br /> <br />POLICY DESCRIPTION POLICY <br />EFFECTIVE <br />DATE POLICY <br />EXPIRATION <br />DATE <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEI-DCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL. PROVISIONS <br />Re: OSM Permit CO-0106; CDRMS Permit CO-1981-035. <br />Colorado Division of Reclamation, Mining & Safety is named as an Additional insured as required by _ <br />written contract but limited to. the op-er_ati-ns-of the-lrlsurL-d-uneler--said-contract; and-alway?bject to <br />-- the-pDYicy-terms" conditions and exclusions. <br />Certificate No : 570030281623
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