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ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMlDDlYYYY) <br />SEMCO-1 04/2 707 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB International Southwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Blanchard Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand Junction CO 81506 <br />Phone:970-245-8011 Fax:970-245-8016 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURERA: Employers Mutual Casualty C C1 . <br /> INSURER 8: <br />SEM Construction CO. INSURER C: <br />627 24 1/2 Rd, Unit I <br />Grand Junction CO 81505 INSURER D: <br /> INSURER E: <br />uuvcr uca <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY FIFFECTI E <br />DATE MMIDDIYY <br />) PO <br />DATE MMIDDIYY)N <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 9X90868 05110106 05/10/07 PREMISES (Eaoccurence $ 100,000 <br /> CLAIMS MADE X? OCCUR MED EXP (Any one person) $5,000 <br /> PERSONAL & ADV INJURY S 1,000,000 <br /> GENERAL AGGREGATE s2 <br />000 <br />000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG , <br />, <br />s2,000,000 <br /> POLICY PRO- <br />JECT LOC <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br />E $1 <br />000 <br />000 <br />A X ANY AUTO 9X90868 05/10/06 05/10/07 ( <br />a accident) , <br />, <br /> ALL OWNED AUTOS BODI <br /> LY INJURY <br />S <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY S <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTYDAMAGE <br /> $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S <br /> ANYAUTO EAACC <br />OTHER THAN S <br /> AUTO ONLY,. AGG S <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION S $ <br /> WORKERS COMPENSATION AND <br />EMPLOYERS' LIAB TORY LIMITS ER <br /> ILITY <br /> <br />ANY PROPRIETORlPARTNERJEXECUTIVE <br />E.L. EACH ACCIDENT <br />S <br /> OFFICER/MEMBER EXCLUDED? <br />If <br />es <br />des <br />ib <br />d E.L. DISEASE - EA EMPLOYEE $ <br /> y <br />, <br />cr <br />e un <br />er <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />S <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />RE: Blue Ribbon Mine-File No C-81-047. State Of Colorado, Division Of <br />Minerals & Geology is included as an Additional Insured.*10 Days Notice Due <br />to Non-Payment of Premium.**Or incur substantive changes or failure to <br />renew. <br />GkKIIFIGAIt HUL,UER CANCELLATION <br />0 0 0 0 0 0 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />State Of Colorado DATE THEREOF, THE ISSUING INSURER WILL M=EZ RL=MAIL *30 DAYS WRITTEN <br />Division of Minerals & Geology NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT R 0MUU MSHALL <br />1313 Sherman Street Room 215 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Denver CO 80203 <br />REPRESENTATIVES. <br />Anita Keller <br />ACORD 25 (2001108) <br />ACORD CORPORATION 1988