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2007-11-27_REVISION - C1981008 (2)
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2007-11-27_REVISION - C1981008 (2)
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Last modified
8/24/2016 3:18:49 PM
Creation date
4/24/2009 10:09:24 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
REVISION
Doc Date
11/27/2007
Doc Name
Letter & Application and Public Notice
From
Western Fuels Colorado
To
DRMS
Type & Sequence
RN5
Media Type
D
Archive
No
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<br />OP ID <br />ACORV <br />1 -OF LIABILITY INSURANC <br />CERTIFICA <br />DATE(MM <br />) <br />S <br />TE- <br />. <br />,. <br />WESTE1 01/003/0 <br />3/07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hays Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />80 South 8th Street #700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Minneapolis MN 55402 <br />Phone: 612-333-3323 Fax:612-373-7270 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Western Fuels Association Inc. <br />l <br />i <br />i <br />t <br />- INSURER A: Westchester Surplus Lines <br />ern Fue <br />Wyom <br />ng, <br />nc. <br />Wes <br />s <br />Western Fuels Colorado, LLC INSURER 8: Safeco Group <br />Western Fuels - Illinois <br />Attn: Nancy Kelly INSURER C: <br />11ILMis union Insurance Co. <br />P. O. Box 33424 <br />80233 INSURER D: <br />Denver CO <br /> INSURER E: <br />CnVFRAGFS <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 /> <br />LTR <br />NSR - <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (MMIDD/YY) POLICY EXPIRATION <br />DATE (MMIDD/YY) <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />G220337SA002 <br />01/01/07 <br />01/01/08 ORENIEDr- <br />PREMISES(Eaoocurencce <br />$50,000 <br /> CLAIMS MADE Fx_1OCCUR MED EXP (Arty one person) $10,000 <br /> T PERSONAL & ADV INJURY $1,000,000 <br /> :: GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -comp/op AGG $2,000,000 <br /> POLICY PRO LOC Emp Ben. 1,000,000 <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$1 <br />000 <br />000 <br /> ANY AUTO (Ea accident) , <br />, <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br />B X SCHEDULED AUTOS 01CH378745-01 01/01/07 01/01/08 <br />(Per peen) <br /> X HIREDAUTOS BODILY INJURY <br />S <br /> X NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLALIABILITY EACH OCCURRENCE 525,000,000 <br />C X OCCUR ?CLAIMSMADE XOO G23871269 01/01/07 01/01/08 AGGREGATE 525,000,000 <br /> S <br /> DEDUCTIBLE $ <br /> X RETENTION $50,000 $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br /> <br />C OTHER <br />Excess Liability <br />G22022398002 <br />01/01/07 <br />01/01/08 <br />Each Occu $25,000,000 <br />Aggregate $25,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />CERTIFICATE HOLDER CANCELLATION <br />TOWHOMI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />To Whom It May Concern IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />For Insurance Purposes Only REPRESENTATIVES. <br />ACORD 25 (2001108) © ACORD CORPORATION 19BE
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