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2009-08-19_GENERAL DOCUMENTS - C1981047
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2009-08-19_GENERAL DOCUMENTS - C1981047
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Last modified
8/24/2016 3:54:56 PM
Creation date
8/20/2009 2:27:06 PM
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Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
8/19/2009
Doc Name
Certificate Of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
JJD
Media Type
D
Archive
No
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Cliont#- 123725 <br />SRHAI niN1 <br />ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE <br />' <br /> <br />/14/2009 <br />08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB SW Grand Junction ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2742 Crossroads Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand Junction, CO 81506 <br />970 245-8011 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: EMC Insurance Companies 999999 <br />Minrec Inc <br />a?\o <br />` <br />O <br />?' <br />INSURER B: <br />?\ <br />? <br />J <br />2024 E 3/4 Road INSURER C: <br />Grand Junction, CO >3 <br /> INSURER D: <br />` <br />' <br />d <br />J\ <br />? , <br />(\ <br />J INSURER E: <br />COVERAGES - V, <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 />LTR NSR TYPE OF INSURANCE POLICY NUMBER gTEYMM DDIYYE PDATE MMIDDIYY EXPIRATION LIMITS <br />A GENERAL LIABILITY 3X6490410 09/01/09 09/01/10 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY D <br />PREMIS ES (E. occurrence) AMAGE TO RENTED <br />$100,000 <br /> <br /> CLAIMS MADE 51 OCCUR MED EXP (Any one person) $5,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 <br /> PRO <br />r] <br /> I POLICY <br />JECT LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br />(Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR FICLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATUS OTH-IMITS I ER <br />- -EMPf:OYERS-L1ABILnY- <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 E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Re: Blue Ribbon Mine - File No C-81-047. State of Colorado, Division of <br />Minerals & Geology is included as Additional Insureds. <br />State of Colorado <br />Division of Minerals & Geology <br />1313 Sherman St, Room 215 <br />Denver, CO 80203 <br />OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />TE THEREOF, THE ISSUING INSURER WILL Rp (RRjtRMAIL 20_ DAYS WRITTEN <br />TICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,*jtJtRAI K <br />AQJHORIZED REPRESENTATIVE <br />ACORD 25 (2001/08) 1 of 2 #S214246/M214244 AK01 0 ACORD CORPORATION 1988
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