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2000-03-17_GENERAL DOCUMENTS - C1981015
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2000-03-17_GENERAL DOCUMENTS - C1981015
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Last modified
3/27/2021 4:26:44 PM
Creation date
4/14/2010 10:43:27 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981015
IBM Index Class Name
General Documents
Doc Date
3/17/2000
Doc Name
PKA-0-455 Contractor Agreement
To
Dirt-N-Iron
Permit Index Doc Type
Reclamation Projects
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY) <br /> RTN 1 01/25/00 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Neil-Garing Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 817 Colorado Ave Suite #201 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P O Box 1576 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Glenwood Springs CO 81602-1576 INSURERS AFFORDING COVERAGE <br /> Phone: 970-945-9111 <br /> INSURED INSURER A: Hawkeye—SecurityInsurance Co <br /> INSURER B: Allstate Insurance Company <br /> Dirt-N-Iron, Inc. INSURERC: <br /> 1685 17 Road INSURER D: <br /> Loma CO 81524-9436 <br /> INSURER E: <br /> COVERAGES <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 /> ILTR TYPE OF INSURANCE POLICY NUMBER DATE MWDD DATE MCY MID�FOW LIMITS <br /> GENERAL LIABILITYEACH OCCURRENCE f 10 0 0 0 0 0 <br /> A X COMMERCIAL GENERAL LIABILITY PP064357 05/15/99 05/15/00 FIRE DAMAGE(Any one fire) f 100,000 <br /> CLAIMS MADE F;;71 OCCUR MED EXP(Any one person) $5000 <br /> PERSONAL SADVINJURY $1000000 <br /> GENERAL AGGREGATE $1000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $1000000 <br /> POLICY jRO-- LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> B X ANY AUTO 050337665 09/30/99 09/30/00 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC 5 <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> E <br /> DEDUCTIBLE $ <br /> RETENTION E _ $ <br /> WORKERS COMPENSATION AND I TORY LIMITS 1 1 ER <br /> EMPLOYERS'LIABILITY E.L.EACH ACCIDENT E <br /> E.L.DISEASE-EA EMPLOYE S <br /> E.L.DISEASE-POLICY LIMIT $ <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLEWEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br /> CERTIFICATE HOLDER Y I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION <br /> D IVI S-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> Division of Mineral and DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> Geology NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Maggie Van Cleeve IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS OR <br /> 313 Sherman Street Rm 215 <br /> Denver CO 80702 REPRESENTATIVES <br /> Wilson W. Coleman <br /> ACORD 25-S(7197) © CO PO O 1 88 <br />
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