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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
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DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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ACORD CERTIFICATE OF LIABILITY INSURANCE DIRT Nl DA06/29/99 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Rifle Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> P.O. Box 1700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Rifle CO 81650 INSURERS AFFORDING COVERAGE <br /> Phone: 970-625-1689 Fax:970-625-1115 <br /> INSURED INSURER A* C C I A <br /> INSURER B. <br /> Dirt-n-Iron, Inc. INSURER C: <br /> 1685 17 RD. INSURER D: <br /> Loma CO 81524 <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 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 TYPE OF INSURANCE POLICY NUMBER DATE MMIODIYY DATE MMIDDIYY ^ITS <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY I FIRE DAMAGE(MY one fire) f <br /> CLAIMS MADE F7 OCCUR MED EXP W1 on@ pawn) S <br /> PERSONAL BADVINJURY f <br /> GENERAL AGGREGATE S <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG f <br /> POLICY JRT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f <br /> r-xadenQ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY I <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS tBODILY INJURY <br /> :y pffamwem <br /> NON4)WNED AUTOS <br /> �PpR�OP,,E,R,,T.Y..�)DAMAGE f <br /> �,�,w dem <br /> GARAGE LIABILITY AUTOONLY-EAACCIDENT I <br /> EAATx f <br /> ANY AUTO UTTO ON AU ONLY: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE f <br /> OCCUR CLAIMS MADE AGGREGATE f <br /> S <br /> DEDUCTIBLE f <br /> RETENTION f S <br /> WORKERS COMPENSATION AND TORT LIMITS _ ER <br /> A EMPLOYERS LIABILITY 3328112 07/01/99 07/01/00 ELEACHACCIDENT f 100,000 <br /> EL DISEASE-EA EMPLOYEE f 10 0,0 0 0 <br /> EL DISEASE-POLICY LIMIT is 5 0 0,0 0 0 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTMIECULL PROVISIONS <br /> Excavation <br /> CERTIFICATE HOLDER N ADDITIONAL INSURED:IN SURER LETTER: _ CANCELLATION <br /> )IVI S IO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br /> Division of Minerals 6r GeOlOgy 10 DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMEDMTHE <br /> Attn:Maggie VanCleef LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION ORLIAMLITYOF <br /> 1313 Sherman St <br /> Denver CO 80203 ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATNES <br /> Jack Sours 'XTie'�'`�� �'� � <br /> ACORD CORPORATION 1988 <br />
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