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2010-07-06_GENERAL DOCUMENTS - C1980003
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2010-07-06_GENERAL DOCUMENTS - C1980003
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Last modified
8/24/2016 4:14:46 PM
Creation date
7/7/2010 9:03:36 AM
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Template:
DRMS Permit Index
Permit No
C1980003
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/6/2010
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
JDM
Media Type
D
Archive
No
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ADDITIONAL INFORMATION NYC-003677526-19 DATE (MM/DDNY) <br /> 06/29/2010 <br />PRODUCER <br />Marsh USA Inc. <br />1166 Avenue of the Americas <br />New York, NY 10036-2774 <br />Attn: NewYork.certs@Marsh.com Fax: 212-948-0500 <br />008046-ALL-cas-10-11 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br />INSURER F: <br /> <br />W. R. GRACE & CO. <br /> <br />7500 GRACE DRIVE INSURER G: <br />COLUMBIA, MD 21044 INSURER H: <br /> INSURER I: <br /> <br />TEXT <br />Workers Compensation Policies <br />Hartford Accident & Indemnity Insurance Co 10 WN C47906 <br />(CA,CT,KY,MO,MS,WV) <br />Policy 06/30/10 - 06/30/11 <br />Hartford Casualty Ins. Co. 1OWN C47906 <br />(AL,MN,NC,VA) <br />Policy 06/30/10 - 06130/11 <br />Hartford Fire Ins. Co 10 WN C47906 <br />(CO, FL,GA,IA,NE,NV,OH,PR,WA) <br />Policy 06/30/10 - 06/30/11 <br />Hartford Insurance Co of the Midwest 10 WN C47906 <br />(AR,DE,IL,I N,KS,LA,MA,MD,ME,MI,NH,NJ,NM,NY,SC,SD,TN,TX,UT) <br />Policy 06/30/10 - 06/30/11 <br />Twin City Fire Insurance Company 1OWN C47906 (AZ,OK,PA). <br />Policy 06/30/10 - 06/30/11 <br />CERTIFICATE HOLDER <br />Colorado Division of Minerals and <br />Geology <br />Attn: Jim Stark <br />1313 Sherman Street - Room 215 <br />Denver. CO 80203 <br />E. ENTATNE <br />ofMar USAAInc Inc. <br />of Mars U <br />Dresa Allman <br />
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