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2010-10-27_REVISION - M1977223
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2010-10-27_REVISION - M1977223
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Entry Properties
Last modified
6/15/2021 2:22:48 PM
Creation date
11/1/2010 9:38:52 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977223
IBM Index Class Name
REVISION
Doc Date
10/27/2010
Doc Name
Adequacy Review Response
From
LJ Development, Inc.
To
DRMS
Type & Sequence
AM1
Email Name
MAC
Media Type
D
Archive
No
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CERTIFICATE OF LIABILITY INSURANCE °"TEog?o <br />0 <br /> 201 <br />PRODUC <br />. Aon Risk services central, Inc. <br />TMS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />St. Louis Mo office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />8182 Maryland Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />St Louis MO 63105 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br />POONE• 866 283-7122 FAx• 847 953-5390 INSURERS AFFORDING COVERAGE NAIC 0 <br />n"URED INSURER& Zurich American Ins Co 16535 <br />78s Five Rivers cattle Feeding, LLC TNSURFRB: American Zurich ins Co 40142 <br />1770 Promontory circle <br />Greeley Co 80634-9038 USA rmuRmG, American Guarantee & Liability ins co 26247 9 <br /> <br /> INSURPR D. ?. <br /> INSURER & p <br />rnvrr3>• sc>ec ? <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIM POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH 7111S CERTIFICATE MAYOR ==OR MAY <br />PERTAIN. TIM INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />BNSR AvIrm <br />LTR T V OF BNSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LMITS <br /> DAT%(MhVDDtVYVY, DA <br />A RAI.LIABILITY GLO9 0560508 697o-1/2020 06/01/2011 EACHOcCURRWCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $110001000 <br /> <br />CLAIMS MADE <br />OOCUR PREMISES (Pi ocmffftw) <br /> ® om onion Xc U <br /> PERSONAL AADVn7NRY 11,000,000 <br /> <br /> GENERALAOOREOAM $4,000,000 <br /> GEN4 <br />AOOM <br />T <br />I <br />E <br /> . <br />A <br />E L <br />AM APPLI <br />S PER. <br />POLICY 0 PRO- <br />X Inc <br />PR(>DttcrS-coMNOPAGO <br />54,000.000 <br /> <br />A ADTOMOBI.E UADILM BAP 9305603-08 06/01/2010 06/01/2011 COMMSU S'M t w <br /> ANY Auto (Easmiaee<) S5 , 000, 000 <br /> ALLOWNEDAUTOS <br /> BODILY/NIUAY <br /> SCHEDULED AUTos ( Its Pmoa) <br /> HIRED Auros <br />BODILY INJURY <br /> NON OWNED AUTOS (Pa oocidwl) <br /> PROPERTY DAMAGE <br /> H (Pa ooeidad) <br /> GARAGE LIASU TY AI)TO ONLY -EA ACC(DENi <br /> ANY AUTO <br />0171FR71UJN EA ACC <br /> AUTOONLY: <br /> AGO <br />c EXCESS)oMBReLLAIIANUM Auc926162203 <br />umbrella SWIM- --%7M72MT- EumoccuIRPNCE <br /> ®oax)a B CIAIMSMADE AGGREGATE 51,000,000 <br /> <br /> B DEDUCrMIE <br /> RETENTION <br /> WORKERS COMPENSATION AND <br />WORK <br />, <br />wC - Deductible X STATU- OTn. <br />A YRRS <br />UABILITY <br />® wc930560708 06/01/2010 06/01/2011 E.LEACH ACCIDENT 11,000,000 <br /> ANY PROPRIETOR/ PARTNER/EXECUTNH WC - R <br />tr <br /> <br />OPFl wFREXCLUDED? <br />( e <br />o <br />E,1-DLREASE•EAEMPLOYER <br />$1,000,000 <br /> IT dse?euodaSPECIAL PROVISIONSbdow EJ DISEASE-POltCYLIT14T $1,000,000 <br /> OTHER <br />DESCRIPTION OF OFERATIOtME WATWNSf IKLEMCLUSKW ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />General Liab111y - SIR applies per terms and conditions of the policy. Colorado Department of Transportation is <br />l <br />i <br />d <br />d <br />ddi <br />i <br />l <br />d <br />h <br />l <br />l <br />i <br />i <br />b <br />li <br />nc <br />u <br />e <br />as A <br />t <br />ona <br />insure <br />on t <br />e Genera <br />ty po <br />icy as <br />nterests may apply and where written <br />L <br />a <br />i <br />l <br />bli <br />i <br />i <br />l <br />d <br />l <br />i <br />o <br />gat <br />contractua <br />on ex <br />sts. Co <br />ora <br />o Department Ot Transportation is <br />nc <br />uded as Additional insured per <br />N <br />N <br />?D <br />O <br />M <br />$O <br />e <br />z <br />Z <br />G <br />u <br />LTLI{l1F1L;ARSnvL PV.IK L;AIVL;9LLA7-1kM - <br />Colorado Department of Transportation SHOULD ANYOFTIIEASOVEDMIRIBFDPOLICIESBE CWCEU.EDBEIORET11EEXPIRATION <br />905 Erie Avenue DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Pueblo CO 81002 USA 30 DAYS wunmN NOTICE TO THIS CERTIFICATE HOLDER HAMM TO THE LErr. <br />BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LiABI TTY <br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORD.EDREPRESENTATUVE aQr. 9L49.. <br />ACORD 25 (2009101) 01988-2009 ACORD CORPORATION. All rights reserveda <br />The ACORD nanre and lop are registered nmrb of ACORD
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