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_GENERAL DOCUMENTS - C1981017 (291)
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_GENERAL DOCUMENTS - C1981017 (291)
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Last modified
11/2/2020 11:56:51 AM
Creation date
6/8/2012 1:17:26 PM
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DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Bid Documents (IMP)
Permit Index Doc Type
General Correspondence
Media Type
D
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No
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A0411ri1® CERTIFICATE OF INSURANCE CSR DAT7/07D/Y <br /> BOGUE-2 0 /07/95 <br /> 5 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> The Linden Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> of Glenwood Springs, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P.O. Box 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Grand Junction CO 81506 COMPANIES AFFORDING COVERAGE <br /> Cathy Sommers COMPANY <br /> 970-945-6203 A Maryland Insurance Group <br /> INSURED COMPANY <br /> B <br /> COMPANY <br /> Bogue Construction, Inc. C <br /> P. O. BOX 400 COMPANY <br /> Fruits. CO 81521 D <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> GENERAL LIABILITY GENERAL AGGREGATE s2,000,000 <br /> A X COMMERCIAL GENERAL LIABILITY EPA19556241 07/09/95 07/09/96 PRODUCTS-COMP/OPAGG S2,000,000 <br /> CLAIMS MADE �X OCCUR PERSONAL&ADV INJURY $ 1,000,000 <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> FIRE DAMAGE(Any one fire) $ 50,000 <br /> MED EXP(Any one person) $ 5,000 <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ 1,000,000 <br /> A X ANY AUTO ECA26016627 07/09/95 07/09/96 <br /> X ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> X SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) $ <br /> X $25 S.Perils Ded. <br /> PROPERTY DAMAGE $ <br /> X $1000 Coll. Ded. <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE S <br /> EXCESS LIABILITY EACH OCCURRENCE S 5,000,000 <br /> A N <br /> UMBRELLA FORM UB86729036 07/09/95 07/09/96 AGGREGATE $5,000,000 <br /> OTHER THAN UMBRELLA FORM Prod.&Op. $ 5,000,000 <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br /> EMPLOYERS'LIABILITY <br /> EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $ <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $ <br /> OTHER <br /> A PROPERTY EPA19556241 07/09/95 07/09/96 Bldg&font $250 ded. <br /> A INLAND MARINE EPA19556241 07/09/95 07/09/96 Con.Equip $500 ded. <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> Certificate of Insurance regarding: <br /> Coal Basin 1995 Run-off Maintenance <br /> CERTIFICATE HOLDER CANCELLATION <br /> 0000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> St.of Colo. , Div.of Minerals & EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> Geology, Dept.of Nat.Resources 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Attn: Maggie Van Cleef <br /> 1313 Sherman S t. - Room 215 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> Denver CO 80203 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br /> Cathy Sommers <�Q( __ <br /> ACORD 25-S(3193) ©ACORD CORPORATION 1993 <br />
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