1999-12-16_GENERAL DOCUMENTS - C1981017

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ACORD_ Rifle Insurance Agency P.O. Box 1700 Rifle CO 81650 Phcne:9 -6625 -1639 'NCLPED COVERAGES ACORD 25 -S (7197) JCS CERTIFICATE OF Llr,Bil!T`( INSURANCE D -n- Iron, Inc. 1635 17 RD. Loma CO 81524 Fax:970- 625 -1115 I N ADDITIONAL INSURED, INSURER LETTER. C N CNL ( AND NF '(C RIGHT :R :i) - r - C=. ';F,CATE HCLCE= THIS F C:TE CC=:- '!CT A',1 IG, = ;<- ='l0 CF ALTER TrE C O'!_ =AG_ AF =;F :__ POL O:ES E6- P! NCLPE° A C C II A INSURER B : NSURER D NSLPE= E M L RE=a Err'. IG ;OVERAGE 6 G9 _ _ :VCELLATiON Division of Minerals & Geology Attn:Maggie VanCleef 1313 Sherman St Denver CO 80203 DIVISIO SHOULD ANY CF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP'RATCN DATE THEREOF, THE ISSUING INSURER WILL ENCEAVCR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HCLDER NAMED TO THE LEFT BUT FAILURE TO CO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY <IND UPON rE NSLRER. ITS AGENTS CR REPRESENTATIVES Jack Sours,' ACORD CORPORATION 1988 l T'HE'CLICIES CF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSLPED NAMES, ABC■E FOR THE =CLOY =EAICC NCICATEC NCT'NITHS T ANCING ANY RECUIREMENT TERM CR CONCITICN CF ANY CONTRACT CR OTHER CCC'LI LENT 'WITH RESPECT - 0' :-ION T.-IS CERTIFICATE MAY BE SSUED CR MAY PERTAIN, THE INSLRANCE AFFCRCED BY THE'CL.C:ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. E:<CL'JSICNS AND CCNCITICNS CF SUCH PCL.CES AGGREGATE LIMITS SHCWN MAY HAVE BEEN REDUCED BY PAID CLAIMS r,IFP iR TfPECFINSL'RANCc POLICY NUMBER rCi - - = -T' ,rrOL.CY- ..<HRA,ON DACE MM/CCfYI I DATE'.4a,CC,YY1 LIMITS GENERAL LIABILITY I COMMERCIAL GENERAL LIABILITY , EACH CCCURRENCE FIRE DAMAGE (Any one trey S I CLAIMS MACE OCCUR !AEC GXP (Any one person) S PERSONAL 3 ADV INJURY I S GENERAL AGGREGATE I S GENt AGGREGATE LIMIT APPLIES PER PRCCUCTS - COMP /CP AGG j S POLICY I I 7,,,c, TT LCC AUTCMCBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS • COMBINED SINGLE LIMIT (Ea accident) S i BC OILY INJURY (Per person) S • BODILY INJURY (Per accidenq S � � -- y PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY � I OCCUR CLAIMS MADE I EACH OCCURRENCE S 7 AGGREGATE S I DEDUCTIBLE RETENTICN S S S S A WORKERS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 3328112 07/01/99 07/01/00 NC aTA IMBS I ER TU 0TH - I TORY L EL EACH ACCIDENT $ 100,000 EL DISEASE - EA EMPLOYEE S100,000 E.LDISEASE - POLICY LIMIT S500,000 OTHER DESCRIPTION OF CPERATICNS , LOCATIONSNEHICLESE(CLUSICNS ADDED BY ENOCRSEMENTSPECIAL PROVISICNS Excavation C uni nr-, ACORD_ Rifle Insurance Agency P.O. Box 1700 Rifle CO 81650 Phcne:9 -6625 -1639 'NCLPED COVERAGES ACORD 25 -S (7197) JCS CERTIFICATE OF Llr,Bil!T`( INSURANCE D -n- Iron, Inc. 1635 17 RD. Loma CO 81524 Fax:970- 625 -1115 I N ADDITIONAL INSURED, INSURER LETTER. C N CNL ( AND NF '(C RIGHT :R :i) - r - C=. ';F,CATE HCLCE= THIS F C:TE CC=:- '!CT A',1 IG, = ;<- ='l0 CF ALTER TrE C O'!_ =AG_ AF =;F :__ POL O:ES E6- P! NCLPE° A C C II A INSURER B : NSURER D NSLPE= E M L RE=a Err'. IG ;OVERAGE 6 G9 _ _ :VCELLATiON Division of Minerals & Geology Attn:Maggie VanCleef 1313 Sherman St Denver CO 80203 DIVISIO SHOULD ANY CF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP'RATCN DATE THEREOF, THE ISSUING INSURER WILL ENCEAVCR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HCLDER NAMED TO THE LEFT BUT FAILURE TO CO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY <IND UPON rE NSLRER. ITS AGENTS CR REPRESENTATIVES Jack Sours,' ACORD CORPORATION 1988 l