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1998-08-28_GENERAL DOCUMENTS - C1981017 (2)
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1998-08-28_GENERAL DOCUMENTS - C1981017 (2)
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Last modified
3/11/2021 4:21:26 PM
Creation date
6/13/2012 8:29:21 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
8/28/1998
Doc Name
Bid Documents (IMP)
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
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ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR DN =,,,I.,, <br /> iGGC�JI.�P <br /> DIRT-N1 06/29/99 <br /> THIS C=RTIFiCATE IS SCUED AS ',',tr1=F CF iNFCRMATIC.l <br /> CNLY AND CONFEFS NO RIGHTS URCN THE CER T IFiCATE <br /> Rifle Insurance Agency HCLCER THIS CERTIFICATE CCES NOTA+AE`1D,E TEND OP, <br /> P.O. Box 1700 ALTER THE COVERAGE AFFGRCED EY THE POLICIES EELOW <br /> Rile CO 81650 <br /> Phone: 970-625-1689 Fax:970-625-1115 INSURERS AFFCPDING COVERAGE <br /> INSURED I �+'u 1 INSURER A C C I A <br /> INSCPER B. - <br /> Dirt-n-Iron, Inc. INSURER <br /> Loma CO 8524 INSURE.R0 <br /> I INSURER E <br /> COVERAGES <br /> ThE'CLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FCR HE PCL;Cf PERICO WCICATED N07NITHSTANCING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER OCCUME.NT'NITH RESPECT TO'NHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORCED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL;HE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> iNSR POLICY <br /> LT TYPE OF INSURANCE POLICY NUMBER I DATE(MMlDD(YY) DATE,M M/ODIYY) LIMBS <br /> iI GENERAL LIABILITY EACH OCCURRENCE S <br /> COMMERCIAL GENERAL LII ABILITY FIRE DAMAGE(Any one fire) S <br /> I CLAIMS MADE OCCUR MED E P(Any one person) S <br /> H" PERSONAL&AOV INJURY S <br /> GENERAL AGGREGATE S <br /> II G�EN'L AGGREGATE LIMIT APPLIES PER PRCOUCTS-COMP/OP AGG S <br /> POLICY PE d n LOC ; <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY I <br /> NON-OWNED AUTOS (Per accident) <br /> i f{ <br /> PROPERTY DAMAGE <br /> (Per accident) S <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC S <br /> AUTO ONLY. AGG S <br /> EXCESS LIABILITY EACH OCCURRENCE I S <br /> OCCUR 17 CLAIMS MADE AGGREGATE $ <br /> S <br /> DEDUCTIBLE S <br /> RETENTION $ I I S <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS'LIABILITY I I TORY LIMITS I ER - <br /> A 3328112 07/01/99 07/01/00 EL EACH ACCIDENT I $ 100,000 <br /> EL DISEASE-EA EMPLOYEE I S 100,000 <br /> OTHER EL DISEASE-POLICYLIMIT I S 500,000 <br /> I <br /> DESCRIPTION OF OPERATIONSA.00ATIONSIVEHICLES,EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Excavation <br /> �7 4 <br /> CERTIFICATE HOLDER i N I ADDITIONAL INSURED,INSURER LETTER. CANCELLATION <br /> D I V I S I O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATICN DATE THEREOF,THE ISSUING INSURER WILL ENCEAVCR TO MAJL <br /> Division of Minerals & Geology 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> Attn:Maggie VanCleef LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF <br /> 1313 Sherman St <br /> Denver CO 80203 ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES <br /> J. yGL^S+ e.Ea <br /> Jack Sours <br /> ACORD 25-S(7/97) ACORD CORPORATION 1988 <br />
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