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_GENERAL DOCUMENTS - C1981017 (207)
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_GENERAL DOCUMENTS - C1981017 (207)
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Last modified
11/2/2020 9:31:44 AM
Creation date
6/14/2012 9:58:58 AM
Metadata
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Template:
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
Archive
No
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DRMS Re-OCR
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Signifies Re-OCR Process Performed
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CG2010 (3-97) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITION L INSURED - OWNERS, LESSEES OR <br /> CONT CTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement :«odifies ins;Alrance provided under the following: <br /> COI M8PCIAL u1,.NERAL LIABz IITY COVERAGE PART <br /> SCHEDULE <br /> Name of Person o: Organ�zatio ': <br /> STATE OF COLORADO <br /> DIVISION OF MINERALS & GEOLOGY <br /> 1313 SHERMAN ST ROOM 215 <br /> DENVER CO 80203 <br /> ?additional Premium: $ 25 <br /> (if no entry appears above, i lfiormation required to complete this endorsement will be <br /> shown in the Declarations as applicable to this endorsement. ) <br /> WHO IS AN INSURED (seotie '1 YI) is amended to incit%de as an insured the person or <br /> Organization shown in the Schedule, but only with respect to liability arising out of <br /> your ongoing operations perfo shed for that insured. <br /> CQpyrigi Insurance Services office, Inc., 1996 CG2010 (3-97) <br />
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