My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
1997-11-10_GENERAL DOCUMENTS - C1981017
DRMS
>
Day Forward
>
General Documents
>
Coal
>
C1981017
>
1997-11-10_GENERAL DOCUMENTS - C1981017
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/3/2021 10:07:56 AM
Creation date
6/14/2012 10:54:59 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/10/1997
Doc Name
Bid Documents (IMP)
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
140
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ERT DATE(1 /D97 <br /> CERTIFICATE OF INSURANCE 08/ 1/ <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HRH of Denver ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 455 Sherman Street, Suite 390 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P.O. BOX 9364 COMPANIES AFFORDING COVERAGE <br /> Denver, CO 80209 COMPANY <br /> ACNA Insurance Companies <br /> INSURED COMPANY <br /> Western States Reclamation, Inc . BCrum & Forster Insurance - U.S . Fire <br /> 11730 Wadsworth Blvd. — - -- <br /> Broomfield, CO 80020 COMPANY <br /> C <br /> COMPANY <br /> 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 /> LTR TYPE OF INSURANCE POLICY NPMBER POLICY EFFECTIVE POLICY EXPIRATION CO LIMITS <br /> DATE(MM/DD/YY) DATE(MM/DD/YY) <br /> A GENERAL LIABILITY C1316 5 64 8 0 09/01/96 09/01/97 GENERAL AGGREGATE I$2 , 000 , 000 <br /> X (COMMERCIAL GENERAL LIABILIT PRODUCTS-COMP/OP AGG�$2 0 0 0 0 0 0 <br /> CLAIMS MADE a OCCUR j PERSONAL&ADV INJURY I$1 0 0 0 000 <br /> WNER'S&CONTRACTOR'S PRO EACH OCCURRENCE $1, 0 0 0, 0 0 0 <br /> FIRE DAMAGE(Any one tire)($ 50, 000 <br /> ME EP(Any one person) $ 5, 000 <br /> A AUTANYOBILE TO LIABILITY ! C13165084 09/01/96 09/01/97 COMBINED SINGLE LIMIT $1, 000, 000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULEDAUTOS (Per person) i$ <br /> X HIREDAUTOS <br /> X NON-OWNED AUTOS (Per BODILY <br /> de t)RY $ <br /> PROPERTY DAMAGE I$ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> —I ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> ! AGGREGATE $ <br /> B EXCESS LIABILITY 5530415814 09/01/96 09/01/97 IEACHOCCURRENCE $1 000, 000 <br /> X UMBRELLA FORM AGGREGATE �$1 000 <br /> ' 000 <br /> OTHER THAN UMBRELLA FORM $ <br /> A WORKERS COMPENSATION AND WC1063859321 107/01/97 07/01/98 X I STATUTORY LIMITS I <br /> EMPLOYERS'LIABILITY :EACH ACCIDENT $5001000 <br /> PARTNERS/EXECUTIVE <br /> THE PROPRIETOR! �� INCL DISEASE-POLICY LIMIT $5 0 0, 0 0 0 <br /> OFFICERS ARE: EXCL, DISEASE-EACH EMPLOYEE $5 0 0, 0 0 0 <br /> OTHER <br /> i <br /> i <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> Coal Basin Mine 4 , Revegetation Project, Pitkin County, CO <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> State of Colorado, Division EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> of Minerals & Geology 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 1313 Sherman Street, ##215 BUT FAILURE TO MAIL'SUCH NOTICE SHALL IMPOSE NO OBLIGATION ORLIABILITY <br /> Denver, CO 80203 OF ANY KIN E 'C Y, ITS AGEN S OR REPRESENTATIVES. <br /> AUTHORIZED <br /> ACORD 25-S(3M3)1 011 1 #M42357 SMSy 0 ACORD CORPORATION 1993 <br />
The URL can be used to link to this page
Your browser does not support the video tag.