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_GENERAL DOCUMENTS - C1981017 (206)
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_GENERAL DOCUMENTS - C1981017 (206)
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Last modified
11/2/2020 9:29:16 AM
Creation date
6/14/2012 10:55:34 AM
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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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A4411tilo CERTIFICATE PF INSURANCE os11/DAT/11/D/97) <br /> 7 <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 3901 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 — <br /> Western States Reclamation, Inc . COMBPANY <br /> Crum & Forster Insurance - U.S . Fire <br /> 11730 Wadsworth Blvd. <br /> - - - — - <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 /> COI TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATIONI <br /> POLICY NUMBER LTR I DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS <br /> A I GENERAL LIABILITY C131656480 09/01/96 09/01/97 GENERAL AGGREGATE Is2, 000� 000 <br /> X COMMERCIAL GENERAL LIABILITY 'PRODUCTS-COMP/OP AGG$2 0 0_0 0 0 0_ <br /> CLAIMS MADE t—J OCCUR PERSO&NAL ADV INJURY$1 000 000 <br /> WNER'S&CONTRACTOR'S PRO EACH OCCURRENCE $1, 00 0_1, 000 <br /> FIRE DAMAGE(Anyone fire)$ 50, 000 <br /> ME D EXP(Anyone person) Is 5 , 000 <br /> A XT MOBIUE NY AUTO COMBINED <br /> C131650842 09/01/96 09/01/97 COMBINED SINGLE LIMIT $1, 000, 000 <br /> ALL OWNED AUTOS BODILYINJURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS f <br /> BODILY INJURY <br /> X NON-OWNED AUTOS (Per accident) is <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT I$ <br /> ANY AUTO OTHER THAN AUTO ONLY: , <br /> EACHACCIDENT $ <br /> j AGGREGATE 1$ <br /> B EXCESS LIABILITY 5530415$14 09/01/96 09/01/97 EACH OCCURRENCE $1 000, 000 <br /> r� UMBRELLA FORM I AGGREGATE $1 000 , 000 <br /> OTHER THAN UMBRELLA FORM j$ <br /> A WORKERS COMPENSATION AND WC1063859321 07/01/97 107/01/98 X I STATUTORY LIMITS <br /> EMPLOYERS LIABILITY EACH ACCIDENT ls5 0 0, 0 0 0 <br /> THE PROPRIETOR/ i INCL DISEASE-POLICY LIMIT $5 0 0, 000 <br /> OFFICERS ARE:PARTNERS/EXECUTIVE EXCLI I DISEASE-EACH EMPLOYEE $5 0 0, 000 <br /> 1 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 OFTHE 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 SUC NOTICESHALLIMPOSENOOBLIGATIONORLIABILITY <br /> Denver, CO 80203 OF ANY KIN E COMPANY, ITS AGEN S OR REPRESENTATIVES. <br /> AUTHORIZED UE%B <br /> ACORD 25-S(W93)1 of 1 #M42357 ';� <br /> SMS o ACOfID CORPORATION 1993 <br />
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