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_GENERAL DOCUMENTS - C1981017 (270)
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_GENERAL DOCUMENTS - C1981017 (270)
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Last modified
11/2/2020 11:23:26 AM
Creation date
6/22/2012 11:04:42 AM
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DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Bid Documents (IMP) 2000 Ponds
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INNSURANCE cS-R ON DATE(MM/OD/Yv) � <br /> _ DIRT-Nl i 061U10_41 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Rifle Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> P.O. Box 1700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Rifle CO 81650 <br /> Phone: 970-625-1689 Fax:970-625-1115 INSURERS AFFORDING COVERAGE <br /> INSURED INSURERA Pinnacol Assurance <br /> INSURER 8: <br /> Dirt-n-Iron, Inc. INSURERC. <br /> 1685 17 RD. INSURER0: <br /> Loma CO 81524 <br /> I INSURER E: <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER - DATE(MM/DDIYY) DATE(MM/DD/YVI LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) S <br /> CLAIMS MADE OCCUR MED EXP(Any one person) S <br /> PERSONAL d ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ <br /> POLICY JEC LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMB <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS <br /> BODILY INJURY S <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per amderd) <br /> PROPERTY DAMAGE S <br /> (Per accndeM) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br /> OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG S <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> OCCUR 71 CLAIMS MADE AGGREGATE S <br /> S <br /> DEDUCTIBLE <br /> S <br /> RETENTION $ S <br /> WORKERS COMPENSATION AND TORYLIMITS ER <br /> A EMPLOYERS'LIABILITY 3328112 07/01/00 07/01/01 E.L EACH ACCIDENT $ 100,000 <br /> E.L.DISEASE-EA EMPLOYEE $ 1001000 <br /> EL DISEASE-POLICY LIMIT S 5 0 O O 0 0 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Excavation <br /> CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION <br /> DIVISIO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> Division of Minerals 6 Geology NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Attn:Maggie VanCleef <br /> 1313 Sherman St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> Denver CO 80203 REPRESENTATIVES. <br /> Jack Soulra"--Pst r. <br /> ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 <br />
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