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Certificate of Insurance <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED. <br /> Liberty <br /> This is to Certify that Northwest <br /> BITTERROOT RESTORATION INC P O Box 5240 <br /> 445 QUAST LN Portland, OR 97208-5240 <br /> CORVALLIS MT 59828-9406 <br /> 503.239.5800 <br /> is, at the date of the certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is <br /> subject to all their terms, exclusions and canditions and s not altered by any requirement,tern or candit.on of any contract or other docar.ent <br /> with respect to which this certificate may be issued. <br /> EXPIRATION <br /> TYPE OF POLICY DATE POLICY NUMBER LIMITS OF LIABILITY <br /> COVERAGE AFFORDED UNDER W.C. LAW LIMIT OF LIABILITY - COVERAGE B <br /> OF FOLLOWING STATES <br /> B.I. by Each <br /> WORKERS' Accident $5OO ,000Accident <br /> COMPENSATION 1/01/2001 WC4-1NC-007790 MT B.I. by Policy <br /> Disease $500 ,000Limit <br /> B.I. by $500 OOOEach <br /> Disease + Employee <br /> MARITIME COVERAGE-FOLLOWING STATES LIMIT OF LIAB.-MARITIME COVERAGE <br /> GENERAL LIABILITY General Aggregate $ <br /> Commercial General Products Comp/OPS Aggregate $ <br /> Liability (Occurrence) Personal & Advertising Injury $ <br /> Owner's and Each Occurrence $ <br /> Contractor's Protective Fire Damage (Any one Fire) $ <br /> ❑ Medical Expense (Any one person) S <br /> AUTOMOBILE LIABILITY <br /> ❑ Any Auto CSL $ <br /> ❑ All owned Autos Bodily Injury (Per Person) $ <br /> ❑ Scheduled Autos Bodily Injury (Per Accident) $ <br /> ❑ Hired Autos Property Damage $ <br /> ❑ Non-owned Autos <br /> ❑ Garage Liability <br /> OTHER <br /> LOCATION(S) OF OPERATIONS & JOB # (IF APPLICABLE) DESCRIPTION OF OPERATIONS <br /> ALL OPERATIONS OF INSURED <br /> **FAX (303) 832-8106 <br /> CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING <br /> COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, BUT <br /> FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABII_71,OF ANY KIND UPON THE COMPANY, OR <br /> REPRESENTATIVES. <br /> MAILED TO: STATE OF COLORADO, DEPT OF NATURAL RESOU <br /> DIV OF MINERALS & GEOLOGY <br /> ATTN: YVONNE BRANNON <br /> 1313 SHERMAN ST STE 215 <br /> DENVER CO 80203-2243 EFS ss 7/20/2000 MISSOULA Marketing <br /> DATE ISSUED OFFICE <br />