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_GENERAL DOCUMENTS - C1981017 (272)
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_GENERAL DOCUMENTS - C1981017 (272)
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Last modified
11/2/2020 11:25:23 AM
Creation date
6/22/2012 1:29:08 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Bid Documents (IMP) 2000Tree Planting
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
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r by: JetFdx ?30 a2130; 0 %�_!OU 9 �AP;Ii�'Sjl` L_'�4�8i©'tie 4 /1 <br /> Certificate of Insurance <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFEAS NO AIGHTS 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 <br /> 445 QUAST LN P 0 Box 5240 <br /> CORVALL I S MT 59828-9406 Portland, OR 97208-5240 <br /> III 111I1l111111111111111111111f111111111111111fliII11lIII11111 503.239.5800 <br /> is. at the date of the certificate, insured by the Company under tho poltcy(ioS) listed below. The insurance afforded by the listed p:flicy(las) Is <br /> subject to all their terms. c:elusions and conditions and is not alwad by any raquirement, term or condition of any contract or other document <br /> with respect 1� wnich 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 R <br /> OF FOLLOWING STATES <br /> WORKERS, OF <br /> by Each <br /> Accident S500,000 Accident <br /> COMPENSATION 1/01/2001 WC4—INC-007790 MT B.1. by Policy <br /> Disease $50010001-imit <br /> B.I, by Each <br /> Disease o, ,000 Employs <br /> a <br /> MARITIME COVERAGE-FOLLOWING STATES LIMIT OF LIAB.-MARITIME COVERAGE <br /> GENERAL LIABILITY General Aggregate S <br /> Commercial General Pradaers Corlp/aPS Agpregale S <br /> Liability (Occurtence) ( Personal d Advertising Injury S <br /> ❑ Owear's and Each Occurrence S <br /> Conuactur's Praleclive Fire Oaatage (Any one fire) <br /> ❑ S <br /> Medical Ezpease (AAy ono person) S <br /> AUTOMOBILE LIABILITY <br /> ❑ Any Adta CSL S <br /> ❑ All owned Autos Bodily Injury (Par Parson) g <br /> ❑ Sehedolad Autos Bodily Injury (Per Accident S <br /> ❑ Hirad Adios Property Damage S <br /> ❑ Non-awned Autos <br /> ❑ Garage Llablllly <br /> OTHER <br /> l <br /> I <br /> LOCATIDN(SI OF OPERATIONS a jog or (IF APPLICABLE) DESCRIPTION Of OPERATIONS <br /> ALL OPERATIONS OF INSURED <br /> **FAX (303) 832-5106 <br /> CANCELLATIOM: 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 03LICLATION OR LIAI3JL7V,,0F ANY KIND UPON THE COMPANY, OR <br /> REPRESENTATIVES. <br /> MA;LEO TO: STATE OF COLORADO, DEPT OF NATURAL RESOU <br /> DIV OF MINERALS & GEOLOGY ; <br /> ATTN-. VVONNE BRANNON f <br /> 1313 SHERMAN ST STE 215 i <br /> DENVER CO 80203-2243 EFS ss 7/20/2000 MISSOULA Marketing F <br /> 1f If III111111 I 111IIl11111II till I III if 111111411 DATE ISSUED <br /> OFFICE <br /> i <br />
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