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_GENERAL DOCUMENTS - C1981017 (267)
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_GENERAL DOCUMENTS - C1981017 (267)
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Last modified
11/2/2020 11:16:49 AM
Creation date
6/22/2012 1:30:08 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Bid Documents (IMP) South Basin Road
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
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DRMS Re-OCR
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Signifies Re-OCR Process Performed
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ACORD CERTIFICATE OF LIABILITY( INSURANCE CSR DN �DAT�E(MMlDOlYY) <br /> _ DIRT-Ni <br /> I 06/2gj� <br /> PPODl1CF� I TH:S 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 INSURER A: Pinnacol Assurance <br /> INSURER B: a <br /> Dirt-n-Iron, Inc. INSURER C: <br /> 1685 17 RD. INSURERD: <br /> Loma CO 81524 <br /> INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE?CARED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING <br /> ANY REWIIREMENT,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 LWTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) UMTTS <br /> GENERAL LIABILITY EACH OCCURRENCE S <br /> 77= <br /> GENERAL LIABILITY FIRE DAMAGE(Ant one he)MADE OCCUR MED EXP(Arty one person) S <br /> PERSONAL&ADVINJURY S <br /> GENERAL AGGREGATE S <br /> GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOPAGG S <br /> POLICY � LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea 9 <br /> ALL OWNED ALTOS <br /> BODILY INJURY S <br /> SCHEDULED AUTOS (Per Pam) <br /> HIRED AUTOS <br /> BODILY INJURY S <br /> NON-OWNED AUTOS 01w acodmA <br /> PROPERTY DAMAGE $ <br /> (Pere <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ' $ <br /> ANY AUTO EA ACC S <br /> OTHER THAN <br /> AUTO ONLY: AGG S <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> S <br /> DEDUCTIBLE S <br /> RETENTION S $ <br /> WORKERS COMPENSATION AND TORY LIMITS <br /> ER <br /> A EMPLOYERS'LIABILITY 3328112 07/01/00 07/01/01 ELEACHACCIDENT S 100,000 <br /> EL DISEASE-EA EMPLOYEE $ 100,000 <br /> EL DISEASE-POLICY LIMIT $ 500,000 <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 DESCR18ED 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 IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 1313 Sherman St <br /> Denver CO 80203 REPRESENTATIVES. <br /> Jack Sours Jr. - <br /> ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 <br />
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