My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2012-07-03_GENERAL DOCUMENTS - C1981041
DRMS
>
Day Forward
>
General Documents
>
Coal
>
C1981041
>
2012-07-03_GENERAL DOCUMENTS - C1981041
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 5:02:33 PM
Creation date
7/3/2012 10:28:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981041
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/3/2012
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
MPB
SB1
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
PRODUCER <br />MCGRIFF, SEIBELS & WILLIAMS, INC. <br />INSURED <br />American Electric Power Company, Inc. and all Subsidiaries <br />POLICY NUMBER <br />CARRIER <br />NAIC CODE <br />ISSUE DATE: 06/27/2012 <br />ACORO <br />ADDITIONAL REMARKS <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Page 2 of 2 <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: FORM TITLE: <br />(continued from previous page) <br />Notice of Cancelation: <br />Name and Address: <br />Colorado Department of Natural Resources <br />Division of Reclamation, Mining and Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Number of days: 30 <br />© 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD CERTIFICATE NUMBER. UPPB3Q4T <br />
The URL can be used to link to this page
Your browser does not support the video tag.