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1994-09-30_GENERAL DOCUMENTS - C1981017
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1994-09-30_GENERAL DOCUMENTS - C1981017
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Last modified
2/5/2021 4:33:51 PM
Creation date
10/4/2012 9:32:25 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
9/30/1994
Doc Name
Bid Documents (IMP) Certificate of Insurance Documents
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
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DRMS Re-OCR
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° r <br />rA ILIN 'Jr i, L I Ll I; n, UL. 1,r, io- rui1u r.T I rlt rvLIL,I.. L,-ct_v,; 1 <br />� n N Ti ��••�- I / O •�r^a q1: CO <br />COM'ANY tl <br />— <br />COrJPANY A <br />NSU,:FJ L <br />CO 1 COMPANY �� <br />COMPANY <br />E R D <br />LE JAN 2 7 199' <br />LEI <br />COMPANY <br />L :VW' Lana <br />_.,tea . <br />.. : , <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TFIE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS CF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO P <br />TYPE OF INSURANCE P <br />POLICY NUMBER A <br />POLICY EFFECTIVE P <br />POUCY EXPIR;.TION <br />ALL U M I I S HI THOUSANDS <br />GENERAL LABILITY G <br />ML - 14213 8 <br />8/30/91 8 <br />8/30/92 <br />GENERAL AGGREGATE S <br />S 2 0 0 0 <br />I M <br />C'✓� <br />CMERC:AL GENERAL LIABILITY P <br />PRODUCTS -COMP/CPS AGGREGATE S <br />S 2 0 0 0 <br />_ C <br />CLAIMS MACE LX —J OCCUR. P <br />PERSONAL & A DVERTISING ( NJURY S 2 0 00 <br />EACH OCCURRENCE S <br />S 2 0 0 0 <br />r OWNER'S & <br />& CONTRACTOR'S PROT E <br />FIRE DAMAGE (Any one fire) <br />S 50 <br />MEDICAL Eau E NSE (A ^ one per;On) S <br />S • <br />—I-- C <br />AUTOF.1081LELABILITY M <br />ML -14213 8 <br />8/30/91 8 <br />8/30/92 s <br />CCM3iNED <br />s 1000 <br />x A <br />A ".'r AUTO L <br />BODILY , <br />S <br />, <br />BODILY <br />INJURY $ <br />$ <br />-- N <br />PROPERTY $ <br />$ <br />A E <br />EXCESSLABIUTY Z <br />ZL210 8 <br />8/30/91 8 <br />8/30/92 O <br />OCCURRENCE <br />AGGREGATE <br />X U <br />UMBRELLA EXCESS $ <br />CTI R l HAN UMBRELLA FORM 5 <br />WORKER'S COMPENSATION <br />AND $ <br />STATUTORY I <br />$ I <br />I EACH ACCID_\TI <br />S I <br />I rn ;r %cE_oCLC- Ii ".., <br />$ I (DIS= _ASE — _>• =MPLC cEI <br />OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES /RESTRICTIONS /SPECIAL ITEMS <br />CERTIFICATE HOLDER CANCEL1.ATION ... <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Mined Land Reclamation Div. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />Office of Surface Mining MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />Denver LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NC OBLIGATION CR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS 04 PEPRESENTAT VBS. <br />. <br />CEA <br />�1 it /2,(A.)., -:an 1'Ac(T'C <br />THIS CEC LIFICA TE! 3 ISSUED :SAl.IATEEGOFINFOR'. \ IONLY,`.''. U. 1 <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. 1L113 GE 1 it It ".TF I C E HCI <br />
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