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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
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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INSURANCE COMPANY <br />POLJCY NUMBER <br />TERM E CHRIMON <br />PARTfCIPATION <br />Reliance Insurance Co. <br />NZB 149 - •7702 -00 <br />8 -30 -90/91 <br />100% <br />EVIDENCE OF PROPERTY INSURANCE <br />THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED TO <br />THE INSURED NAMED BELOW AND IS IN FORCE AT THIS TIME. <br />Ji c x <br />CERTIFICATE HOLDER <br />PROPERTY INFORMATION <br />L OCATION(S)/DESCRIPTION <br />COVERAGE INFORMATION <br />CANCELLATION <br />AGENT/BROKER <br />Mined Land Reclamation Division <br />Office of Surface Mining <br />Denver, Colorado <br />NATURE OF ADDITIONAL INTEREST <br />❑ MORTGAGEE <br />Blanket Real and Personal Property <br />Business Interruption <br />Earthquake /Flood <br />"All Risk" of Direct Physical Loss or Damage to property <br />insured subject to policy exclusions <br />REMARKS (Including Spsci& Conditions) <br />❑ ADDITIONAL INSURED <br />COVERAGES/PERILS <br />Replacement Cost recovery if replaced <br />Deductibl $25,000 - Real & Personal Property <br />$25,000 - Earthquake <br />$25,000 - Flood <br />5 Days - Business Interruption <br />Marsh & McLennan, Incorporated <br />R/yersk Chicago, Illinois 60606 <br />INSURED <br />DOCUMENT NO. <br />DATE <br />4 -11 -91 <br />THIS REPLACES PRIOR EVtENCE DATED: <br />Mid Continent Resources, Inc. <br />1058 #100 Road <br />Carbondale, Colorado 81623 <br />❑ LASS PAYEE <br />❑ (OTHER) <br />Should any of the above described policies be cancelled before the expiration date thereof, the Company(ies) <br />will mail 30 days advance written notice to the additional interest shown above, but failure to mail such <br />notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. <br />AMOUNT OF INSURANCE <br />$50,000,000 <br />$10,000,000 <br />$10,000,000 each <br />Above limits per <br />occurrence <br />
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