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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 />POUCY NUMBER <br />EXPIRATION <br />PART)CIPATION <br />Federal Insurance Co. <br />656 -98 -58 <br />12 -31 -92 <br />100% <br />EVIDENCE OF PROPERTY INSURANCE <br />THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED TO THIS REPLACES PRIOR EVIDENCE DATED: <br />THE INSURED NAMED BELOW AND IS IN FORCE AT THIS TIME. <br />ADDmONAL INTEREST <br />Mined Land Reclamation Division <br />Office of Surface Mining <br />Denver, Colorado <br />NATURE OF ADDITIONAL INTEREST <br />❑ MORTGAGEE <br />PROPERTY INFORMATION <br />LOCATION(S)/DESCRIPTION <br />Redstone Colorado Mine Site <br />COVERAGE INFORMATION <br />❑ ADDITIONAL INSURED <br />COVERAGES /PERILS <br />Blanket Real and Personal Property <br />Mobile Equipment <br />All loss of Direct Physical Damage loss to property inssured <br />subject to policy exclusions <br />REMARKS (Including Special Conditions) <br />Replacement Cost recovery if replace <br />Deductible: $25,000 - Real & Personal Property <br />$25,000 - Earthquake <br />$25,000 - Flood <br />CANCELLATION <br />AGENT/BROKER <br />Marsh & McLennan, Incorporated <br />222 South Riverside, Chicago, Illinois 60606 <br />by <br />INSURED <br />❑ LOSS PAYEE <br />DOCUMENT NO. <br />Mid Continent Resources, Inc. <br />1058 #100 Road <br />Carbondale, Colorado 81623 <br />WiTE <br />1 -28 -92 <br />❑ (OTHER) <br />AMOUNT OF INSURANCE <br />$2,255,000 <br />6,695,000 <br />AUTHORIZED REPRESEN 7 <br />Above limits per <br />occurrence <br />E B 2 4 199'i <br />Mined Lana <br />Should any of the above described policies be cancelled before the expiration date thereof, the Company(ies) <br />will mail - days advance written notice to the additional interest s . : above, but failure to mail such <br />notice shall impose no obligation or liability of any kind upon th presentatives. <br />
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