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_GENERAL DOCUMENTS - C1981017 (167)
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_GENERAL DOCUMENTS - C1981017 (167)
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Last modified
11/2/2020 8:18:00 AM
Creation date
10/18/2012 9:49:07 AM
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DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Bid Documents (IMP)
Permit Index Doc Type
General Correspondence
Media Type
D
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No
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A'&,1"l'/,, CERTIFICATE OF INSURANCE YS 02385 ISSUE DATE (MM/DD/YY) <br /> 09/28/94 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE <br /> DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> OODY INSURANCE AGENCY POLICIES BELOW. <br /> 1776 S JACKSON #509 COMPANIES AFFORDING COVERAGE <br /> ENVER CO 80210 <br /> COMPANY A TRANSAMERICA INSURANCE <br /> LETTER <br /> COMPANY B <br /> INSURED LETTER <br /> OGUE CONSTRUCTION, INC. COMPANY C <br /> D. 0. BOX 618 LETTER <br /> ASALT, CO 81621 COMPANY D <br /> LETTER <br /> COMPANY E <br /> LETTER <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> EXCLUSIONS AND CONDITIONS O ISSUED OR FISUCAY H POLIJG�ESELIMITS SHOWN MAAFFOY ED BY THE POLICIES DESCRIBED HAVEBEEN REDUCED BY AID CLAIMS. <br /> IS SUBJECT TO ALL THE TERMS. <br /> O POLICY EFFECTIVE POLICY EXPIRATION <br /> TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> TR DATE (MM/DD/YY) DATE (MM/DD/YY) <br /> GENERAL LIABILITY �, r- I.'1� GENERAL AGGREGATE $ <br /> OMMERCIAL GENERAL LIABILITY PRODUCTS—COMP/OP AGG $ <br /> LAIMS MADE FIOCCUR OCT <br /> PERSONAL&ADV INJURY $ <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ <br /> FIRE DAMAGE(Any one tire) $ <br /> UIVISItj(i 01 IlrillIUtdib MED EXP.(Any one person) $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE <br /> ANY AUTO LIMIT $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON—OWNED AUTOS (Per accident) $ <br /> GARAGE LIABILITY <br /> PROPERTY DAMAGE <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM <br /> WORKER'S COMPENSATION 80266144 O 1/O 1/9 4 O 1/O 1/9 5 STATUTORY LIMITS <br /> AND EACH ACCIDENT $ 1 C O 0 O <br /> EMPLOYERS'LIABILITY DISEASE—POLICY LIMIT $ 5 0 o O O <br /> DISEASE—EACH EMPLOYEE is 100,00 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> ROJECT: COAL/BASIN SUTEY PILE PERMIT RELOCATION C-81-017 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO <br /> COLORADO DIVISION OF MAIL 1_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> MINERAL & GEOLOGY LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> 1313 SHERMAN ST ROOM 215 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES <br /> DE NVE R CO 80203 /AUTHORIZED REPRESENTATIVE <br /> ACORD 2 S(7/00) OACORD C ORATION 1000 <br />
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