_GENERAL DOCUMENTS - C1981017 (167)

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ACHIR1!® CERTIFICATE OF INSURANCE DATE(MM/DD/YY) 09-27-94 PRODUCER THIS CERTIFICATEISSUED AS A-MA ER OF INF RMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Linden Company of HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Glenwood Springs, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 2090 COMPANIES AFFORDING COVERAGE Glenwood Spgs. , CO 81602 COMPANY ' _303/945-6203 FAX W—I-1533 A The Maryland Ins_ura_nce-Group INSURED COMPANY Bogue Construction, Inc. B P. 0. Box 618 COMPANY Basalt, CO 81621 C COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) —----------------------------- - ----- GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000 A - CLAIMSMADE X OCCUR EPA19556241 07-09-94 07-09-95 PERSONAL&ADV INJURY $ 1 ,000,000 OWNER'S&CONT PROT EACH OCCURRENCE $ 1 ,000,000 FIRE DAMAGE(Any one fire) $ 50,000 MED EXP(Any one person) $ j z000 AUTOMOBILE LIABILITY XCOMBINED SINGLE LIMIT $ 1 000 000 ANY AUTO A X ALL OWNED AUTOS ECA19555755 07-09-94 07-09-95 BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS - BODILY INJURY $ X NON-OWNED AUTOS (Per acc dent) --X $25 Comp - - PROPERTY DAMAGE $ X $1000 Coll -- - -- -- -- - - - -- - - - -- - - --1 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT $ - -AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE ^$ _ 3,000,000 A X UMBRELLA FORM UB75345554 07-09-94 07-09-95 AGGREGATE $ 3,000,000 OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS'LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $ OFF PARTNERS/EXECUTIVE OFFICERS -EXCL - -,'DISEASE_EACH EMPLOYEE_ OTHER ------------------ ----- --- --------- --- A PROPERTY EPA19556241 07-09-94 07-09-95 'Bldg.&Cont $ 630,000/$250/ 0% A INLAND MARINE EPA19556241 07-09-94 07-09 95 Cont.Equip.$1 ,853,520/$500 --- - — --- ------ ------ - Unscheduled $ 72,300/$500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS -- ----- - - - ----- - ---- --- State of Colorado is Additional Insured regarding: Coal Basin Sutey Pile Permit Revocation C-81-017 CERTIFICATE HOLDER —1-----------_---_-.�_----------- - --CANCELLATION- --- ----- ------- ------�-----------I j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE i I EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Colo. Div. of Minerals & Geology I _3jo__DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1313 Sherman St Ste 215 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Denver CO 80203 i F Y KI D UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AU RIZ ESENTATIVE , o n M. Deer_ ACORD 25-S(3/93) ©ACORD CORPORATION 1993 _ ------ --- -- --