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Aerelt11® 'CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) <br /> 05/10/96 <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 /> Moffat Insurance Agency, Inc. POLICIES BELOW. <br /> 304 W. Victory Way, <br /> P. 0. Box 247 COMPANIES AFFORDING COVERAGE <br /> Craig CO 81020 <br /> LETTERNY A United Fire&Casualty <br /> COMPANY B <br /> INSURED LETTER <br /> Jay Wagner DBA Wagner Construction LETTERNY `+ <br /> 6W Hodcett Circle COMPANY D <br /> Craig CO 81625 LETTER <br /> COMPANY E <br /> LETTER <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 /> 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 OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> Go TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS <br /> LTR DATE (MWDD/YY) DATE (MWDD/YY) <br /> A GENERAL LIABILITY 60-043 004 03/20/96 03/20/97 GENERAL AGGREGATE $ 2000000 <br /> A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 200= <br /> CLAIMS MADE X OCCUR PERSONAL&ADV INJURY $ 1000000 <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 <br /> FIRE DAMAGE(Any one fire) $ 50000 <br /> MED EXPENSE(Any one person) $ 5000 <br /> A AUTOMOBILE LIABILITY 60-043(4 03/20/96 OM/97 COMBINED SINGLE <br /> ANY AUTO LIMIT $ 1000000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> A X SCHEDULED AUTOS (Per person) $ <br /> A X HIRED AUTOS BODILY INJURY <br /> A X 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 STATUTORY LIMITS <br /> AND EACH ACCIDENT $ <br /> DISEASE-POLICY LIMIT $ <br /> EMPLOYERS'LIABILITY <br /> DISEASE-EACH EMPLOYEE $ <br /> OTHER <br /> 8xcavTIO atioa E iirTadiag oTf� Conatruc�ioa Certificate holder as Additional Insured <br /> CERTIFICATVHOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO <br /> MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> Division Minerals�Geology N LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> Dept of Natural Resources - . <br /> 1313 Sherman St Rm 215 LIABILITY OF ANY KIND UP64�PANY, ITS AGla&OR REPRESENTATIVES. <br /> Denver CO 80203 <br /> AUTHORIZED REPRESENTATIVE <br /> David B. Schwerin <br /> ACORD 254,1[7A90) CACORD CORPORATION:1990' <br />