Laserfiche WebLink
03-JUN-2005 12:1YPM FROM-Blanchard Insurance Group Inc. 9702459015 T-755 P.001/004 F-919 <br />co n, CERTIFICATE OF LIABI LITY INSURANC~~~!~ °"05 ua s ~ <br />18nchard Tnauraace Group Iao • HOLDER. THIS CE!RT)PICATE GOES NOT AMEND. E!L <br />. O. Hox 60130 ALTER TH2 COVERAGE AFFOADEP BY THE POLICII <br />rang Junetinn CD 915D6 <br />hone: 970-245-6011 Fax:970-245-8016 INSURERS AFFORDINGCOVERAOE <br />WsuREA B; <br />SE$i Cartatruct3q n CO. INSURER C: <br />715 RarizOA,Drive, Suite 219 INEUflER O: <br />Graced Juactaon CO 81506 __ ___ <br />THE POLICIES OF INSURANCE LISTW BELOW HAVE BER! 199UE0 TO THE INSURW NAMED ABOVE FOP THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REOUIRENENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH 1-HI6 CERTIFICATE MAY BE 199UED OP <br />MAY PERTAIN, THE INSUgANCE AFFORDBO By THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, EACUl3IDN6 AND cONDITiONS OP SUCH <br />POLICIES, AGGRCGATE LIMBS SHOWN MAY HAYS BEEN REDUCED RV PAID CLAIMS. <br />R TYPE OF WSURANCB POLICY NUMBER DA MMYD DATE UMR9 <br /> GENERAL l14BILRY EADH OCCURRENCE E1, OO0, 000 <br />A X COMMERCIAL OENEAAL LIABILM 9890068 05/10/05 05/10/06 FIRE DAMAGEIAnyanellrel 1100,000 <br /> CWMS MADE ®OCCUR MEO EIW (Any mePOrsan1 55,000 <br /> PEASONALA ADV INJURY 51,000,000 <br /> GLNERAL AGGREGATE S 2.000.000 <br /> GENL AGGREGATE LIMIT APPUE6 PER: PRDOUCTS•COMPIOP AOG $2.000.000 <br /> POLICY P~ LOC <br /> <br />A AU <br />X TOMOBILE LIABILITY <br />nuvAUro <br />9890868 <br />05/10/05 <br />05/10/06 <br />OOAIBIHEDSINGLELUdR <br />{EA ecdden0 <br />51,000.000 <br /> ALL OWNED AUTOS <br />SCHE9ULE0 AUTOS BODILY INJURY <br />(Pef PeNWQ <br />1 <br /> X <br />X MIRED AUTGS <br />NON-OWNED AUTOS RECEI ED BODILY INJURY <br />(Per ocoleenU 1 <br /> PROPERTY DAMAGE <br /> <br />- <br />(Pe1 ecW4anq $ <br /> GAgAGE UgBnJTY AUTOONLY-EA ACCIDENT $ <br /> ANY AUTO <br />s <br />i M <br />and GeDIDpY Eq ACC <br />°T <br />~ <br />T $ <br /> me <br />DIVAIron D A <br />UTO <br />Or <br />aLY <br />AGG <br />9 <br /> ExCESS LIABILITY EgCH OCCURRENCE 9 <br /> OCCUR ~ CWM6 MADE AGGREGATG i <br /> a <br /> oEDUCRBLE g <br /> RETENTION S $ <br /> WORKERS COMPENSATION TWO <br />EMPLO <br />' ORY L Mlrs <br /> LIAep-RY <br />YERS EL EACH ACCIDENT $ <br /> GL DLREASE • W EMPLOY $ <br /> E.L• DISEASE • PODGY LIMR i <br /> OTHER <br />OEBCAIPTION OF DPEfUT10N&LOCATNNISNEHICLES'E%CLU9WNE ADPEP av ENCOREEMEN7~SPEdAL VISIONS <br />Re: D]orth ThoEL~son Creek-File NO C-BS-035. State Of Colorado, DiViaion Of <br />Niaerale & Geology is included as as Additional Insured.+10 Daye Notiee BTie <br />to Noa-Pbymeat OP Premium.++Or incur aublBteative chaage6 or failure to <br />renew. TSI$ CERTIFICATE 6IIPERH&UES PREVIOUSLY ISSOHD CERTIFICATE <br />~cnlrnuw:e nvLOE:H pT AOORIONALINSUAFD; WSUABR LETTER: CANCELLATION <br />0000000 SNDULDANY OP THEABOVE DESCRIBED POLICn=B BE CANCELLED BEFORE THE E7IPlAATION <br />State Of 001or88o PATE TifEREDF, THE LASIANO INSURER WILLMAB. ~.0-DAYS WRnTBN <br />Division OE Minerals GsolOgp NOTICE TD THE CERTIFICATE NDLDER NAAfED TO THE 4EFY, EOL1~].I~OSStL1 <br />1313 Hhermaa Street Room 215 xw ~~ .i <br />Deaver CO BOZ03 <br />~eaeneew,a.n,ea * # <br /> <br />