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GENERAL38144
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GENERAL38144
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Entry Properties
Last modified
8/24/2016 7:58:01 PM
Creation date
11/23/2007 9:30:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981039
IBM Index Class Name
General Documents
Doc Date
10/4/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIIIIII ISSUEDATE MM DD YY <br />gcord CERTIFICATE OF INSURANCE sss 09/30/91 <br />PRODUCER Thie certificate ie ieeued m a matter of information only and confen <br /> no righks upon khe certificate holder.Thie certiC~<ate does not amend, <br />COBB 9TRECKER DUNPHY dt ZIMMERMANN, INC. extend or alter khe coves a afforded b the olicies listed below. <br />4728 EAST TOWNE BLVD., SUITE 230 <br />MADISON, wt 53704 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> LETTER A CONTINENTAL CASUALTY COMPANY <br /> COMPANY <br /> LETTER B CONTINENTAL CASUALTY COMPANY <br />INSURED <br /> COMPANY <br />RYAN INCORPORATED CENTRAL LETTER C CONTINENTAL CASUALTY COMPANY <br />P.O. BOX 206 COMPANY <br />]ANESVILLE, WI 63547 LETTER D TRANSPORTATION INSURANCE CO. <br /> COMPANY <br /> LETTER E <br />COV RACES <br />This ie to cerkify that policies of insurance listed below have been issued to the insured named above for the policy period indicated. <br />Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may <br />_ _ <br />be ieeued or may pertain; the imucance atiocded by the policies described herein is subject to all the terms, exclusions, and <br />conditions o[ each policies. Limits shown may have been reduced by paid claims. <br />CO Type of Insurance Policy Number Policy Effective Policy Expiration <br />LTR Dake (mm/dd/yy) Date (mm/dd/yy) Liability Limits <br />A GENERAL LIABILITY General Aggregate <br /> 2 000 000.00 <br /> [ X ] Cortunercial General Liability Produtte-Comp Ope <br /> J Claims Made A re ate 1 000 000.00 <br /> X J Occurrence Penonal & Advertising <br /> f ]Owner's & Contractor's Prot. GL206629498 09/30/91 09/30/92 In'u 1000 000.00 <br /> f I Each Occurrence <br /> 1 000 000.00 <br /> Fire Damage <br /> An One Fire 350 000 00 <br /> Medical Expense <br /> An One Person $5 000 00 <br />B AUTOMOBILE LIABILITY <br /> CSL <br /> X My Auto 1 000 000.00 <br /> X All Owned Autos (Priv Pma.) Bodily <br /> X All Owned Aukoa(Other) Injury $.00 <br /> X Hired Autos Per Penon <br /> X Non-Owned Autos BUA006629439 09/30/91 09/30/92 Bodily <br /> ] Garage Liability Injury 3.00 <br /> ] Per Accident <br /> Property <br /> Damage 5.00 <br />C EXCESS LIABILITY Each Aggregate <br /> X J Umbrella Form UMB600575970 09/30(91 09(30/92 Occurrence <br /> ` ]Other Than Umbrella Form _ __ _ _ ____ _$5.000,000.00_ _ 45 X00 On0.00 <br /> _ _~ <br /> Stat uto <br />D WORKERS' COMPENSATION 1,000,000.00 Each Accident <br /> AND <br /> EMPLOYERS' LIABILITY WC600509385 09/30/91 09/30/92 $1,000,000.00 (Disease Policy Limit) <br /> 1,000,000.00 Disease Each Employee <br />E OTHER <br /> I <br /> <br />DESCRIPTION OF OPERA_T10NS LOCATIONS VEHICLES RESTRICTIONS SPECIAL ITEMS <br />]OB NO 5712 PERMIT FOR GRASSY CAP COAL MINE Ov I J ~- 1591 <br />o ~ ~ <br />COLORADO DEPARTMENT OF NATURAL <br />RESOURCES, LAND RECLAMATION DIVISION <br />1313 SHERMAN STREET <br />DENVER , CO 80203 <br />CANCELLA"110N n --' "' <br />Should Any Of The Above Describe olicidiiBa(fign e)lad$eC~re The <br />Expiration Date Thereof, The issuing Company Will Mail 3b~I)ays <br />Written Notice To The CertiCtate Holder Named To The Left. <br />AUTHORIZED REPRESENTATIVE <br />i <br />~ \ /3 v i( <br />
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