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GENERAL41660
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GENERAL41660
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Entry Properties
Last modified
8/24/2016 8:10:00 PM
Creation date
11/23/2007 11:19:47 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981016
IBM Index Class Name
General Documents
Doc Date
6/16/1995
Doc Name
Insurance Certificate PKA-95-0016
From
Ron Martin & Son Construction
Permit Index Doc Type
Reclamation Project
Media Type
D
Archive
No
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Neil-Garing Agency, Inc. <br />P.O. Box 1576 <br />Glenwood Springs, CO 81602-157 <br />(303) 945-9111 <br />NSURED <br />Ron Martin & Son Construction <br />1584 County Rd 103 <br />Carbondale CO 81623 <br />~"~ 6/16/1995 <br />_: :.. <br />THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTiFlCATE HOLDER. THIS CERTIFlCATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />,...__ <br />Y _ <br />A Hawkeye <br />: COMPANY <br />IEITEA B <br />L ................. <br />COMPANY <br />LETTEA ......................... .. <br />`. <br />:.................. <br />caMPArrv <br />LETIEA <br />: ........................ . <br />D <br />.................... <br />coMPAWr <br />IET7Hi ............................ . <br />E <br />Security Insurance Co. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV 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 BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CWMS. <br />TYPE OF N9URANCE N%1Cr NUI®ER I roucr EPrFC7IYE PODCr EXPSLITKIN LNrtf <br />:DATE IMMmomp DATE IMMmomr) <br />GENEnA~ uAeurr :GENERAL AGGREGATE ': s 1, 0 0 0 , 0 <br />$ COMMET/CML GENERAL LNBS.ITY UAL2-07642&77 ~ PROWCIS-CDMP~OP AGO S 1, 0 0 0 , 0 <br />'aAUnsMA°E:g'occu". :03/24/95 03/24/96.PEr6oN016AD¢INJURV ± 1,000,0 <br />c <br />` a coamACroRS PaoT EACH OCCURRENCE S 1, 0 0 0, 0 <br />FIRE DaMGE IAnY ane Ne) ': S S O , O <br />~~ . <br />AUTOYOBLE LYBIlTY <br />~ <br />........ <br />... .. ANY AUTO <br /> : ALL OWNED AUTOS <br />][ <br />. I SCHEWLED AUTO <br />. <br />7(.. HIRED Auros <br />..](. <br />~..... .. NON-OYMED AUTO$ <br /> : GARAGE LIABERY <br />S LUBIlTY <br />UM&iELIA FOMI <br />GTNEA THAN UMBRELLA FORM <br />WORKERS COIPFNSAlK1N <br />AND <br />FS@lgYIHS' WBIJfY <br />OTHFA <br />................... <br />OFSCRE+IK1N OF <br />v. of Mineral & Geology <br />TN: Maggie Van Cleeve <br />13 Sherman Street Rm. 215 <br />suer CO 870203 <br />MED. FIiPEN$E (AmY ane person)-'S 5 , O O' <br />COMBWED SWGLE O O O O O' <br />UCA7 076426/21 'LIMB -'S 1 , , <br />:03/24/95 03/24/96;BODILreauRv <br />' (Per perms) ~-.5 <br />80DEY WA1RY <br />f <br />:(Per eciUenp <br />PIiOPERtt DPMAGE <br />: <br />~ ~f <br />_.. ... ... _.._ <br />....... ..........i. ... _. _....._. _. <br />. .. .......... <br />=/ :EACH OCCURRETICE <br />-s~ ._:_ <br />:f <br />. <br />._ ................................ <br />-`AGGREGATE .. <br />.................................... <br />f <br />STAMORY LNRS i ' <br />EACH ACGDENT <br />i : ~S <br />.. ..._._...... ....._.... <br />` DISEASE -POLICY LIMB <br /> <br />__ <br />i_.. _.. _............ <br />'S <br /> <br />___ <br />DISEASE -EACH EMPLOYEE <br />...._ ..... ........... ._ ... ............f. .._ _.._ :S <br />_ ....... . <br />SHOULD ANV OF THE AROVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL 1 O DAYS WRITTEN NOTICE TO 7HE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />DABIUTY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />
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