GENERAL42754 - Laserfiche WebLink

Home Browse Search

AI:IIt:i~. CERTIFICATE OF INSURANCE ~~I ~~~~~~~~~~~~~ ~~~ ISSUE GATE IMMIDDIYY) PRODUCER John F. O'Reilly Agency 612 West 47th Street Kansas City, Mo. 64112 CODE SUB~CODE INSUflED Richard Curry DBA Curry Construction Box 236 Kremling, Colo. 80459 999 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW COMPANIES AFFORDING COVERAGE COMPANY LETTER A Globe Indemnity Company COMPANY B LETTER COMPANY ~ r ~ r I LETTER C F F' COMPANY D LETTER COMPANY JUN 21 1991 LETTER E COVERAGES nn~~~IVIIIIeU Ld~~1TY1'~U THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED RxM90~U/1~~.1~~1! PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV 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 E%PIRATION ALL LIMITS IN THOUSANDS .TR DATE IMMIDD/YY) DATE IMMIDD/V Y) GENERAL LIABILITY GENERAL AGGREGATE E T OOO 1 XXCOMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPS AGGREGATE S 1 000 A P CLAIMS MADE SXOCCUR. PERSONAL 8 ADVERTISING INJURY S 5OO OWNER'S 8 CONTRACTOR'S PROT GSP 119671 6-26-91 6-26-92 EACH OCCURRENCE S 5OO XX XCII Incl. FIRE DAMAGE IAnypnaM1re) S 50 J MEDICAL EXPENSE IAny one perspnl S L D AUTOMOBILE LIABILITY COMBINED SINGLE 4 ANY AUTO LIMIT COO J X ALL OWNED AUTOS BODILY INJURY E X SCHEDULED AUTOS GSP 119671 6-26-91 6-26-92 'Par pars°n) A X HIRED AUTOS BODILY INJURY E X NON~OWNED AUTOS (Per accitlenl) GARAGE LIABILITY PROPERTY E DAMAGE E%CE55 LIABILITY EACH AGGREGATE OCCURRENCE E E OTHER THAN UMBRELLA FORM ~ _ _ -_ -_ -- _, __ _ _ _ _ _ __ _ _ _ _ r STATUTORY WORNEfl'S COMPENSATION S (EACH ACCIDENT) AND S (DISEASE-POLICY LIMIT) EMPLOYERS' LIABILITY E (DISEASE-EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIALITSMS CERTIFICATE NOLDER Colorado Mine Reclamation Div. 1313 Sherman St. Room k 215 Denver, Colo. 80203 ATTN: Tom Gillis ACORD 25-5 11 CANCELLATION SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED flEPRESENTATIVF. L /~' / ~ / IJ ' ' '/ / /~ L CORPORATION 1