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GENERAL44149
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GENERAL44149
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Entry Properties
Last modified
8/24/2016 8:12:59 PM
Creation date
11/23/2007 12:52:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981018
IBM Index Class Name
General Documents
Doc Date
12/27/2005
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D GATE (MMIDDM'YY) <br />DESER-3 12 22 05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hays Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />80 South 8th Street #700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Minneapolis MN 55402 <br />Phone: 612-333-3323 Fax: 612-373-7270 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Federal Insurance Com an r 20281 <br /> INSURER B: <br />Deseret Generation fi Transmiss <br />Attn: Soren Sorensen INSURER C: <br />10714 South Jordan Gateway INSURER O: <br />South Jordan UT 84095 <br /> <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATE N <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER ppTE MM/DD DATE MM/DD LIMRS <br /> GENERAL LUiBILffY EACH OCCURRENCE $ 1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 73194464 12/30/05 12/30/06 PREMISES (Eaotturence $1QQ,000 <br /> CLA <br />IMS MADE OOCCUR MED EXP (Any ona person) $ 1Q,000 <br /> X Q <br />EBL y1,000,OOO PERSONALBADVINJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $ 2,000,000 <br /> POLICY PRO- <br />JECT LOC <br /> AUT OMOBILE LUI6ILRY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AVTOS <br />BODILY INJURY <br />E <br /> SCHEDULED AUTOS (Per parson) <br /> HIRED AUTOE <br />BODILY INJURY <br />E <br /> NON-OWNED AUTOS (Per acdtlent) <br /> PROPERTY DAMAGE <br /> <br />(Per ecGtlanQ E <br /> GARAGE LIABILfTY AUTO ONLY-EA ACCIDENT $ <br /> ANV AVTO OTHER THAN EA ACC E <br /> AUTO ONLY: AGG E <br /> EXCESSIUMBRELLA LD181LRY EACH OCCURRENCE E <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION E S <br /> WORKERBCOMPENBAFKNIAN0.- - - -- ~ - --- -- ---- - -- TORY LIMITS' - --- - -- <br /> EMPLOYERS' LUU3ILRY <br /> ANV PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT S <br /> OFFICER/MEMBER E%CLUDED9 E.L. DISEASE- EA EMPLOYEE S <br /> It Yas, Describe antler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT S <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEXICLE31 EXCLUSIONS ADDED BV ENDORSEMENT/ SPECULL PROVISIONS <br />Re: Deserado Mine in Rangely, Colorado (Permit #C-81-018). <br />CERTIFICATE HOLDER CANCELLATION <br />COLSTAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL BfIOCMNL 3O DAYS WRRTEN <br />State of Colorado NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT OOI~REGCL01$CX9IMYL <br />Division of Minerals 6 Geology I <br />1313 Sherman Street Room 215 <br />Denver CO 80203 ~ti'°~ <br />ACORD 25 (2001/08) ~- __ -- - -- -c <br />
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