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GENERAL49409
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GENERAL49409
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Entry Properties
Last modified
8/24/2016 8:28:19 PM
Creation date
11/23/2007 5:06:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
General Documents
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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~flds^ .. <br />~`'~' .7"~a.ES~~ ~'~ €~.~ ~ :+t DATE CMM/DD/YY) <br />' <br />'~ <br /> ~,~~ ~ <br />07/11/07 <br />~ t~i <br /> ,~„~ <br />, <br />~ .,a <br /> TH[S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br /> AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br /> COVERAGE AFFORDEA BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br /> MsuRER A: Federal insurance Company <br /> MsuRER H <br /> INSURER G. <br /> MSURER D <br /> MSURER E <br /> .nts cDYer es :terms, ctindlflbns and'ezcluslons olthe; 'llcles Shawn '^ ~ _- + ?'~a€ <br /> THE INSURED NAMED ABOVE FOR THE POLICY PERIOD MDICATED NOTWITHSTANDING <br /> IHER DOCUMENT WITH RESPECT TO WHICH TH[S CERTIFICATE MAYBE ISSUED OR MAY <br /> HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br /> AIMS <br /> POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br /> DATE(MM\DD\YY) DATE(MM\DD\YY) <br /> 06/01/07 06/01/08 EACx OCCURRENCE 81,000,000 <br /> FIRE DAMAGE(Anv one fire) E1, 000, 000 <br /> MED EXP (Anv one Person) E10, 000 <br /> PERSONAL & ADV MJURY 51, 000, OOO <br /> GENERAL AGGREGATE 52 <br />000 <br />000 <br /> , <br />, <br /> PRODUCTS-COMP/OP AGG Y2, 000, 000 <br /> <br /> 06/01/07 06/01/08 GDMBINED SMGLE LIMIT <br /> (Ea aeadem) Y1, 000, 000 <br /> BODILY MIURY <br /> ( Per person) <br /> HODll.Y MRIRY <br /> X NON OWNED AUTOS ~ (Per accident) <br /> PROPERTY DAMAGE <br /> (P <br />id <br />Q <br /> er acc <br />en <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO <br />OTHER THAN EA ACC <br /> AUTO ONLY: <br /> AGG <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCCUR ~ CLAIMS MADE AGGREGATE <br /> <br /> DEDUCTIBLE <br /> RETENTION - --- - - _----- - <br /> WORRERS CODIPERSATION AND WC STATU- OTH- <br /> EMPLOYERS'LDIBH <br />ITY TORY LIMITS ER <br /> , E.L. EACH ACCIDENT <br /> E L. DISEASE-POLICY LIMIT <br /> e 4 D[SEASE-EA EMPLOi'EE <br /> OTHER <br /> 1 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/E%CLUSIONS ADDED BYENDORSEMENT/SPECIAL PROVISIONS ~ <br />RE: Munger Canyon permit #C-1981-020 <br /> <br />CERTIF[CATEHOLDER ANCELtiATION "' ~~~ "'" :' - ~- '-~ ` ~ ~~:' ~ <br />DI VI SI Or Of Reclamation SHOULD ANY OF TF@ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION - <br />Mining and Safety DATE THEREOF, THE ISSUMG COMPANY WILL ^asa~.L^o.°~TO MAIL <br />1313 Sherman St., ROOM 218 30 DAYS lYRITTENNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Denver co 80203 usA 6+TY <br /> ~a <br /> ) <br />AUTHORIZED REPRESENTATRTi ~o ~-_ Moo.r_~_ <br /> ; <br />:~'CORD25-S' /97 ~~~:.:`.~` ~ ~~~: ~~ s.' 'ACORDCO ORA-d ~19$8~ <br />ti <br />L <br />C <br />a <br />S <br />S <br />S <br />O <br />tT <br />00 <br />rv <br />0 <br />0 <br />n <br />^ <br />
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