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SEP~ 13-94 TUE 10:36 MOFFgT INSUR q'"------~-~-~-- <br />1 __ _ _ <br />DATE (iBYDWr1i1-.,. <br />af:t-e;~e. CERYtFICATE OF INSURANCE ^ ~~~ ~~~~~~~~~~~~~~ 9.13.94.: <br />'PaDDUCEA Tt11S CERTIFICATE IS u~uED AS A MATTER OF INFORMATYON <br />Moffat Insurance Agency, In®F ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Ctl`~ NOLOER. THIS CERTIFICATE DOES NOT AMEND EXTEND OA <br />P.O. $Ox 247 IMF ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Craig, Colorado 81626 <br />Jay Wagner <br />Jay Wagner Construction <br />600 HoeketC Circle <br />Craig, Colorado 82625 <br />CDYPANY <br />C <br />COMPANY <br />D <br />COIJPANIES AFFORDING COVERAGE _ - _ <br />USF6G <br />COVERAGES ~ ~ ~ _: ;.a.:. ~ ...:..::...:: ::::... ;....::: •~' ~' :~ic' <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURNJCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTNEA DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY 8E 15SUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IB SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS ANO CONDITIONS OF SUGi POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ ___ <br />CO TYPE OF u15UMNCE POIJCY NUMBER PDLICY EFFEGTYE Pol1CY EKPIRATK)M LIMRB Y <br />LTp DAiE (YWOpYY) DATE (NADDD7Y) ... <br />. GENEJIAL LIABp1TY - -. .. .._. .-_. -.. GENERAL AGGREGATE _ f 2,000,000 <br />A X CQM1uEACNL GENERN. LNDILITY PRODUCTB~COMPpP n00 i_ 2,000,000 <br />~cLwASLUDE ~X;occuR 1MP300988347 03-20-94 03-20-95 PE0.50NAL-ADVWJURY t 1,,.0.00,000 <br />O'M1FA5-CDNT PROT ~ EACH OCCURRGNCE _._. ~~f 1.,000,000 <br />FlRE DANACE (Any arq loo) i SD,UQG <br />_ <br />- ___ uEDE%P(Myonopaw^) f 5 a0Q <br />~... , __ <br /> AUTOMOBILE LMBBJTY <br />A ANY AUTO <br /> x ALLOYJNEDAUTOB <br /> X BCNEDULED AUT06 <br /> X HIRED AUTOS <br /> X NOMOWNED AUTOS <br />1MP300988347 <br />urAGE WBARY <br />ANV AUfO <br />-J---~ -. ... <br />IBAEUJI FOAM <br />HEp THµ UMBAELU FORM <br />p$ COMPEN$ATKkI µD <br />IFILS' LIA8ILITT <br />WCL <br />Exu <br />03-20-94 X03-20-95 <br />COMBINED SWGLE UMR <br />eooavlwuRr <br />(Par q,r,lonj <br />BODILY INJURY _ <br />(Pa xdat~U <br />PROPEAIY DAWDE <br />AUTO ONLY • EA ACCI_ENT <br />OTNEp THAN AUTO ONLY; <br />EACH ACCIDENT <br />__ AGGREGATE <br />EACH OCCURRCNCE <br />AGGRECATB .. •'_ _. _ <br />STAMDAY UMRS <br />EACH ACCIDENT <br />rSEASE -POLICY UwT . _ <br />i 2,000,000 <br />i <br />f <br /> <br />YINtN -_~-_ _ __.__ _ <br />i ._ <br />I <br />D ~ NOF G~EAAAONSADCATWNYVEHICLE55PECUi nElb .. ......_.. .'1-'.- -1.._. _ ._ _ L. -. ~_ <br />All operations of the insured with respect to work performed is behalf of the certificate + <br />holder. <br />CERTIFICATEHOLDEI: Additional Znsured CANCELLATION ~~ ~~_..~r_-"'"'~~'- <br />fNODIp µY OP THE ADOVE DESCPoBED POLIpF9 BE CANCELLED BEFORE THE <br />EXhAA770N DAY6 THEREOP, THE 65UNG COYPµV WILL ENDEAVOR TO 1WL <br />Div. Of Minerals 6 GeOlOgy -~_ DAra Aa E CE rE NDLDER NAMED m TNB rEFi, <br />State Of Colorado cur FNLUpE YAp I NoTIt sHALt 1 ENO OB{JDAT1g1 Op WBILRY <br />1313 Sherman Street of ANY D u N THE cowP NY, AcENw op pcvpEaeNrrlvEs <br />Denver, CO 80203 - - ED' €s Arn¢'-- <br />,. . <br />A,TTN: Haggis <br />iACORD 2SS (3193) s, <br />~~---_-. __-. _._. ~A66RD~CgF1PORAT10N,1g93 <br />~er ^d <br />SFp Fqk CpAPANV <br />73 Igy~ ANY <br />