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GENERAL56402
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GENERAL56402
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Entry Properties
Last modified
8/24/2016 8:40:48 PM
Creation date
11/23/2007 11:25:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1989074
IBM Index Class Name
General Documents
Doc Date
12/2/2002
Doc Name
Certificate of Liability Insurance
From
American Civil Constructors
To
WQCD
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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_a~a~:';'` ~'.~~('(i IFICATE OF LIABILITY INSURANCF,~OPID .1 VATEIMNx)0.M') <br />RI-1 09/19/0' <br />llagher Construction Svcs <br />J California St., SLLito 1400 <br />.i Francisco CA 94100-iC35 <br />Jre: 415-391~I500 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFCRMA710N <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />MOLDEiR. TNIS CERTIFICATE GOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />l.~ INSURERS AFFORDING COVERAGE <br />"4° pKJ RA• Zurich Amaricaa Insurance Co. <br />~~~' JR~Ra~ American Zurich Insurance Co. <br />American C'vil Ccnstr•ictors W$JREFC American Guarantee 6G Liabilit <br />Randa11 b 8 ake, inc. <br />4901 S. Windermere FF NgdRER D-. <br />Littleton, CO 80120 1 I _ <br />E PpLICt'eS OF INSURANCE ~ISTSO SELGN' HAVE DEEN I$SLEC TO THE :NSUREO NAMED ABOVE Fpq iND POLICY PERIOD INCKATlD. NOPMTHSTANOIN'p <br />Y REQUIREMENT, TERM OR CONJITIOR OT ANr CONI RACT Oq OTMfR OOCUMFNT'NITM RESIECT TO WMICN TNIS CegTIFIOATE NUY 9E 153UE0 Oq <br />.Y FERTAIN,'NE INSURANCE AFFCPOED BY CNE P04CIE9 CEEGF!BED HEREIN IS SUD_ECY Tp nll THE TER^J 9. EACLUSION$ AND COhDICgV90f 9UG; <br />L.CIES. AGGREGATE LIMITS DNOWh MAY NAVE BEEN RE]u :EO Br PAID ClAlfdS <br />TTPE CF INSURANCE POLICY NUMBER oniv rrMEwO '! OATIE MwP00ml~~ LFAIT9 <br />GENERAL UAUIL6'T FAGN OQC'JRRENGE S 1 OOO 000 <br />$ GGMBEROL+L GFNERAI LIABI,I~( GLO 3495305-01 07/01/01 0'./Ui/02 FIRE DALiAGE (Any mN Urrsl E 300,000 <br />C',AIMS MADE ~ OCCUR ' I . MED EX° (Myent pt!fon) 3 5 , OOO <br />_ <br />XIX.I.. U. 1nClcded PERSONALL aOV INURY '51,0'00, 000 <br />_~ _ _ __ _ - -_ _ _ - _ - _ GENEML AGGREGATE 1 E 2y000 , OOO <br />OENL AGGREGATE LIMIT APPLIES PEW. PRODUCTS-CONPA)F aGG S2, COO C0O <br />` PCLICY 1C PfiCT ~ lOG I <br />AUTOSKIBILE LIA6hfIY ' I <br />COMBIhE051NGLE LIhET <br />n <br />E <br />d <br />~ <br />'SIJOOO, 000 <br />~ANr aurc BAP 3495306-01 '~~ 07/G1/01 ) <br />"`° <br />' <br />1 <br />07/0_/02 <br />AL. amfc AUTOS I <br />I <br />~ BODILYINJURY <br />._ ~ <br />_' SGHED'JLED AU to 3 <br />. (Por ftYRgl) = <br />X ~ HIRED AUTOS ~ I ~ <br />BOO'LY INJURY <br />~ 5 <br />~(I NON-O'ANED AUTOS ~ <br />I <br />-- <br />i ~pf 1~'~M1I) <br />I <br />I <br />~! i <br />I <br />PROPERTY DAMAGE <br />(PSr acEdcnl) I <br /> <br />S <br />CAMGE LNBIUTY + ~ AVTO CNLY•EA A(x:DENT 5 <br />ANY AVTO ! I EA ACC <br />OTHER THAN s <br />i I " wJTO CNLY: AGG ; E <br />F](CE99 L:ABILITT I I EACH CCCURRENQE SS, OOO, OOO <br />X~cxa'N ~GWMg NnOE AUC3504792-00 07/01/01 ~ <br />I 07/01/02 AccRECarF E5, 000, 000 <br /> E <br />_ <br />OEDL GTI&E ~ S <br />X I RETFNTON S ZS, OOO ~ : S <br />WORKERS CONPEN9AT10N AND - XITDRY LUAR$ I FR I <br />EMPLOYERS'LIABILITY ~ TSTC 3371190-O1 ~ 07/01/01 ~ 07/01/02 E.L. EAtN atDICENT 91 OOO OOO <br /> ' I E.L. DISEASE-EA EMROYEE E1, 000 000 <br />' E.L DISEASE-POlA1'UNIT S 1 000 000 <br />OTNEq ( <br /> <br />.eral Liability: Adds t: onai Insured peY attached Eadorsement. <br />all pperations <br /> <br />TIFICi7E MOLDER ,N aDOalOxauNSURED: c,3URER LETER: CANCELLATION <br />Colcrado Diviaien Op Minerals <br />and Geology <br />1313 Sbermar., ADOm 215 <br />Denver, CO 80203 <br />(,DISi,IOS 9HWL0 ANY O<THE ABOVE DESCINBFD POUOIE60F CANCFLLE00EFORE THE EXPIRaT1O <br />GATE THEREJF, )NE l9SJING WS:JRER WILL ENDEAVOR TO MALI ~_ 0675 WRITTEN <br />FOTICE TO ME CERTIFIGTE NOl DER NANED TO THE LETT, BUf FAILURE TO 00 9p 6HwLL <br />IMPO6E NO OBLIGATIGN OR LUI&UYY OF ANY qN0 UPON TNEINSURER, Il$ AOENTS OR <br />•FMF[RYTITVFL ~ <br />
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