HomeMy WebLinkAbout3.0 Correspondence & Conditionsc
a N.
Louisiana-Pacific Corporation
111 S.W. Fifth Avenue
Portland, Oregon 97204
503/221-0800
FAX: 503/796-0204
November 18, 1993
Garfield County Commission
c/o Planning & Zoning Dept.
Attn: Dave Michaelson
109 8th Street, Suite 303
Glenwood Springs, CO 81601
Dear Mr. Michaelson:
NOV 1 9 1993
G ii= ltLD COUNTY
VIA FEDERAL EXPRESS
Subject: St. Paul Fire & Marine Bond #400 JM 3299
Road Use Permit
As requested, we enclose the above captioned bond in
the amount of $17,500.00 effective November 18, 1993.
We trust you will find the enclosed in order.
Sincerely,
(115),SIA)LACA
Carolyn Mitseff
Corporate Insurance Department
CM
cc: J. Ellisor - Hayden Lake
T. Kyllo - Montrose
•
Su' ST. PAUL FIRE AND MARINE
INSURANCE COMPANY
IPropertyc& Liabiliy BOND NO. 400 JM 3299 St. Paul, Minnesota
e
A Capital Stock Company
LICENSE OR PERMIT BOND
KNOW ALL MEN BY THESE PRESENTS, That we, LOUISTANA—PACIFIC CORPORATION
, of
111 S.W. Fifth Avenue, Portland, OR 97204
as Principal,
and St. Paul Fire and Marine Insurance Company, a Minnesota Corporation, and having its principal office in the City of
St. Paul, Minnesota, as Surety, are held and firmly bound unto GARFIELD COUNTY COMMISSION, 109 Eighth
Street, Suite 303, Glenwood Springs, CO 81601 , hereinafter called the Obligee, in the penal sum of
SEVENTEEN THOUSAND FIVE HUNDRED AND NO/100 Dollars ($ 17,500.00-- ),
lawful money of the United States of America to be paid to said Obligee, for which payment well and truly to be made, we bind
ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents.
Signed with our hands and sealed with our seals this, the 18th day of November , A.D. 19 93
WHEREAS, a LICENSE or PERMIT has been granted by the Obligee to the above bounden Principal authorizing the Principal
to use County Road 252, commonly known as Piceance Creek Road, in connection with Chris
Hallandras Timber Sale.
Now therefore, the Condition of this Obligation is such, that if the said Principal shall faithfully observe the provisions of
the Laws, Ordinances, and Resolutions, governing the issuance of this License or Permit, then this Obligation shall be null and
void, otherwise to remain in full force and effect.
Liability under this bond shall terminate as of the 18th day of November 19 94
as to any acts subsequent thereto, unless said bond is continued in force from year to year by the issuance of a continuation
certificate signed by the Surety.
The Surety may cancel this bond at any time by filing with the Obligee thirty (30) days written notice of its desire to be relieved of
liability. The Surety shall not be discharged from any liability already accrued under this bond, or which shall accrue hereunder
before the expiration of the thirty day period.
Attest
William L. Hebert Assistant Secretary
11077 Rev. 5-84 Printed in U.S.A.
LOUISIANA—PACIFIC CORPORATION
By:
Joh C. Hart Vice President
Principal
ST. PAUL FIRE AND MARINE INSURANCE COMPANY
By !/_- —F�
Muriel M. van Veen Attorney-in-fact.
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onto® CERTIFICATE OF INSURANCE
jleritage General Agency, Inc.
[3989 E. Arapahoe Road #200
Littleton, CO 80121
SUB -CODE
oe A. Montano
457 - 6530 Road
trose, CO 81401
GE*' R 1-'
ISSUE DATE (MM/DD/YY)
6-8-93
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 BY THE POLICIES BELOW
COMPANY
LETTER A
COMPANY
LETTER B
COMPANY
LETTER C
COMPANY D
LETTER
COMPANY E
LETTER
COMPANIES AFFORDING COVERAGE
Western Heritage Ins. Co.
IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
ATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
FICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
USIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
L LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE x OCCUR.
OWNER'S & CONTRACTOR'S PROT.
MOBILE UABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
ON -OWNED AUTOS
GE LIABILITY
LIABILITY
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
Logging & Lumbering
POLICY NUMBER
CLP139246
N OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
ATE HOLDER
.P.
Box 1269
trose, CO 81402
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY)
6-8-93 6-8-94
ALL LIMITS IN THOUSANDS
GENERAL AGGREGATE $ 1,000,00(
PRODUCTS-COMP/OPS AGGREGATE $
PERSONAL & ADVERTISING INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MEDICAL EXPENSE (Any one person) $
COMBINED
SINGLE $
LIMIT
BODILY
INJURY $
(Per person)
BODILY
INJURY $
(Per accident)
PROPERTY
DAMAGE
EACH
OCCURRENCE
$ $
STATUTORY
AGGREGATE
(EACH ACCIDENT)
(DISEASE—POLICY LIMIT)
(DISEASE—EACH EMPLOYEE
k-$. {3/88)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANy.AIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZ-+ REP
®ACORD CORPORATION 1988
sr.)
COMMERCIAL GENERAL LIABILITY COVERAGE PART - DECLARATIONS
usF&6®
Policy No. 1CG 300363888 01 INSURANCE
LIMITS OF INSURANCE:
$ 1,000,000
$ 1,000,000
$ 1,000,000
$ 1,000,000
$ 50,000
$ 5,000
FORM OF BUSINESS:
X
Individual
Other
General Aggregate Limit (Other than Products -Completed Operations)
Products -Completed Operations Aggregate Limit
Personal and Advertising Injury Limit
Each Occurrence Limit
Fire Damage Limit (Any One Fire)
Medical Expense Limit (Any One Person)
Partnership
Joint Venture
LOCATION OF ALL PREMISES YOU OWN, RENT OR OCCUPY:
Same as shown in Item 1 of the Common Policy Declarations.
See below.
X
PREMIUM SCHEDULE:
Classifications
625 1575 ROAD
ELTA, CO 81416
LOGGING AND LUMBERING
INCLUDING PRODUCTS AND/OR COMPLETED
OPERATIONS
See Supplemental Schedule.
Premium
Code No. Bases(')
Corporation
Rates
Prem./ Prod./
Ops.(2) Comp.Ops.(3)
Advance Premiums
Prem./ Prod./
Ops.(2) Como .Ons .(3)
97111
P/32,000
64.966
2,079.00
TOTAL ADVANCE PREMIUM FOR THIS COVERAGE PART:
AUDIT PERIOD:
X
Annually Semi -Annually
FORMS AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE PART:
CL/IL 151 07 90 CL/CG 21 23 08 92
CG 00 01 11 88 CL/CG 21 02 07 89
RETROACTIVE DATE:
(Coverages A. and B. provide claims -made coverage when form CG 00 02 applies.
Coverage does not apply to "bodily injury" or "property damage" that occurred, or to a "personal injury" or
"advertising injury" offenses committed, before this date.)
Quarterly
$ 2,079.00$
Monthly
CG 22 54 11 85
CL/IL 151 07 90
10/15/93
(1) See Description of Terms Used as Premium Bases.
(2) Prem/Ops. = Premises/Operations
(3) Prod./Comp. Ops. = Products/Completed Operations
19,„ 1510/15/93