My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2017-01-13_GENERAL DOCUMENTS - C1992080
DRMS
>
Day Forward
>
General Documents
>
Coal
>
C1992080
>
2017-01-13_GENERAL DOCUMENTS - C1992080
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/27/2018 3:21:16 PM
Creation date
1/13/2017 9:32:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992080
IBM Index Class Name
General Documents
Doc Date
1/13/2017
Doc Name
Certificate of Insurance
From
Texas Mutual Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
RDZ
JRS
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Texasmutu RECEIVED <br />Insurance Company <br />January 7, 2017 DIVISION OF RECLAMATION REINSTATEMENT NOTICE <br />MINING AND SAFETY Material Change Holder Copy <br />DIVISION OF RECLAMATION, MINING AND SAFE Insured name and address <br />DBA: DEPARTMENT OF NATUAL RESOURCES <br />1313 SHERMAN ST., ROOM 215 OAKRIDGE ENERGY INC <br />DENVER CO 80203 4613 JACKSBORO HWY <br />WICHITA FALLS TX 76302-2921 <br />REINSTATEMENT <br />Please disregard the Notice of Cancellation previously sent <br />to you. Your policy has been reinstated on the date and <br />time below. <br />TYPE OF POLICY: <br />Workers' Compensation and Employers Liability <br />Coverage <br />POLICY NUMBER: <br />0001027321 <br />POLICY PERIOD: <br />07/14/2016 to 07/14/2017 <br />DATE OF NOTICE: <br />01/07/2017 <br />REINSTATEMENT WILL TAKE EFFECT AT: <br />01/25/2017 12:01 A.M. <br />(DATE) (HOUR -STANDARD TIME) <br />PO Box 12058, Austin, TX 78711-2058 <br />(800) 859-5995 1 Fax (800) 359-0650 1 texasmutual.com NTC-REINST <br />
The URL can be used to link to this page
Your browser does not support the video tag.