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2017-10-31_PERMIT FILE - C2010089A
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2017-10-31_PERMIT FILE - C2010089A
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Last modified
1/6/2021 2:38:31 PM
Creation date
11/6/2017 8:11:42 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C2010089A
IBM Index Class Name
PERMIT FILE
Doc Date
10/31/2017
Doc Name
Personl Injury & Property Damage Insurance
Section_Exhibit Name
Appendix 2.03.9-1
Media Type
D
Archive
Yes
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DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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vRd" CERTIFICATE OF LIABILITY INSURANCE F DATE"Nowyym <br /> 7/31/2017 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: W the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,Subject to <br /> the terms and conditions of the po8q,certain Policies may require an endorse nwM. A statement on this certMeste does not confer rights to the <br /> certificate holder In lieu of such• s. <br /> FaOD11CBI1 Tin Johnstad <br /> Hays Companies PHONE (612)333-3323AM, 617-171-7276 <br /> 80 S Lath Street .tjohnstafthayscealpanies.cam <br /> fini 700 AFFOPOBIOcovERAOE HMO <br /> Minneapolis MN 55402 ffOAMA-Arch Insurance 11130 <br /> RMRNM nasmme-AC6 Property a Casualty Ins Co 20699 <br /> !ik Ridge Miaillg and Reclamation, LLC eMUpRSO: <br /> 1100 West 116th Ave INSURERS: <br /> Westminster CO 80234 <br /> COVERAGES CERTFICATE NUMBERA 017-2 0 18 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> met 111LlVPB OF INSURANCEADM mum LRSTE <br /> X COMMERCIAL GENERAL I'AWIIY EACH OCCURRENCE S 11000,000 <br /> A CLAIM64HAOE a OCCUR a 100,000 <br /> ImOICO4502-01 e/1/2017 0/1/201e NED DP am S <br /> PERSONAL a ADV INJURY a 11000,000 <br /> GENL AGGREGATE LAST APPLIES PER: GENERA.AGGREGATE S 2,000,000 <br /> POLICY❑jECT 1K LOC PRODUCTS-COMAW AGG S 2,000,000 <br /> OTHER S <br /> AUTOMOBILE UJ40RRY Gos I. <br /> ANY AUTO BODILY KIURY(Par PN ) s <br /> ALL OWWED SCHEDULED <br /> AUTOS AUTOS GODLY INJURY(M,sod"t) S <br /> HIRED AUTOS ALON4NVNED S <br /> s <br /> _ "�W"UAD = OCCUR EACH OCCURRENCE 25,000,000 <br /> B EXCISSIJA! CLAIMS-MADE AGGREGATE $ 25,000,000 <br /> I I wn 25.000 1 022145160 002 e/1/2017 0/1/201e <br /> Ye0aIm18 COMPOw,n aI <br /> UN- <br /> ANDEMPLOYERS'LIABILITY YIN <br /> ANY PROPIOEIOWPARnEREKECUTIVE E.L.EACH ACCIDENT $ <br /> OFRCEUMEAMER EUXUDED7 NIA <br /> pyYL�6e6O, NT M in Mq ' E.L.DISEASE-EAurdw <br /> iAIPID f <br /> DESCRI OFERA EL OIBFJIOE-POLICY LIIaT <br /> 05@Cr4WTON OF OFBIIATORS I LOCATTOW I VEM CLaa(ACORD A01,AddNe"arlArrla laHlrear.Ivry M rLae1W Nman�r Y I6eIY64 <br /> Rvidence of insurance as respects New Horizon North Mine in Nacla, CO (Permit SC-2010-089) and Now <br /> Horizon Mine (Permit 8C-81-008). Includes explosives. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Colorado Mined Land Reclamation Hoard THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN <br /> Division of Reclamation, Mining a Safety ACCORDANCE WITH THE POLICY PROVISION& <br /> 1313 Sherman Street, RM 215 <br /> Denver, CO 80203 AUTHORIZED REPRESMATrA <br /> James Hays/TJOHNS <br /> O 181i8-2014 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2014101) The ACORD name end logo are registered marks of ACORD <br /> INS023rmumi <br /> Appendix 2.03.9-1 Page 2 October 2017 (MR-22) <br />
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