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2018-01-09_GENERAL DOCUMENTS - C2010089
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2018-01-09_GENERAL DOCUMENTS - C2010089
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Last modified
4/27/2018 3:21:16 PM
Creation date
1/10/2018 7:05:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C2010089
IBM Index Class Name
General Documents
Doc Date
1/9/2018
Doc Name
Certificate of Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
BFB
DIH
Media Type
D
Archive
No
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CERTIFICATE <br />OF INSURANCE <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT <br />AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT <br />CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the <br />policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />THIS IS TO CERTIFY THAT: Elk Ridge Mining and Reclamation, LLC <br />P.O. Box 33695 <br />Denver, CO 80233-0695 <br />I r1AFEDERATED <br />RURAL ELECTRIC <br />INSURANCE EXCHANGE <br />NAIC 11118 <br />P O Box 15147, Lenexa, KS 66285-5147 <br />(913) 541-0150 fax (913) 541-9004 <br />www federatedrural.com <br />IS, AT THE ISSUE DATE OF THIS CERTIFICATE, INSURED BY THE COMPANY UNDER THE POLICY(IES) LISTED BELOW NOTWITHSTANDING ANY REQUIREMENT, <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE <br />INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN <br />MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY DATES <br />LIMITS ($) <br />AUTOMOBILE <br />1/1/2018 <br />COMBINED SINGLE LIMIT <br />ANY AUTO <br />05 ARB 006-18 <br />t0 <br />(EACH ACCIDENT) $1,000,000 <br />COMP DEDUCTIBLE $1,000 <br />HIRED & NON -OWNED AUTO <br />1/1/2020 <br />COLLISION DEDUCTIBLE $1,000 <br />GARAGE LIABILITY (ANY AUTO) <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EQUIPMENT / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Evidence of Insurance as respects New Horizon North Mine in Nucla, CO (Permit #C-2010-89) and New Horizon Mine (Permit #C-81-008). Includes <br />explosives. <br />CERTIFICATE HOLDER: <br />CANCELLATION: <br />COLORADO MINED LAND RECLAMATION BOARD <br />BE CAN ELLERANY BEFOREHE CIES <br />THE EXPIRATIONDESCRIBED DATE BE CANCELLED BEFORE THE EXPIRATION DATE <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />THEREOF, NOTICE WILL BE DELIVERED IN <br />1313 SHERMAN ST, RM 215 <br />ACCORDANCE WITH THE POLICY PROVISIONS <br />AUTHORIZED REPRESENTATIVE: <br />DENVER, C O 80203 <br />FREIE Cert v 8110 <br />
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