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2018-02-20_GENERAL DOCUMENTS - C1981038
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2018-02-20_GENERAL DOCUMENTS - C1981038
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Entry Properties
Last modified
4/27/2018 3:21:16 PM
Creation date
2/21/2018 9:08:30 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981038
IBM Index Class Name
General Documents
Doc Date
2/20/2018
Doc Name
Certificate of Insurance
From
Bowie Resources, LLC
To
DRMS
Permit Index Doc Type
Insurance
Email Name
CCW
Media Type
D
Archive
No
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,. H&'1WIRES-01 .NAEP( <br />Yi <br />CERTIFICATE LIABILITY INSURANCE 0210212018 <br />_ <br />RUS CERTIFICATE 18 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 POLICIEa <br />BELOUL, THIS CERTIFICATE OF INSURANCE, DOES NOT CONSTOUTE. A CONTRACT BETLVFEN'iHEISSUIMCIHSURER(S),AAUTHORIZEii <br />REPRESENTATIVE OR PRODUCER, AND TETE CERTIFICATE HOLDEN <br />IiPOBRTANT: if the CArtiffcate IhoMor is an ADDITIONAL INSURED, fine Paolay(iox) must have ADDITIONAL INSURED Tnuv€stons Or fs0 ercdasstR. <br />If SUBROGATION IS WAIVED, subject, to 010 brans and Conditions of the Policy, certain padiries may roquhre an cstorserna-M. A swenlent. rr <br />oa <br />USS ,r In tiara of such andorsameR90-. <br />hins etilloate dasa� seat confer righffi to ITC certificate hole3e._...._ _. _ <br />�a w*woNe:... IAnaa ReA2e'9'R✓Te � Pg xi .,., 96®2k 488-2820 <br />IUSURED <br />Bowie Resource Partners, LL,C <br />Jim WON <br />6100 Dutchman's Lane Ste 900 <br />Loulsviito, KY 40205 <br />CERTIFY THAT THE POLICIES OF INSURANCE LISIED <br />NOTIMTHSTANDING ANY REQUIREMENT, TERM OR C( <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE <br />TYPE OF INSURANCE <br />COMMERCIAL GENERAL LIABILITY <br />jCLAIMS -MADE FX] OCCUR <br />EMPIBEN ded ,$1000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY L' JECT LOC <br />OTHER'. <br />AUTOMOBILE LIAB UlY <br />ANY AUTO <br />OWNED _ SCHEDULED <br />AUgT�0 ONLY AANUUpTO.pSSWWNN <br />AUTOS ONLY AUTNOSTEV <br />X'UMSRELLAIJAB X'OCCUR <br />EXCESS DAB CLAIMS -MADE X00169927-000 <br />YIN <br />El NIA <br />0 <br />,VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT 'TO WHICH THIS <br />iD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />FEN REDUCED BY PAID CLAIMS. <br />021011201810210112019 <br />021011201810210112019 <br />s <br />s <br />02101/201810210112019 Excess Umbrella 1 <br />SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddsIonal ROMAd. Sci a ilsv may be afteled It more .pato Is squired) <br />a total Excess limit is $46,000,000 <br />Idence of Insurance as respects to Bowie #2 Mine Permit #CI996083 and Bowie 41 Mine Permit#C1981038. General Liability policy provides protection for <br />. of explosives. The General Liability and Umbrella policies include an endorsement providing that 30 day notice of cancellation (or coverage change) will <br />furnished to the certificate holder by the carrier. <br />State of Colorado Department of Natural Resource <br />Div of Minerals & Geology <br />1393 Sherman St, Room 215 <br />Denver, CO 80230 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WD'H THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTAME <br />® P. t/ �' <br />ACORD 25 (2016103) ©1988.2015 ACORN, CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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