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APPCOR10276
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APPCOR10276
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Entry Properties
Last modified
8/24/2016 6:26:41 PM
Creation date
11/19/2007 2:09:27 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981039
IBM Index Class Name
Application Correspondence
Doc Date
4/4/1984
Doc Name
CERTIFICATE OF INSURANCE
Media Type
D
Archive
No
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,C~aub. <br />GIr6u~rnc. <br />III III III III II II III <br />CERTIFICATE OF INSURANCE <br />D <br />OR Single <br />Limit $ 500,000 <br />This is to certify that the following policies have been issued to: <br />Name b Address of Insured The Rockcastle Company E Ryan Incorporated of Wisconsin <br />P. 0. Box 206, Janesville, WI <br />Project Permit for Grassy Creek Coal Mining, Routt County, Colorado k5712 <br />WORKER'S COMPENSATION <br />Policy No. WC.1 054 607 Inception Dale 4-1-84 Expiration Date 4-1-85 <br />Insuring Company Bituminous Fire b Marine Insurance ompany <br />Coverage: IJorker's Compensation - Statutory Employers Liability Limit: 00,000 <br />Locations Covered All States Endorsement Attached to Policy <br />COMPREHENSIVE GENERAL LIABILITY: <br />Policy No. MP 1 916 911 Inception Date 4-1-84 Expiration Date 4-1-85 <br />Insurance Company Bituminous Fire E Marine Insurance Company <br />Limits of Liability: <br />Bodily Injury Liability $ Each Occurrence Combined <br />$ Aggregate <br />Property Damage Liability $ Each Occurrence <br />$ Aggregate <br />Coverage Provided (Check Applicable Blank <br />Premises Operations <br />Elevators, If Any <br />Completed Operations/Products <br />Blanket Contractual Liability [o include coverage for "Hold Harmless <br />Agreement" if such agreement is contained in the specifications <br />of subcontract, subject to policy terms <br />Personal Injury, Employee Exclusion Deleted <br />Independent Contractors <br />Employees as Named Insureds <br />Broad Form Property Damage, Including Completed Operations <br />Property Damage Liability covers: <br />Damage due to blasting <br />Damage due to collapse <br />Damage to underground facilities <br />Broad Form Liability Endorsement <br />COMPREHENSIVE AUTOMOBILE LIABILITY: <br />Policy No. BA 1 345 287 Inception Dale 4-1-84 Expiration <br />Insurance Company Bituminous Fire b Marine Insurance Company <br />Limit of Liability: <br />Bodily Injury Liability $ Each Person Combined <br />$ Each Occurrence OR Single <br />Property Damage Liability $ Each Occurrence Limit $ 500,000 <br />Ycs No <br />Coverage is provided for operation of all - Owned Vehicles x <br />Non-Owned Vehicles x <br />Hired Vehicles x <br />t91CNED LAND RECLAMATI;'~`~ Olv'"~~N <br />A r i l 2 1 84010. Dept. of Natural kcso... ,_, <br />P ~ 9 <br />~~~~c;~ur~~® <br />APR ~ 194a <br />Yes No <br />X <br />x _ <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />Date 4-1-85 <br />
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