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ENFORCE20716
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ENFORCE20716
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Entry Properties
Last modified
8/24/2016 7:31:08 PM
Creation date
11/21/2007 9:50:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
Enforcement
Doc Date
2/28/1991
Doc Name
CERTIFICATE OF INSURANCE
Violation No.
TD1991020370003TV4
Media Type
D
Archive
No
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<br />~w~.~n:n. <br />1 <br />~.:~tt 1 <br />rl(:~-~I.C1V~A ~ ,,,~~ ~„~,MM,~~,.., <br />~INSU~iAN(:Eu~s~~ ~-: <br />~ <br />_ <br />. <br />,,,~,~ ~ - -°~ _ <br />~. Jct. _ - -r , ._ ,__02/25L91--- -- <br />PRODUCER <br /> I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />I <br /> <br />X Alexander 6 Alexander Itrc. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. <br /> ~ E%7END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />Cornhusker Plaza, Suite 500 _ __ . <br />30l S. 13th Street, P.O. Box 82515 COMPANIES AFFORDING COVERAGE <br />Linrnln, NE 68501-2515 __ ____________________ <br /> COMPANY A <br />(402)v79-2308 j LETTER I I RY115_OE_LO1~ON- _-_._-._ _.._.. __ <br /> COMPANY El <br />INSURED ~ LETTER <br />- <br />- <br />WYOMING FUEL COMPANY I coMPaev C --- <br />- <br />--- <br />P.O.BOX 15596 .LETTER __ __.__-___ -_.-_._ <br />LAKENOOD, CO B02IS I COMPANY D <br /> LETTER <br />--~~~--~ <br /> COMPANY E <br /> LETTER <br />~ <br />COVERAGES.. " .. ~ ..' ~ =.r; .... -.. ~•.,. <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 REQUIREMENT, TER M OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INS URANCE 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 />_ <br />_ -__ <br />_ <br />I <br />_ <br />CO TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE POLICY E%PIRATIONI pLL LIMITS IN THOUSANDS <br />LTA' I DATE (MM/DD/VV) DATE (MMIDD/VY) <br />'GENERAL LIABILITY <br />i ~I ~ GENERAL AGGREGATE f <br />~~ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPS AGGREGATE S <br />' ~ CLAIMS MAOE~ OCCUfl. I ~ PERSONAL S ADVERTISING INJURY S <br />' I OWNER'S 8 CONTRACTOR'S PROT! I EACH OCCURRENCE ~ E <br />I I FIRE DAMAGE IAny ane Ilw) ' S <br />~~ I _-_.._- _.______. <br />I I MEDICAL E%PENSE qny ane person) ~ f <br />'AUTOMOBILE LIABILITY I ~ ~ COMBINED ' <br /> <br />- ! SINGLE ~ f <br />~ ANY AUTO I LIMIT <br />!ALL OWNED AUTOS BODILY <br />-- ~ INJURY f <br />SCHEDULED AUTOS j ~ (Par person) _ <br />.~ HIRED AUTOS BODILY <br /> f INJURY f <br />I NON-OWNED AUTOS IPer acntleml <br />GARAGE LIABILITY ~ PROPERTY <br />S <br /> DAMAGE <br />EXCESS LIABILITY I EACH AGGREGATE <br />- ~ OCCURRENCE' <br />A - 0514/' <br />0515 <br />I0-' f 500 <br />07/01/90 07/01/91 f300 <br />I „ <br />x , <br />, <br />_ Y ,OTHER THAN UMBRELLA FORM B0~_ p~/~ILOB-EISEIL9L- _ __- -~.- _ -- <br />i <br />STATUTORY <br />WORKER'S COMPENSATION I -__ _ <br />~ <br /> (EACH ACCIDENT) <br />i S <br />AND I .___ <br />._ __ ._. __ <br /> f (DISEASE-POLICY LIMITI <br />EMPLOYERS' LIABILITY ~ ---' '~-`-----`----'_"' <br />' S (DISEASE-EACH EMPLOVE3 <br />OTNER <br />I <br /> <br />1 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />A5 THE CEATIFICRTE HOLDERS INTEREST MAY APPERR R5 RESPECTS: NEl~ ELK MINE, GOLDEN ERCLE MINE, CAI;ADIAN STRIPE MINE <br /> <br />CERTIFICATE HOLDER= '}; e ' ~ .""'M"'CA ~ION~t, ;~,~~~'z3t.'.;"'.'~- _ _ ._ .~~ .. .- <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MINE~`1D RECLAMATION 2URERU MAIL yIIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />OF P!E STAiE OF CJLORADO LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />?TT`l: CE'.IHAN KEFFELEN LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />.ili ':HE6:"AN SUITE 215 <br />,~;:IiE^, ... ._a;:a~ =273 )RUT RREO EPRESENTATIV <br />;~ l <br />~ ~=r<- <br />(~ ~ ~i ~~~'f <br /> ` <br />u <br />A1Px er Alexander,. I. c. _ /+ii~ , <br />~ ^- <br />~ nACDRD CORPORATION 1989 <br />ACORD 25.3 (11/89) ~~ - ' ' ' - ~~* ~' - "~~`~`^~~ <br />
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