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REV10865
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REV10865
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Entry Properties
Last modified
8/25/2016 1:21:51 AM
Creation date
11/21/2007 10:17:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
Revision
Doc Date
1/22/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Type & Sequence
RN3
Media Type
D
Archive
No
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rEa.VrFE..i,~ l.Cll l li"11iA1-C VI'..IIKDILI l ~1 ..IIV.TVf1MIrVC <br />nv»Itooa <br />954459.2300 <br />PROOUCEn I <br />C <br />T <br />FI <br />S <br />ED <br />M <br />I <br />AIPxander & Alexander Inc. oN <br />LY <br />AN <br />D <br />CONFEHS <br />NO <br />R GHTS <br />POI III I <br />II I II I II IIII II <br />Aon Risk Services HOLDER. THIS CERTIFICATE DOES NOT <br />, <br /> ALTER THE COVERAGE AFFORDED BY TI 999 <br />First Union Center, Suite 1200 <br />l <br />a <br />d B <br />d <br />200 E <br />B COMPANIES AFFORDING COVERAGE <br />ev <br />r <br />rowar <br />ou <br />ast <br />Ft. Lauderdale FL 33301 COMPANY <br />A <br /> FEDERAL INSURANCE CO <br />INSURED <br />Oxbow Carbon & Minerals, Inc. COMPANY <br />Oxbow Mining, Inc. B AMERICAN GUARANTEE & LIABILITY <br />Attn: Bru<a ClitharD ppMPgNY <br />1601 Forum Place C <br />West Pelm Beach, FL 33401 COMPANY <br /> D <br />COVERAGES:~~~.,~.:~.:~~:~~~::.:'.~.~.:~:'~. ..,...::.~ .. ... ........... ..:.:~. .:- ~ ...... .... <br />THIS IS 70 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. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFO RDED 6Y THE POLICIES DESCR10ED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 6Y PAID CLAIMS. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUM9ER POLICY EFFECTIVE <br />DATE IMMIOD/YYI POLICY E%PIMTION <br />GATE IMMIOO/YYI UMRS <br />A GEN ERAL nABILRY 98-3710-42-68 07/21/1997 07/21/1998 GENERAL AGGREGATE ! 3,000.000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS ~ COMP/OP AGG I 1, 000, DOD <br /> CLAIMS MADE ~ OCCUR PEPSONAL a ADV INJURY ! 1, ODD, 000 <br /> <br /> OwNEq'S b CONTRACTOR'S PRDT EACH OCCURRENCE ! 1.000, 000 <br /> <br /> FIgE DAMAGE IAnY PnA llrel ! 1, DOD, OOD <br /> MED EXP IAnv onA pxrPnl ! 10, 000 <br />A ALfT OMaeRELIABILITY 98-7307.72-58 07!21/1997 07/21!1998 <br /> COMaINED SINGLE LIMIT / 1, 000, 000 <br /> X ANY AUTO <br /> <br /> ALL OWNED AUTOS BODILY INJURY ! <br /> SCHEDULED AUTOS <br />RECEI <br />E <br />IPa parson! <br /> D <br /> NIPED gUT05 BODILY INJURY <br />! <br /> IPU «uaFnn <br /> NON-OWNED AUTOS <br /> JAiV 2 3 1998 <br /> PROPERTY DAMAGE 1 <br /> <br /> OARAGE LIABRf1'/ <br />' ivision Dt Mineral <br />& GeGlogy <br />AUTO ONLY FA ACCIDENT <br />I <br /> <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> <br /> EACH ACCIDENT 1 <br /> AGGREGATE 1 <br />B ExcessLUelLm AUO2393O42 09/01/1997 09/01/1998 EACH OCCURRENCE ! ~s,Daa,DOD <br /> <br /> X UMBRELU FORM AGGREGATE 1 35.000.000 <br /> <br /> OTHER THAN UMBRELLA FOPM 1 <br /> wC STATU- OTN- <br /> WORxERa COMPENSATION AND I <br /> EMPLOYERS' LUIBILRY <br />EL EACH ACCIDENT <br />1 <br /> THE PROPRIETOR/ n INCL EL DISEASE ~ POLICY LIMIT 1 <br /> PARTNERSIE%ECUTIVE -I <br /> OFFICEPS ARE: E%CL EL DISEASE ~ EA EMPLOYEE ! <br /> <br />DESCRIPTION OF OPEppT10N5M100ATI0NSNENICLESISPECIAI nEMS <br />Re: Sanborn Creak Mina par Division of Minerals & Geology permit numher IND. C-81-0221• <br />Commercial General Liability Coverage includes use of axplasivea. <br />"' <br /> <br />... ... ... .:.. ... .... <br />CERTIFICATE HOLDER .: ~.~.:. :~.... ... .. ~...~.. <br />:.... ... <br />~. ~ <br />:.. <br /> <br />:CANCELLATION ~:::~. ~.: :::~..::. .~ <br />.......... ....... ... ... <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 0E CANCELLED BEFORE TXE <br /> E%PIMTION PATE TXEPEOF. TXE ISSUING COMPANY WILL MAIL <br />Division of Minerals & Geology <br />Attn: Bill Carter 3O DAYS WgITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT. <br />1313 Shermah Street, Room 215 <br />Denver CO 80203 24 <br /> AUTNOq EP ESEN IVE <br />ACORDZ5~Si17951"~ ~ ~ :~'~ ~~-~~~~~~~~~~~~~~ ~~ ~~~ ~~~~~~~~~~~~~~ ~~~~ ~~ ~ _~ __.___~~ ~ ~OACORDCORPOR/iT1ON1988 <br />Culdsx t 26270 <br />
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