My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL30257
DRMS
>
Back File Migration
>
General Documents
>
GENERAL30257
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 7:47:51 PM
Creation date
11/22/2007 10:10:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981011
IBM Index Class Name
General Documents
Doc Date
6/11/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORD CERTIFICATE OF LIABILITY INSURANCE III IIIIIIIIIIIII III DA ~ o s~ e <br /> <br />~OD~~ THTS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTi FICATE DOES NOT AMEND, EXTEND OR <br />S e d g w i c k o f Tennessee Inc . ALTER THE COVERAGE AFFORDED BY THE POLICIES BE CON. <br />P. 0. Box 1 9 8 1 0 COMPANIES AFFORDING COVERAGE <br />Knoxville, TN 31939-2810 COMPANY <br />423-584-9101 A Essex Insurance Co. <br />INSUIED COMPANY <br /> B <br />SUN LAND MINING CORPORATION COMPANY <br />ROUTE 2 <br />BO% 57 C <br />, <br />JEFFERSON SC 29118 COMPANY <br /> D <br />COVERAGES <br />THIS ]S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOH 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 KITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POL ICiES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN R DUCED BY PA[D CLAIMS. <br /> TYPE OFINSURNJCE POLICY NUMBER ~~ ~~ <br />IMMIDD/YY( ~ Eµ~TgN <br />(M /YY) UMRS <br />A GEN ERAL LIABIIfIY 3 A M 9 1 4 7 A 3/ 1 2/ 9 8 3/ 1 2/ 9 9 GENERAL AGGREGATE S 1 D D D D D D <br /> COMMERCIAL GENERAL UABILItt PRODUCTS~COMP/OP AGG S <br /> CLAIMS ~ OCCUR <br />MADE PERSONALBADV INJURY S <br /> OWNER'S 8 CONT PROT EACH OCCURRENCE 5 1 D D D D O D <br /> <br /> FIRE DAMAGE I Any one Iire~ y <br /> MEO EXP I Any one persons S I D D D <br /> AUTO MOBILE LNBILDY <br /> COMBINED SINGLE LIMIT S <br /> ANY gUTO <br /> <br /> ALL OWNED gUT05 BODILY INJURY S <br /> SCHEDULED AUTOS RECEI ED (Per person) <br /> HIRED AUTOS BODILY INJURY <br /> <br />NON~OWNED AUTO <br />JUN 11 <br />l <br />g <br />Per acciaenl~ 3 <br /> gg <br /> E S <br /> PROPERLY DAMAG <br /> GARAGE LUBIIffY gUTO ONLY ~ EA ACCIDENT S <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH gCCiDENT S <br /> AGGREGATE S <br /> EXCESS UABRTIY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM <br /> WDWLMANS COMPENSATION AND - -- --- -- -- - - WC STATU~ - O - - - - -- <br /> ETAPIDVERS UABIIffY TORY LIMITS ER <br /> <br /> EL EACH ACCIDENT S <br /> THE PROPRIETOR/ <br /> <br />PARTNERS/EXECUTIVE INCL EL DISEASE -POLICY LIMIT <br />4 <br /> OFFICERS ARE: ExCL EL DISEASE ~ EA EMPLOYEE S <br /> QMER <br />DESCWPTN]N OF OTERATgNS/LOCATN)NS/VETiICLESVSPECNi nEMS <br />AS RESPECTS COLORADO PERMIT N0. C-81-011 <br />CERTIFlCATE HOLDER CANCELLATION <br /> SHOULD qNY OF THE ABOVE DESCRIBm POlXXE3 BE CANCE]lED BEFORE THE <br /> E%RRATgN GATE THETEOF, THE ISSUING COMPANY WILL ~TO MAIL <br />COLORADO DIVISION O F MINERALS 3 0 ours wmrtTr NoncE To THE CETTIIPIGTE HOLUEA NAMED ro THE LERr <br />AND GEOLOGY <br /> <br />1313 SHERMAN $T. ROOM 215 ~,~K~9@(kXX7eFX~4fJ(L <br />~D J HFX'R~ <br />DENVER CO 80203 ` <br />~~~~~X~ <br /> AumoRlgn REPRE ,, i <br />7~'~ <br />_ 2-~r24 ,_ <br />° - ~_ _,, ..,_.m. -.; ,>-~~ -----{c)AC6RD CORPORATION 19931 <br />
The URL can be used to link to this page
Your browser does not support the video tag.