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GENERAL30286
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GENERAL30286
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Entry Properties
Last modified
8/24/2016 7:47:52 PM
Creation date
11/22/2007 10:11:02 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981038
IBM Index Class Name
General Documents
Doc Date
5/30/2006
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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O <br />~ <br />~~~~~ <br />~~ <br />~~~ ~~ ~~~~ uD/Yr) <br />~~~~~ ~~~ <br />~~~~ <br />D <br /> lIY <br />(~ <br />Y ~~ <br />R <br />, M <br />Ff ` <br />5/24/O6 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Acordia of WV-Beckley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 41 Eagles Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Beckley WY 25801 <br />`~~~~ COMPANIES AFFORDING COVERAGE <br /> ,~. <br />(3011 252-6375 /~\~ \ COMPANY <br /> c <br />vV v /4 Federal Insurance Company <br /> INSURED n <br />COMPANY <br /> q~ ~1 ,rp <br />Bowie Resources, LLC <br />G~y B <br />~~ J <br /> \T <br />t'IY <br />a <br /> 1500 Big Run Road Ag <br />COMPANY <br />is <br /> Ashland, KY 41102 dM`~ rr <br /> <br /> COMPANY <br /> D <br /> CflYETAf~S !; ;; <: <br /> THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED I40TW1THSTANDINOANVREQUIREMEN7,7ERMORCONDITIONOFANYCONTRACT OROTNERDOCUMENTWITHRESPECTTOWHICHTHIS <br /> CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE 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 /> CO TYpE OFINBUgANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMBS <br /> LTR DATE (NH/IIDDIYY) DATE (MMIDDNY) <br /> A GE NERAL LIABRITY 37111143 5/31/06 5/31/07 GENERAL AGGREGATE 4 <br /> X COMMERCIAL GENERAL LIABIL IIV PRODUCTS-COMP/OP AGG $ <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY 4 <br /> OWNER'S A CONTRACTOR'S PROs EACH OCCURRENCE $ <br /> X Blasting 6 XCU FIRE DAMAGE (Any one fire) S <br /> MED E%P (Any one person) 4 <br /> AUT OMOBILE LIABLLITY <br /> COMBINED SINGLE LIMIT S <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) S <br /> HIRED AUTOS BODILY INJURY <br />4 <br /> NON-OWNED AUTOS (Per accitlent) <br /> PROPERTY DAMAGE q <br /> <br /> GARAGE LIARLm AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE $ <br /> EXCESS LIABD.ITY EACH OCCURRENCE 4 <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM S <br /> -- WORKERS COMPENSATION ANO~~' <br />' "--' - -~ -' -- `-- -'- '~-~ - '-'- ~ WC-STATU---' OTH- <br />TORY IA S --~~~^^^-•'~ <br /> EMPLOYERS <br />LIA8ILITY EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL EL DISEASE-POLICY LIM Ii $ <br /> PARTNERS/E%ECUTIVE <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ <br /> OTMEq <br /> DESCRIPTION OF OPERATIONSA.OCATIONSIVEMICLESISPECIAL ITEMS Evidence of Insurance as respects Bowie #1 Nine Pe rm It # <br /> C-B1-D38...6enerel Liahility Policy provides protection for use of ezplosi vas. <br /> CERTIFICATE HOLDER ._ .. .. CANCELLAT1pN , <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE <br /> State of Colorado =EX~ ATION DATE THEREOF, THE ISSUING COMPANY WRl ENDEAVOR TO MAIL <br /> Dept. of Natural Resources ~ lO\DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />._ _ <br /> ~-- <br />~~ <br />Div. of Yinera is & Geology ~ BUT'FAILURE TO MAIL SUCH NOTICE SHALL IMPO SE NO OBLIGATION OR LIABRITY <br /> 1313 Sherman 5t. Room 215 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> Denver, CD 80203 AUTHORIZED REPRESENTATIVE <br /> ~ Janice C Nhitloek, AAI, CPIW <br /> ACORD2g•S )1H5: ~ACORDC(,7HPpRATlOtV1~68? <br />CERTIFICATE: OOfi/001/ 00008 <br />
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