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GENERAL31059
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GENERAL31059
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Entry Properties
Last modified
8/24/2016 7:48:27 PM
Creation date
11/23/2007 6:52:09 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
9/10/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Attachment to ACORD Certificate for oxbow r4i n; nq LLc <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of [he coverage <br />afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. <br />INSURED <br />Oxbow Mining LLC <br />1601 Forum Pl <br />west Palm Beach FL 33401-8101 USA <br />ADDITIONAL POLICIES If a policy below does not include limit informatioq refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br /> <br />165R <br />LTR <br />TYPE OFIN'SU RANCE <br />POLICY 6UMBER <br />POLICY DESCRIPTON POLICY <br />EFFECTIVE <br />DATR PULICY <br />EXPIRATION <br />DATE <br />LIMITS <br /> AUTOMOBILE LIABILITY <br /> <br />A <br />_ 20UENZQ6230 <br />Business Automobile- 09/01/07 <br />- 09/01/08 <br />-- uninsured <br />Momrist c <br /> <br />S1-000,,-000 <br /> Medical <br />Payments Lia <br />510,000 <br /> Comprehensiv <br />e Deduct <br />51,000 <br /> Collision <br />Deductible <br />E1, 000 <br /> MaX1mUm <br />Limit of cov <br />550,000 <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Certifecate No : 5 70024 7 7 74 3 5 <br />
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