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GENERAL31546
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GENERAL31546
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Entry Properties
Last modified
8/24/2016 7:54:38 PM
Creation date
11/23/2007 7:01:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981011
IBM Index Class Name
General Documents
Doc Date
3/17/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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acoao CERTIFICATE OF LIABILITY INSURANCE III IIIIII~IIIIII III °" ~""""°°"Y' <br /> <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE 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 BELON.__ _ __ <br />P. 0. B o z 1 9 8 1 0 COMPANIES AFFORDING COVERAGE <br />Knozvi 11 e, TN 37939-2810 I COMPANY <br />923-584- 9101 A Essex Insurance Co. <br />INSURED OOMPANV <br /> B <br />SUIJLAIJD MINING CORPORATION ~ coMPANY <br />ROUTE 2, BO% 57 C <br />JEFFERSON, SC 29118 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 CONDITIOIJ OF ANY CONTRACT OR OTHER DOCUIIENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INS URANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT i0 ALL THE TERMS, <br />__ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMI TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />W 1YPE OF INSURANCE POUCY NUMBER POLICY ETTTCTIVE POUOY EXPIRATION, <br />UMLIS <br />LTR ~ OATE(MM/DDM') j DAIEPAM/ONYIT <br />A F GENERAL UABILRY , 3 A M 9 7 9 1 A 3/ 1 2/ 9 8 ~ 3/ l 2/ 9 9 GENERAL AGGREGATE 5 L O O O.O_O O___ <br />COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP;OP AGG 5 <br />~ ~CIAIMS OCCUR <br />MADE ~ PERGONALB ADV INJURY 5 3 D D D.D D <br />- <br />'OWNER'S 8 CONT PROT EACH OCCURRENCE `5 _ j D 0-Q D D D _ <br /> FIRE DAMAGE I any one Kiel g -5_D_O D_D - <br /> ' I MED ExP I Any pne person) 5 1 D D D <br />A~OMOBILE INBIIRY j , <br />COMBINED SINGLE LIMIT 15 <br />RECI~IV <br />~ANV gUTO ; ED I I <br />ALL OWNED AUTOS ' 19001LY INJURY <br />I S <br />SCHEDULED AUTOS <br />F- s~I/r I IPer person) <br />M~R 1 r 1998 I I - <br />,HIRED ADTDS BODILY INJURY 5 <br />' NON~OWNED AUTO i Division of Minefals & Geology IPer acutlenl) <br />~y I I PROPERTY DAMAGE 5 <br />I <br />I GARAGE UABIUTY AUTOONLV~EA ACCIDENT 4 <br />ANV AUTO ~I ,OTHER THAN AUTO ONLY; , <br /> EACH ACCIDENT ~ y <br />j ' <br />~ AGGREGATE ~ 5 <br />EXCESS UABIlf1Y I EACH OCCURRENCE 5 <br />UMBRELLA FORM <br />^ AGGREGATE 5 <br />-------- ~ - ~ --~ -~ <br />-OTHER THAN UMPRELLF FORM <br />-~ WORKMAN'S ODMPENSATION AND - ~- - - I -- - ~ - --T zWC STAT4' BOTH I ~ - <br />' EMPLOYER54ABIUTY i ~ TORY LIMITS ER i <br />I -~ j ', EL EACH ACCIDENT S <br />THE PROPRIETOR/ ~ INCL ', EL DISEASE ~ POLICY OMIT y <br />PARTNERS/EXECUTIVE ,~^ <br />OFFlCERS ARE: EXCL ~ EL DISEASE ~ EA EMPLOYEE 5 <br />OR1ER I <br />DESCWPnON OF OPEPATIONS/LOCATgNS/JEHICLESSPECIAL REMS - _ - __ - _ .- - _ _ <br />AS RESPECTS THE APE% N0. 2 MIN E, COLORADO PERMIT I10. C-81-011 <br />$2,500 DEDUCTIBLE APPLIES PER CLAIM FOR BODILY INJURY AND <br />PROPERTY DAMAGE <br />CERFIFlCATE HOLDER CANCELLATION <br />I <br /> SHOULD ANY OF THE ABOVE DESCWBED POUGES BE CANCEIIID BEFOfiE THE <br /> ~, EM'IRATgN DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />C O L O R A D O D I V 1 S f O N O F M I N E R A L S 1 0 GAYS WRnTEN NOTICE RI THE CERDFlCATE HOLDER NAMED TO THE LEFT <br />AND G E 0 L 0 G Y BUT FAILURE TO MAIL SUGTI NO11CE SHALL IMPOSE NO OBDGATION OR UNBIUIY <br />1313 SHERMAN STREET, ROOM 215 I <br />DENVER C 0 8 0 2 0 3 I OF ANY KIND UPON 1HE GJMPANY, RB AGENIS OR REPFiESENTATNES. <br /> ~ ALRHORIgD <br />~ <br />~~ ~ <br />ACflRB2'.~S tiFJ51-- --~- 2 ~- RATION 1993 <br />ACO <br />
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