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GENERAL31603
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Entry Properties
Last modified
8/24/2016 7:54:39 PM
Creation date
11/23/2007 7:03:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
7/19/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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Trappe ~ - C?~ N e ra~-I <br />AIDIII;11. CERTIFICATE OF INSURANCE DnrE (MAVD0rrr) <br />III III I IIIIIIIII III <br />PRODUCEq THIS CERT <br />MATTER OF INFORMATION <br />ONLY ANL 999 UPON THE CERTIFICATE <br />~ <br />Sedgwick James ofi TNT inc. HOLDER. THIS CER7IFICATE <br />DOES NOT AMEND, EXTEND OR <br />P. 0. Box 19810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Knoxville TN 37939-2810 COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A <br />INSVBED <br />COMPANY <br /> B <br /> r <br /> <br />4lilliams Fork Company L_ <br />COMPANY <br />P. 0. Box 187 ~ <br /> <br />Craig GO 81626 COMPANY <br /> D <br />COVERAGES L)IVli~UN ~ tiI <br />PPP <br />kk (( <br />I <br />~~~~ , <br />//~~''CC <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY~PER1060'U( <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 MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />LTR -TYPE OF INSURANCE- -- - - -POLICY NUMBER - .--_ ?OLICY EFFECTWE POLICY E%PIRATION LIMITS <br /> GATE (MLVDO/YY) DATE (MMIDD/YY) <br />A GEN ERAL LIABILRY (94)37100018 7/20/93 7I ZOI94 GENERAL AGGREGATE f <br /> <br /> COMMERCIAL GENEML LIABILITY PRODUCTS~COMP/OP AGG $ <br /> CLAIMS MADE ~ OCCUR PERSONAL6ADV INJURY E <br /> OWNER'SB CONT PROT EACH OCCURRENCE § <br /> FIRE DAMAGE (Any one Ine) E <br /> MEO EXP (Any one person) $ <br /> AU TOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT E <br /> ANV AUTO <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />f <br /> SCHEDULED AUTOS (Par Person) <br /> HIRED AUTOS <br />BODILY INJURY <br />E <br /> NON~OWNED AUTOS IPer acntlen0 <br /> <br /> PROPERTY DAMAGE S <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT E <br /> ANY AUTO OTHER THAN AUTO ONLY. <br /> EACH ACCIDENT § <br /> AGGREGATE E <br /> E%CE55 LIABILffY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE § <br /> OTHER THAN UMBRELLA FORM _ _ _ _ _ _ _ f <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br /> EMPLOYEgS' LIABILTY <br /> EACH ACCIDENT § <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT E <br /> <br /> OFFICERS ARE'. EXCL DISEASE ~ EACH EMPLOYEE S <br /> OTHEfl <br />DESCRIPTION OF OPERATIONS/LOCATIONSNENICLESISPECIAL ITEMS <br />THIS POLICY APPLIES TO TRAPPER MINING INC PERMIT aC-81-010 & INCLUDES <br />COVERAGE FOR PROPERTY DAMAGC & PERSONAL INJURY RESULTING FROM USE OF <br />CERTIFICATE HOLDER CANCELLATION <br />COLORADO MINE LAND R E L L A MA T I O N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />D I V I S I O N A T T N: KENT G O R H A M E%PIflATON DATE THEREOF, THE ISSUING COMPANY WILL ~ MAIL <br />215 0 E N T E N N I A L BUILDING _~_ DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAKED TO THE LEFT, <br />1313 S H E R M AN S T R E ~ T BUT AILUR IL SUCH NOTICE SHALL WPOSE NO OBLIGATO OR LIABILITY <br />DENVER. G O 8 O 2 O3 OF KIND PON THE COMPANY, RS AGENTS OR PRESENTATIVES. <br /> AUT I D REPR ATIVE _ <br />~• <br />ACORD 25.5 (3/93) AC O PORATIO <br />2- Z4 <br />
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