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GENERAL31607
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GENERAL31607
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Last modified
8/24/2016 7:54:39 PM
Creation date
11/23/2007 7:03:07 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1987072
IBM Index Class Name
General Documents
Doc Date
5/27/1987
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br /> ~ , ~ <br />ISSUE DATE (MM/00/Yyj <br />. <br /> 5-22-B7 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIflCATE HOLDER. THIS CERTIFICATE DOES NO7 AMEND, <br /> EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> Western Insurance Service, Inc. <br /> 202 West 29th street COMPANIES AFFORDING COVERAGE <br /> PUeb1O, CO B1OO8 <br /> COMPANY <br />LETTER A BitUminOU3 <br /> COMPANY <br /> S <br />LETTER <br /> INSURED <br /> La Plata COal COLA. LETTERNY `. <br /> <br /> BOX 1941 <br /> COMPANY D <br /> Durango, CO 81301 LETTER <br /> COMPANY E <br /> LETTER <br /> ~ .. <br /> THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW H AVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF AN <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE P Y CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS CERTIFICATE MAY <br />OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONS, AND CONDI• <br /> TIONS OF SUCH POLICIES. <br /> CO <br />LTR 7ypE OF INSURANCE POLICY NUMBER PDUCV EFFECiNE <br />ppiE (MMIOMMI PoLICY FxPIRAiIOx <br />PATE IMM/DOM1 ALL LIMITS IN THOUSANDS <br /> GEN ERAL LIABILITY GENERAL AGGREGATE $SOO, <br /> ABILITY <br />COMMERCIAL GENERAL L-I PRpDUCiS~LOMP/OPS AGGREGATE $BOO, <br /> I <br />CLAIMS MADE I IOCLURPFNCE <br />L <br />~ PFRSDNAL 6 ADVER1151NG INJURY <br /> A OWNER'S 6 CONigACi0R3 <br />P-R-O <br />TECTNE <br />GL 1247555 <br />-20-87 <br />1-20-BB EACH OCCURRENCE ' BOO <br /> <br />FIRE DAMAGE IANV ONC FIREI $ <br /> MEDICAL E%PENSE IANV ONE PERSDNI $' <br /> AU TOMOBILE LIABILITY <br /> ANY AUTO CSL <br /> ALL OWNED AUTOS epmw <br /> INmxv <br /> SCHEDULED AU70S ~ (PER PERSDNI <br /> HIRED AU705 ~~~qqq p <br />~ ~r ~ ~ ~ ~° ~ ~~Iqy <br /> NON~OWNED AUTOS CaC iiiooo ~~clD[xn <br /> GARAGE LIABILITY ~~ ny n ... ~ <br />F1 I 37 PgDPERry <br />DAMAGE <br /> y <br />,P <br /> E%CESS LIABILITY MINE.., D eACx AGGREGATE <br />OCGURPENGE <br /> <br /> O7RER THAN UMBRELLA FORM <br /> $TAT1lTORV <br /> WORKERS' COMPENSATION $ TEACH ADCmENTI <br /> AND <br /> <br />' <br />9j IDISEAGE~POLCV LIMITI <br /> EMPLOYERS <br />LIABILITY <br />IDISEAGE~EACH EMPLUVEEI <br /> OTHER <br /> a <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> Coil Mining-- Bituminous will comply with Porn 2.03.9 stating- The policy shall include <br /> a rider requiring that the insuror notify the Division whenever substantive changes <br /> are made in the policy, including any termination or Failure to renew. <br /> • . - ~ <br /> <br /> SH04LD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%~ <br /> PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> Peter O'COnner MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> Mine Land Reclamation D].V1S iOn 3O MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR <br />LEFT, BUT FAILURE <br /> 423 Centennial Building J/ <br />LIABILITY N 1{~D UPON THE COMPANY, S AGENTS OR REPRESENTATIVES. <br /> 1313 Sherman AUTHORI7J?Cl REP ENTATIVE r <br /> Denver, CO 80203 '!/ <br />/ <br />. /! ~ ~~ ~ <br /> : <br />jj <br /> <br /> <br /> <br />n <br />~'r <br />
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