My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL32629
DRMS
>
Back File Migration
>
General Documents
>
GENERAL32629
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 7:55:04 PM
Creation date
11/23/2007 7:21:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
General Documents
Doc Date
8/29/2003
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Client#~ 5934 <br />HORINAT <br />ACORDrr CERTIFICATE OF LIABI LITY INSURANCE o$;Z; <br />o3°""""' <br /> , <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Acordia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Tower at Erieview HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1301 E. Ninth Street #3800 <br />~~ <br />Cleveland, OH 44114-1824 ~` INSURERS AFFORDING COVERAGE NAIC # <br />INSURED ((~~ 1 <br />O INSURER A: ZUFICh An1eFICaD Ins CO <br />BOWIe RBSOUFC@S, Limited ~7 I <br /> <br />G INSURER B: <br />Horizon Natural Resources, LLC a~ <br />e°\o4 <br />a°d G INSURER C: <br />2000 Ashland Drive \s <br />° <br />Bt <br />t M`° <br />Ashland, KY 41101-7058 <br />5~0°° <br />\N\ INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POUCY NUMBER pATEYM~DDIYVE PDATE MNVDD TION DMIT$ <br />A GENERAL LIABILITY GL0929854903 06~29~03 06~29~04 EACH OCCURRENCE §1 OOO OOO <br /> - X ' COMMERCIAL GENERAL LIABILITY - - .DAMAGE TO RENTED n $1 OO OOO <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) §1 O OOO <br /> X Blasting & XCU PERSONALBADV INJURV $1 OOO OOO <br /> GENERAL AGGREGATE $5 OOO OOO <br /> GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG E2 OOO O00 <br /> POLICY PRO LOC <br />JECT <br />A AUT OMOBILE LIABILITY BAP319030404 06~29~03 06~29~04 <br /> COMBINED SINGLE LIMIT <br />E E1 <br />OOO <br />000 <br /> X ANV AUTO <br />( <br />a aCCitlenq , <br />, <br /> ALL OWNED AUTOS BODILY INJURV <br /> SCHEDULED AUTOS (Per person) § <br /> X HIRED AUTOS BODILY INJURV § <br /> X NON-0WNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> § <br /> (Per accitlenp <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br />A EXCESS/UMBRELLA LIABILITY EOG9297$4104 06/29/03 06~29~04 EACH OCCURRENCE $25000000 <br /> X OCCUR ^ CLAIMS MADE AGGREGATE $25 DDD DDD <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION § 1 OOOO $ <br />A WORKERS COMPENSATION AND wczsss44oos Q6/29/Q3 O6/29/O4 X WC STATU- OTH- <br /> EMPLOYERS' LIABILITY - <br />ANVPROPRIETOR/PARTNER/EXECUTIVE - - <br />E.L. EACH ACCIDENT <br />$1,000,000 <br /> DFFIGER/MEMBER EXCLUDED't E.L. DISEASE ~ EA EMPLOYE $1,000,000 <br /> f yES, O25CIIb2 UnGer <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />§1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATONS / LOCATONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Re: Bowie #2 Mine Permit C-096-083 General Liability Policy provides coverage for use of <br />explosives <br />State of Colorado <br />Dept of Natural Resources <br />Div. of Minerals & Geology <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />ACORD 25 !2881/081 ~ ..r 9 itCd2000/Md2Z21 <br />I ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~' Q_ DAYS WRITTEN <br />TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVE <br />o_u ©ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.