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GENERAL32701
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GENERAL32701
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Entry Properties
Last modified
8/24/2016 7:55:06 PM
Creation date
11/23/2007 7:25:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981032
IBM Index Class Name
General Documents
Doc Date
5/26/2000
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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: <br />~ <br />~ I I <br />~II IIIIIIIII III <br />., <br />....: <br />:.:.::.:..............::::.:::::.::::..::.:~~::::~:r:::.:::.::i:::~:.::::~::::~:r:•:r::::::::":.::::':::::::(:::.:.::::::.:::::::::::.:::::.:::r:::.r:::.r::::.r::::::.:.i::::::.:~::'::::: ~:::~:::::. <br />'~:. <br />ATE MMIDD/1'Y <br />.......:........... D 1 1 ;:. <br />.:: ~ ~ ::::'::: ::::::.:::::::.:::.: <br />:::;;::::.:: ~:r:'~:: ~:r::: r: <br />11~.u <br />999 <br />a1 <br />: C:ERT ATE a i~ISUR <br />:NCE <br />. <br />. <br />~ ,::,::::::; <br />: <br />: <br />........:::.::.:.:..:~:.:::.::;:::::;.:~:::.::.;^.;: D <br />~~PAOOUCER ~ ~~ ~ <br />~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />WORTHAM & SON <br />P <br />JOHN L <br />L <br />L ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />. <br />. <br />, <br />. <br />. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. BOX 1388 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />HOUSTON, TEXAS 77251-1388 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />026220-10000-20018-001018 HLP/RJG 1/2 A` SELF INSURED <br />INSURED <br />COMPANY <br />ENRON CORP B TRAVELERS INDEMNITY COMPANY Of RHODE ISLAND <br />ENRON COAL COMPANY COMPANY <br />P. 0. BOX 118(1 C TRAVELERS INDEMNITY COMPANY OF CONNECTICUT <br />XWSTON, TEXAS 77257-7788 COMPANY <br /> D TRAVELERS INDEMNITY LdIPANY <br />CQYf<RA7'aE:S iOMPANT E "~SEE:'REVERSE .FOR ADDETEQHRI. {7iFi)RMATEr%i+: , E <br />THIS IS TO 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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY_HAVE BEEN REDUCED BY PAID CLAIMS. _ <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS <br />LTR DgTE IMMIDD/YYI DATE (MMR1D/1'YI <br />A GEN ERAL LIABILITY SELf-INSURED 06/07/00 OG/O1 /01 GENERAL AGGREGATE 1 N/A <br /> COMMERCIAL GENERAL LIABILITY PgODUCTS -COMP/OP AGG 1 N/A <br /> CLAIMS MADE ^ OCCUR PERSONALb ADV INJURY / N/A <br /> OWNER'S b CONTRACTOR'S PAOi EACH OCCURRENCE 1 2 DDD DDD <br /> FIRE DAMAGE U1ny oM Ilral 1 N/A <br /> MED E%P (AnY one pereonl 1 N/A <br />C AUT OMOBILE IIABILRY TC2E-CAP-260T5384-TLT-00 06/01/00 06/07/01 <br /> COMBINED SINGLE IIMR 1 <br /> ANV AUTO (TEXAS) 2 DDD DDD <br />B X ALL OWNED AUTOS TL2J-CAP-26075372-TIL-00 06/07/00 06/07/07 BODILY INJURY <br /> SCHEDULED AUTOG (OTHER STgTES) IPFr perFOnl 1 <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON~OWNED AUTOS <br />IPer ecutlmll 1 <br /> <br /> PROPERTY DAMAGE 1 <br /> GARAGE LIABIU7Y AUTO ONLY - EA ACCIDENT / <br /> ANV AUTO OTHER THAN AUTO ONIV: <br /> EACH ACCIDENT 1 <br /> AGGREGATE 1 <br /> E%CEBS LIABILITY EACH OCCURRENCE 1 <br /> UMBRELLA FORM AGGREGATE 1 <br /> OTHEq THAN UMBREI LA FORM / ~."i.liY'-''tjJ., :-,.~ <br />B WORKER6 COMPENSgTION AND TDRJ-UB-260T5347-00 (A2,NA,MO, O6/Ol/OO O6/O1/O1 X STATUTORY LIMITS <br /> EMPLOYE116'LIABILFTY OK,OR, NE, NH, NJ, NY,NI) EACH ACCIDENT 1 2, DDD DDD <br />L THE PROPRIETOR/ X INCI TC2E-UB-260T5323-00 (0/S) D6/D7/DD D6/D1/D1 DISEASE-POLICY LIMIT 1 2,DDD DDD <br /> <br />D PARTNERS/E%ECUTIVE <br />OFFICERS ARE: <br />EXCI <br />TR-UB-750G3926-00 (MARITIME) <br />O6/O7/OO <br />O6/O7/O7 <br />DISEASE-EACH EMPLOYEE <br />F 2 DDD DDD <br /> OTHER <br /> FtEC IVED <br />DESCRIPTION OF OPENA710N5lLOCATATNS/VEHICLES/SPECIAL (TENS <br />RE: MEEKER AREA MINES (C-81-032) <br />f Minerals ~ I;eology <br /> Division o <br />CER7iFECA7~ Ht)LOER C.ANCELEA7:i.CN ' „, <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE O:SUIXD COMPANY WILL ~q{MYXXMX MAIL <br />STATE OF COLORADO, DEPARTMENT OF 7O DAYS WRLTTEX NOTICE TO THE CERTIFICATE HOLDER XAMEO TO THE LEFT. <br />NATURAL RESOURCES, MINE LAND RECLA- YtlX)NpfG1Y10(YtlXNXllXKYI(NIOYOtMYY)BNp0011fINtltlDfMMXP001(tlYtOlO1H(MMYY)0111f0(Y <br />MAT ION D1V, 275 CENTENNIAL BLVD MXXYM)Y(XYMMX%1111tlMXXM)tl(XMMMINLY7fK%Y78(XYY1f10tl(XYIm(XIOONH(YNIfYd01YR1( <br />1373 SHERMAN ST. <br />coLOR O o -2273 <br />DENVER ADO 8 2 3 <br />a AUTHOR ED REPRE6 NT T / <br />o~n ortham on <br />~ ~ ~~ <br />p <br />AC.O.pA; 25:5:1.3/93(::"::.: ;::::::':; :':-' :: ::.::::::..::..::.:.::.::.:..:.:.:.::::..::..:.:.:............... <br />~n7»apn::cEtAeapa~rror~ >gn3 <br />................... .. .......:... <br /> <br />
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