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GENERAL32781
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GENERAL32781
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Entry Properties
Last modified
8/24/2016 7:55:08 PM
Creation date
11/23/2007 7:26:03 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
General Documents
Doc Date
9/10/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Attachment to ACORD Certificate for Nat; Dnal King Coal, LLC <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage <br />afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. <br />INsuaeD <br />National King Coal, LLC <br />4424 County Road 120 <br />Hesperus CO 81326 USA <br />ADDITIONAL POLICIES <br />INSURER <br />INSURER <br />If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />cerificae form for policy limits. <br /> <br />INSR <br />LTR ApD'L <br /> <br />INSRD <br /> <br />T'PE OF INSllRANCE POLICY NUMBER <br /> <br />POLICY DESCRD"f10N POLICY <br />EFFECI'fVE <br />DATE POLICY <br />EXPnUT10N <br />DATE <br /> <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCAB'TION OF OPERATIONS/LOCATIONS/VEFDCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: OSM Permit C0-0106; ~CDRMS Permit CO-5981=035- ' _ - - ' - - - -- -- --- ~ _ - -- -- <br />Colorado of vi si on of Reclamation, Mining & Safety is named as an Additional Insured as required by <br />written contract but limited to the operations of the Insured under said contract, and always subject to <br />the policy terms, conditions and exclusions. <br />Certificate No : 570024767777 <br />
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