My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL33191
DRMS
>
Back File Migration
>
General Documents
>
GENERAL33191
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 7:55:18 PM
Creation date
11/23/2007 7:32:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981024
IBM Index Class Name
General Documents
Doc Date
6/24/1997
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
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.
Page 1 of 1
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
iii iiiiiiiiiiiii iii <br />999 <br />CERTIFICATE OF LIABILITY INSURANCE DATE INY/DDNVI <br />ACORD <br />„ 6/9/97 <br />PRODUCER SEDGWICK JAME5 OF CA, INC. _ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ATTN: COREY GQOCH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />701 S. PARKER ST. , SUITE 5000 ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. <br />ORANGE, CA 92868-4720 COMPANIES AFFORDING COVERAGE <br />714-245-7800 COMPANY - <br /> A UNDERWRITERS INSURANCE CO. <br />INSURED <br />~ <br />µY <br /> COMMERCIAL INDERWRITERS INS. <br />e <br />KAISER VENTURES, INC. rCOMPANv <br />3633 E. INLAND EMPIRE BL., 5850 c <br />ONTARIO, CA 91764 coMPrwv - - -_-- - ----- <br />D <br />COVERAGES - - --~--- ----- -- <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 ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />I _-`T ._~___- - __---_ <br />CO <br />TVpE OF INSURANCE POUCY NUMBER <br />lTR POUCY EFFECRVE POUCYE%PIMiION UMI73 <br />DATE (MM/DDNV) DATE (MMATDNY) I <br />OyE-N~ERAI UABIl1TY ~~ <br />I[^ (COMMERCIAL GENEPAL LVIBIUTY 7~T Ttil ~- GENERAL AGGREGATE _ f r ~ <br />V IPRODUCTS~COMP/OP AGG f~~~~r~~~ <br />+ <br />CUIMS MADE LXIOCCUR CEIVED PERSONAL6 ADV INJURY f~~ 00~, ~~ <br />~ <br />~ <br />OWNER'SBCONTRACTOR'S PROT Tr ~a0s Q00 <br />r ` EACH OCCURRENCE f <br />I ~ <br />SOr Q00 <br />_ 1 _ _ _- - _ _ _ FIRE DAMAGE (Myona flrA) f <br />_ _ _ _. _ <br />1( 1AI Q ~ » <br /> ~- MED E%P (AnY ona penwn) f <br />f1YP1 L. <br />AUTOMOBILE LIABWTY ~ <br />r~ I <br />1 <br />1 ANY AUTO ~ DIDeY <br />tl COMBMED SINGIP UNIT f <br /> <br />~1 <br />~ <br />l <br />InA1f1D1GIG lb - <br />I ~ALLOWNEO AUTOS DIvI5i 0 BODILY INJURY f <br />I <br />SCHEDULED AUTOS (Per permn) <br />~ <br />HIRED AUTOS i BOOILY INJURY <br />f <br />I NON~OWNEO AUTOS <br />, ~ - _ _ I I (P~r ACCItlAnQ <br />PROPERTY DMUOE _ f _ _- _ _ - <br />I I I <br /> OARAOE UABRITY ( AUTO ONLY~EA ACCIDENT- f -_.._. __ <br /> ANY AUTO OTHER THAN AUTO ONLY; <br /> <br />- _ __ --. _ EACH ACGDENT <br />_ ~ - f <br />I <br />-~ <br />~ AGGREGATE f <br /> EXCESS UABIUTY <br />~~ <br />~~ CURREN <br />EACH OC <br />CE f r r <br /> x UMBRELLA FORM I _ <br />_ <br />__ <br />AGGREGATE f D,~OO, 000 <br /> OTHER THAN UMBRELLA FORM i f <br /> WORKERS COMPENSATION AND TORY UNITS ER <br />' - <br />- ~- <br /> EMPLOYERS' LIABILITY - <br /> EL EACH ACCIDENT f <br /> THE PROPRIETOW INCL <br />PARTNERS/E%ECUTIVE - EL DISEASE ~ POLICY uM1T <br />-- f <br />- <br />I OFFICERS ARE. FXCL ---- <br />EL DISEASE ~ EA EMPLOYEE f <br />OTHER _ <br />_ <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS - <br />RE: COLORADO COAL MINE ! WALSENBER6 (PERMIT NO. C-81-024) <br />CERTIFICATE HOLDER CANCELLATION <br /> 6NOUL0 ANY OF THE ABOVE DESCRIBED POUCIEB BE CANCEUED OEFORE THE <br />STATE OF COLORADO EXPIMTION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO YAIL <br />DEPT. OF NATURAL RESOURCES 30DAY8 WRITTEN NOTICE TO THE CERTFICATE HOLDER NAMED TO tHE LEFT, <br />1313 SHERMAN STREET BUT FAILURE TO YAI UCN NOTICE sH NPOSE O OBUOA710N OR ABILITY <br />DENVER, COLORADO 80203 _ of ANY o THE COMPANY I <br /> <br />I AU RI p PRE NT YE <br />ACORD 25-5 (1/95) 2- O ACORD CORPORATION 1988 <br />CERT~ 1 <br />
The URL can be used to link to this page
Your browser does not support the video tag.