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GENERAL34371
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GENERAL34371
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Last modified
8/24/2016 7:55:53 PM
Creation date
11/23/2007 7:55:46 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
General Documents
Doc Date
9/18/1985
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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RECEIVED SEP 1 6 1985 <br /> <br />•©~ • <br />I <br />II II <br />II <br />IIII <br />IIII <br />III <br />I D <br /> 09/1 <br /> <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATK)N ONLY AND CONFERS <br />U NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFlCATE DOES NOT AMEND, <br />Columbine Agency, InC. EXTEND oR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />822 Lincoln <br /> <br />Steamboat Springs,CO 80487 COMPANIES AFFORDING COVERAGE <br /> NV A <br />C <br /> LEYTER <br />Old Republic Insurance Company <br /> COMPANY <br /> B <br />LETTER <br />INSURED <br />Kerr Coal Company R v C <br />~O <br />M <br />P <br />Three Park Central Suite 900 L <br />Er <br />T <br />E <br />''- <br /> <br />Denver, CO 80202 COMPANY D <br /> LETTER <br /> LETTERNY E <br />RECLAMATION DIVISIO!d <br />.. <br /> <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO7HE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH19 CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDO <br />TIONS OF SUCH POLICIES. <br />CO INS <br />TY <br />RA <br />CE BER NLILV EEEECrNE FDLIty E%PIRAnOR <br />LIABILITY LIMITS IN THOUSANDS <br />LTR PE OF <br />U <br />N POLICY NUM DATE IMMI-D/1'1'I D0.iE (MM,DM'YI EACH <br /> <br />OCCURRENCE AGGREGATE <br /> GE NERAL LIABILITY <br />BODILY <br /> COMPIIEHENSNE FORM INJURY $ $ <br /> PREMISES/OPERATIONS PROPERTY <br /> UNDERGROUND ZC 46392 9/1/85 9/1/86 DAMAGE $' $' <br /> IXPLOSION d COLLAPSE Hg7ARO <br /> PRODUCTS/COMPLETED OPERATIONS <br />A CONTRACTUAL cOMaINED $ <br />1000 $ <br />1100 <br /> INDEPENDENT CONTRACTORS <br /> BROAD FORM PROPERTY DAMAGE i <br /> PERSONAL INJURY PERSONAL IWURV $ <br /> A UTOMOBILE LIABILITY B]DLr <br /> ANY AUTO IRp VEA$LA'I $ <br /> ALL OWNED AUTOS (PRIN. PASS.) maLr <br /> OTHER THAN <br />ALL OWNED AUTOS (pRIV PASS Ixlmr <br />~N ~~ <br />$ <br /> MIRED AUTOS PROPERTY <br /> NON-0WNED AUTOS DAMAGE <br /> GARAGE LIABILITY <br /> BI 8 PD <br /> COMBINED $' <br /> EXCESS LIABILITY <br /> UMBRELLA FORM BI a PD <br />COMBINED <br />c <br />C <br /> OTHER THAN UMBRELLA FORM <br /> ' STATUTORY <br /> WORKERS <br />COMPENSATION $ (EACH ACCIDENT) <br /> AND <br />' $ IOISEASE~FgLICY LIMIT) <br /> EMPLOYERS <br />LIABILITY $ (DISEASE-EACH EMPLOYEE( <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS <br />Operations Conducted by Insured <br />.- <br />S to to of Co 1 o ra do SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br /> PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />Mined Land Rec 1 amat i on Division MAIL ~~ DAYS WRITTEN NOTICE 70 CER7IFlCATE HOLDER NAMED TO THE <br />1313 Sherman #425 LEFT,B FAILURE TO MAIL SUCH NO ALLIMPOSE NO OBLIGATION OR LIABILRV <br /> OF ANY KIND UPON THE COMPA ,ITS TS OR REPRESENTATIVES. <br />uenver, w auzus <br />
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