My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL34600
DRMS
>
Back File Migration
>
General Documents
>
GENERAL34600
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 7:55:59 PM
Creation date
11/23/2007 7:59:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
9/8/1998
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
of nn a nu ill <br /> <br />: <br />DATE (MM/DD/YY) ' <br />I <br />IT <br />NC <br />IC <br />EOE <br />'L <br />I <br />SUR <br />F <br />.N <br />A <br />999 RT <br />AT <br />IABIL <br />Y; . <br />. <br />E;;~A~E;~:oF::i..: 4-sEp-,99B ; <br />~~~H 103624 THIS CERTIFCATE IS ISSUED AS A MATTER OF INFORMATION <br />Willis Corroon Corporation of Birmingham ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1927 First Ave. North HOLDER. THIS CERTIFICATE DOES NOT AMEND, El(TEND OR <br />P.O. Box 11587 (35202) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Birmingham AL 35203 COMPANIES AFFORDING COVERAGE <br />(205) 323-7000 <br />National Union Fire Ins. Co. of Pittsburgh. PA <br />COMPANY <br />Betty Hollis A <br />INSURED COMPANY <br /> B <br />PICKETWIRE PROCESSING COMPANY, LLC COMPANY <br /> C <br />1311 BENTWOOD <br /> <br />EVANSVILLE IN 47711 coMPANv <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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV 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 E%PIRATION LIMITS <br />LTR DATE IMMIDD/YY) DATE (MMIDD/Y'/) <br />A GE NERAL LIABILITY GL5652470RA 24JAN-1997 01.1UL-1998 GENERAL AGGREGATE f Z, OOO,OOO <br /> x COMMERCIAL GENERAL LIABILITY PRODUCTSCOMPIOP AGG f S,000,OOO <br /> CLAIMS MADE ~ OCCUR PERSONALd ADVINJURY f 1.000.000 <br /> OWNER'SB CONTRACTOR'S PROT EACH OCCURRENCE f 1.000.000 <br /> FlRE DAMAGE An ona lire f 50.000 <br /> MED E%P An ona arson 5.000 <br /> AU TOMOBILE LIABILITY R EC E I E D COMBINED SINGLE LIMIT f <br /> ANV AUTO <br /> ALL OWNED AUTOS BODILY INIURY <br /> <br />SCHEDULED AUTOS p pp <br />9 <br />(Par person) f <br /> SEP 8 0 <br /> HIRED AUTOS BODILY INIURY <br />f <br /> NON-0WNED AUT0.5 (Par AccEanp <br /> DIV OF MINE ALS <br /> PROPERTY DAMAGE f <br /> 8 GEOLO Y <br /> GA RAGE LIABILTY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY. <br /> EACH ACCIDENT f <br /> AGGREGATE <br /> E%CESS LIABILITY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM <br /> <br />WORKERS CDIAPENSATON AND WC STATU~ OTH~ <br />TORY LIMITS q <br /> EMPLOYERS' LIABILITY ~ - <br /> ELEACHACCIDENT f <br /> THE PROPRIETOR/ <br /> PARTNERS/E%ECUTIVE iNCL EL DISEASEPOLICV LIMIT f <br /> OFFICERS ARE E%CL EL DISEASE{p EMPLOYEE <br /> OTNER <br />DESCRIPTION OF OPERATIONS/LOCATIONf/VEHICLES/SPECIAL REMS <br />Operation of the New Elk Coal Processing Facility Permit No. C-81-012 <br />12 miles West of Weston, Colorado on Highway 12. <br />~C1_RTffiCATE HOLDER :..:::..:::.:...... ....... :.. ............. ~. CAPIC.ELLATK)N.:.,::: ..: ::.. ... <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%DIRATION DATE THEREOF, THE ISSUING COMPANY WILL E7f0~7WEAZ><p MAIL <br /> 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLDER NAMED TO THE LEFT, <br />COLORADO DIVISION OF MINERALS AND GEOLOGY gp7ycEKR~Exltlt7ppl(1611aKpOTKZZtliKmz R11p7tl6>moxOBCmCxld%raa Cme-%xic%% <br />1313 SHERMAN STREET EpL%%pY%xtltltlz %xerxx %1~B% zfOG(%Ktltltlltll%Dp%Y~I111Bdt%% <br />DENVER CO 60203 AuTxg~nzeD RePRESexr vE~/ _ <br />'.~ACORD 25-S~195 ~~.:~.'~.'~.~.:.. ..:::. ::: ~.. :: VARIOUS....:... ~~: ~. ~. .~ .~:~: ~. .: :.: ~~~: ACORO~CORPORATION~I9BH`~ <br />
The URL can be used to link to this page
Your browser does not support the video tag.