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GENERAL35425
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GENERAL35425
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Entry Properties
Last modified
8/24/2016 7:56:24 PM
Creation date
11/23/2007 8:19:46 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
8/28/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ACORD: CERTf~ICATE,OF:LtABIL1TY;INSURANCE.. ;.; ': <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A M <br />Aon Risk Services of Florida ONLY AND CONFERS NO RIGHTS Ururv Inc 9L9.en Ilrll.A It <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O.Box 019012 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Miami, FL 33101-9012 COMPANIES AFFORDING COVERAGE <br />COMPANY <br />305-372-9950 '~` FHDERAL INSIIRANCS COMPANY <br />INBURED <br />COMPANY <br />OXBOW CARBON & MINERALS, INC. B AMERICAN GIIRANT88 & LIABILITY <br />ATTN: BRUCE CLITHERO COMPANY <br />1601 FORUM PLACE C <br />WEST PALM BRACH, FL 33401 COMPANY <br />D <br />0 <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 MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR <br />GENEML LIABILfTY <br />A X COMMERCIAL GENERAL LIABILITY 37104268 <br />CLAIMS MADE X~ OCCUR <br />OWNER'S N CONTRACTOR'S PROT <br />POLICY EFFECTIVE POLICY E%PIflATION <br />DATE IMM/DD/YYI DATE (MM/DD/YYI <br />LIMRB <br />AUTOMOBILE LIABILITY <br />A X ANV AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON~OWNED ANTOS <br />1GE IIABIIITY <br />ANY AUTO <br />EXCEBB LIABILRY <br />B X UMBRELLA FORM <br />73077258 <br /> GENERAL AGGREGATE ! 2,000,000 <br />7/21/96 7/21/99 PRODUCTS-COMPIOP AGG ! 1,000,000 <br /> PERSONAL 6 ADV INJURY ! 1, OOO, OOO <br /> EACH OCCURRENCE ! 1, OOO, OOO <br /> FIRE DAMAGE IAny pne Nrel S 1, DDQ, DDD <br /> MED EXP IAny one perspnl ! lO, OOO <br />7/21/98 7/21/99 COMBINED GMGLE LIMIT ! 1,000,000 <br />RECEI ED <br /> AUG 2 8 1998 <br /> <br />DIV. OF MI <br />8 GEOL ERALS <br />GY <br />BODILY INJURY P <br />IPer perspnl <br />BODILY INJURY ! <br />IPer acciOenU <br />PROPERTY DAMAGE ! <br />AUTO ONLY ~ EA ACCIDENT ! <br />OTHER THAN AUTO ONLY: <br />AGGREGATE S <br />EACH OCCURRENCE / <br />AII02393042 ~ 9/01/97 ~ 9/01/98 AGGREGATE ~ ! 25, 000, 000 <br />WOR[ERB COMPENBATION AND TORY IMIT <br />EMPLOYERS' LIABILffY <br />EL EACH ACCIDENT ! <br />THE PPOPPIETOR/ INCL EL DISEASE ~ POLICY LIMIT ! <br />PARTNEPB/EXECUTIVE <br />OFFICERS ARE. E%CL EL DIBEABE EA EMPLOYEE / <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONBIVEHICLEBISPECIAL ITEMS <br />RH: SANBORN CRHHR MINE P8R DIVISION OF MINERALS & GHOLOGY PBRMIT NUMBHR <br />(NO. C-81-022) <br />COMMERCIAL GSNHRAL LIABILITY COV8RAG8 INCLUDES US8 OF BXPLOSIVBS. <br />T1F ATE:HOLD.ER::::::;:;~::~:::~~.:~~::~::~~:~ ..:.::....:.....'.:.'.:'.:.:::::::::::~:;~:~:::::-:~;~::~'.:~:.::C:ANCEC.E:R.T.ION.........:::~::::::::.:::.:.::::.::~:~:::::::~:~~:~::':.:~::::~.~:::.::.:. ...... .... <br />SXOULD ANY OF THE ABOVE DESCNIBED POLICIES BE CANCELLED BEFORE THE <br />D1Y1910n Of Minerals & Geology E%PITIATION DATE THEREOF. THE ISSUING COMPANY XIII~~I~~R~I~ MAIL <br />ATTN: BILL CARTHR 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 Sherman Street,ROOm 215 ~K~XIC~IXXD~Q~4414{~iL?[K~4€XM(LK~4SR~7~PF744444J~R~^i44 <br />Denver, CO 80203 ~EXAY~C)Gl1bXlblddXTNEXdd KNTXXaI~Kt~C~31K)~ FXiEKTXTAIEX <br />AUTHORIZED REPRE;ENIA E O13 r~67OO <br />~ ~~ ~ <br />.........: <br />..........::::.:::.:..:..::..............:.:..:::.. . <br />;:.::.'e.ACORD: COCipORATiRN,1988' <br />
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