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GENERAL35740
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Entry Properties
Last modified
8/24/2016 7:56:35 PM
Creation date
11/23/2007 8:26:10 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
4/2/2001
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iii iiiiiiiiniii iii <br />999 <br />n C 11 T c C n <br />............:.............:...........::::...:.:........~....::.:........ ~.:.:.:. ~^.R...........:rr. ...^.... . t' <br /> <br />,: <br />. .. ..... ....::..:...:......:::...... ~..:....... <br />........:::::..:.::..::..::.:.: ~::.:~::.:,;.: .::~...: CeHBlcataM <br />~: .Y <br />..................:.:.......:. <br />' <br />': <br />' <br />r~'~' :. ': <br />~ <br />4 <br />V <br />1t~IS <br />ERT[ <br />Clt~'E <br />F <br />RANCE <br />.. <br />. <br />. <br />. <br />.. <br />. <br />. <br />. <br />. <br />, <br />.. <br />::.::. .:. <br />.:....:..:.. <br />..:. <br />:. <br />arall ::...:::..:.:...::.:........:::':::.:.::::..:.:.........:..:........':...:.....:.:....:...,....:...:.:.:....., ....... ,::. . <br />PRODUCER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, <br />MdfSh USA nC. E7(TEND OR 4LTER THE COVERAGE AFFORDED BV THE POLICES LISTED BELOW. <br />P.O. Box 36012 COMPANIES AFFORDING COVERAGE <br />Knoxville, TN 37930-6012 COMPANY <br />A <br />865-769-7700 LETTER <br />ZURICH AMERICAN INSURANCE COMPANY <br />INSURED: COMPANY <br /> 9 <br />PICKETWIRE PROCESSING COMPANY, LLC LETTER <br /> <br />C/O A.P. MAXWELL DEVELOPMENT, LLC r <br />COMPANY C C~ <br />4422 BRYAN STATION ROAD LETTER <br />LEXINGTON, KY 40516 COMPANY <br /> U A~ <br /> LETTF-R Ff <br />~COVERAG ~' <br />T <br />A <br />W <br />B„~Q,~lil INDIC <br />I <br />O <br />R <br />H <br />r <br />~ <br />j <br />NO <br />TWITHSTANDING ANY REOUIREMENT, <br />TERM OR CONDRION OF A <br />NY CONTRACT OR OTHER DOCUMEM WR RESPECT TO WH <br />IS$UED OR MA <br />C <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS 4ND El(LLUSIONS OF SU <br />POLILIES, LIMITS SHOWN <br />H <br />MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY E%PIRAiION LIMITS <br />LTp DATE MM OD GATE MM D <br />A GE NERAL LIABILITY GL09298313 1/1/01 1/1/02 GENERAL AGGREGATE 2,000,000 <br /> X COMMERQAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG EXCLUDED <br /> CLAIMS MADE OCCUR pERSONAL6ADV WJURV $ 1000000 <br /> OWNER'S CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000 <br /> FIRE DAMAGE A ona/fn $ 50,000 <br /> MED E%P An ona non $ 5 000 <br /> AU TOMOBILE LIABILITY <br /> COMBINED SINGLE LIMB $ - <br /> ANY AUTO <br /> ALLOWNED AUTOS BODILY INJURY _ <br />$ <br /> SCHEDULED AUTOS par oon <br /> HIRED AUTOS BODILY INJURY _ <br />$ <br /> NON~CINNEC AVTOS Per acclGaM <br /> PROPERTY DAMAGE $ - <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN AUTO ONLY: <br />~~ <br />~ ~~ <br /> EALM ACCIDENT E <br /> AGGREGATE S <br /> EXCESS LIABILITY <br /> EACH OCCURRENCE $ - <br /> UMBRELLAFORM <br /> OTHER THAN UMBRELLA FORM AGGREGATE $ <br /> WORKMAN'S COMPENSATION STATUTORY LIMITS <br /> AND EMPLOYERS LIABILITY EACH ACCIDENT $ <br /> THE PROPRIETORI INCL DISEASE-POLICY LIMB $ <br /> PARTNERSIExECUTIVE <br /> o=FlCERS ARE ExOI DISEASE-EA EMPLOYEE $ <br /> OTHER <br />DESCAIPTION OF OPERATIONS iLOCATIONS / VEHICLES i SPECIAL ITEMS <br />OPERATION OF THE NEW ELK COAL PROCESSING FACILITY PERMIT #C-81-012, t2 MILES WEST OF WESTON, CO ON HIGHWAY 12. <br />PROPERTY DAMAGE DEDUCTIBLE OF $5,000 IS APPLICABLE <br />::C . I ... .:. ...:.......:..:..:..:..::........ ...................:....:.......... <br />E 7PfC TE HOI:d7fiA:'.:';::' :::::.::.:..:::~::i::~'::~.;:~.;:~.;:~:::~.::...'::^:c.::~:::::;:;:~'::'::':::~'::•:::':,:~..':::..'.:~::~.•:': .: : ~... . <br />CA6R'iELS,A!710..N:...:.....~..:.;..;:•:~:':,.::,.,:..,;:,:..;...:...:..:.:.:~::,::,.:,:.;:.;~~.:~.:~~.:::..:..,:<...~... ~..~:.::.:..:.:.:.:.... .:: <br /> THE EXPiRgTOrv <br />SHOULD ANY OF THE POLICIES LISTED HEREW BE CANCELED BEF <br />R <br />O <br />E <br /> . <br />~, <br />~, <br />U <br />DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ~pww TO MAIL <br />COLORADO DIVISION OF MINERALS AND GEOLOGY 3O DAYS WRITTEN NGTICE TOTHECERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE <br />1313 SHERMAN STREET ~p(~,)(176tJEy~Np~7yYlgdyOylypy~l~AJ1~pptt~,!'g[l~@ytptA~Vy,1fWp>' <br />DENVER, CO 80203 ~y~~gyp~-~ <br /> MARSH USA, INC. ~ <br /> BY l <br /> :..i.::....... .... .... ......... ~ .:........ . ~.,::.::::::;:::.:....... .. ........., ., ....... . <br />.:::.Mliy: '~ ~ :'::y ~ SAS:CK'S'::.a.?~;:::;:;:i:?!:c':~::;::';:'t::::'z:' .::i":Ii:~~::'<::^~~Q'E:i':)(':r::i`:':::'.::'!. <br />6, ~ t it ~ <br />
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