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GENERAL36000
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GENERAL36000
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Entry Properties
Last modified
8/24/2016 7:56:44 PM
Creation date
11/23/2007 8:34:08 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981013
IBM Index Class Name
General Documents
Doc Date
7/2/2004
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE or,rzsioa <br />PRODUCER <br />ROSE SMITH TUCKER, LLC <br />120 MARKET PLACE BLVD. <br />KNOXVILLE, TN 37922 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS <br />NO RIGHTS DPON THE CERTIFlLATE MOLDER THIS CERTIFICATE DOES NOT AMEND, <br />EMEND OR ALTE0. TKE COVERAGE AFFORDED OYTHE PODCIES BELOW. <br />665.251-5270 INSURERS AFFORDING COVERAOE <br />INSURED INSURER A: WESTMORELAND RISK MANAGEMENT, LTD. <br />WESTMORELAND COAL COMPANY INSURER e: <br />2 NORTH CASCADE AVE., 14TH FLOOR INSURER D: <br />COLORADO SPRINGS, CO 80903 INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE fOR THE POLICY PERIOD INDICATED. NOTWRHSTANDING ANY REQUIREMENT, TERM <br />OR DDHDRIDN OF ANY CONTRACT O0. OTHER DOCUMENT WRH RESPECT TO WXILH TNIS CERTIFICATE IMY BE ISSUED OR MAY PERTAIN. TXE INSURANCE AFFORDED BY TXE POLICIES <br />DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDRIONS OF SUCH POLICIES. AGGREGATE LIMBS SHOWN IMY 1UVE BEEN REDUCEp BY PAID C WMS. <br />1f8R. <br />L1R <br />lYPE0.°1161IRLW'E <br />KIgYM.RBEIt CYEfFECTNF <br />Wre(Mwvo+~1 VIXICYE.dIM11011 <br />a*EP~111 <br />LIMR <br /> GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br />A ~ 'COMMERCIAI:GENERAL IiABILT'-- - <br />~- --~'- -- <br />-_- -- -' FR2E OAh9lGE(ANYtAcFl '--'-`-~ <br /> CLNIMS MADE aOLCOR OO2/O4 7Nr2OO4 7/1@OOS MED E%P (ANY ONE PERSON) <br /> PERSONAL 8 ADV. INIURY <br /> GENERAL AGGREGATE 1,000,000 <br /> GEN'L AGGREGATE LIMITS APPLIES PER: PRODUCTS- COMP/OP AGG <br /> X POLICY PROJECT LOC <br /> AU TOMOBILE LIABILITY <br />ANYAlfTO COMBINED SINGLE OMIT <br />(fatl,Aaitl¢rn) <br /> ALL OWNED AUTOS <br />SLHWULED AUTOS BODILY INJURY <br />(Pd P¢Rpn) <br /> HIRED AUTOS <br />NON-0WNEO AUTOS BOOBY INJURY <br />(Per gcv0¢M) <br /> PROPERTY DAMAGE <br /> IPd4¢M¢N) <br /> GARAGE lN1BILITY AUTO ONLY-EACH ACCIDEM <br /> ANY AUTO OTHER THAN EA. ACC. <br /> AUTO ONLY: AGG. <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCCUR ^ CLAIM$MADE AGGREGATE <br /> <br /> OEWCTIBLE <br /> RETENTION S _ _ <br /> WORKERS COMPENSATION AND _ ~ WC STAMORY LIMITS <br /> EMPLOYERS' IWBILITY OTHER <br /> E L FALH ACCIDEM <br /> E.L. DI$FA$E - EA EMPLOYEE <br /> E 1. DISEASE - PWCY DMIT <br /> OTHER <br />RECE9~ED <br />DESCRIPTION OF OPERATIONSBOCATIONSNEHICIESPCXCLUS10N5RDDED BY ENDORSEMENTSPECMLPBOVISIONS <br />RE: THE GOLDEN EAGLE MINE PERMIT #C-81-013 JUL 0"2 2004. <br />Diuisian of Minerals and GealagY <br />CERTIFIGTE HOLDER ADDITIONAL INSURED: INSURER LETTER: CANCELLATION <br />STATE OF COLORADO BHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATION GATE <br />MINED LAND RECLAMATION OFFICE THEREOF. THE ISSUWGWSURER WILL ENDEAVOR-TO MAIL JO'WYS WRITTEN NOTICE TO THE <br />ATTN: JOSEPH DUDASH CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 AvrH z6o TAT A~/J <br />ACORD3i5 (BV1) •10 DAYS NONPAYMENT OF PREMIUM <br />
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