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GENERAL36002
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GENERAL36002
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Entry Properties
Last modified
8/24/2016 7:56:44 PM
Creation date
11/23/2007 8:34:10 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
General Documents
Doc Date
9/2/1999
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~~~~ ~~~ <br />ACORD <br />ATE O <br />I ~~~ ~~~~~~~I~ <br />IFI <br />L <br />L[TY I <br />AN <br />CE <br />1 <br />,, <br />C <br />F <br />IABI <br />NSUR <br />C <br />RT <br />45EP-1999 <br /> <br />yROOUr€a 96928 THIS CERTIFICATE IS I6Sucu AJ A MAI ItR OF INFORMATION <br />Willis ~orroon Corporation of New York ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />7 Hanover Square HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />New York NY 100042594 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />(212) 3448888 COMPANIES AFFORDING COVERAGE <br />Reliance National Indemnity Company <br />cGMPaNr <br />Daniel Leung A <br />IxsueeD COMPANY Reliance National lns <br /> B <br /> <br />Lodestar Energy, Inc. and subsidiaries f1r~. <br />.~ ~ <br /> <br />333 West Vine Street JJ <br />coMPANV ..-~ <br />ite 7700 <br />S C <br />u <br />KY 40507 <br />i <br />L `JISi;n of ~!Irera!~ 8 LTec o9Y <br />Q <br />ex <br />ngton I <br />coMParly <br /> D <br />:.... <br />.:COVERAGES~.::~.: ~::::: ~:.:~.:.:::.~::...;:~..~:~::::... .. .. ......... ... ... .. ...... ..... . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 7HE INSURED NAMED ABOVE FOR 7HE POLICY PER(OD <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 SUBJ EC7 TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CL41MS. <br />CO rypE OF INSURANCE PODGY NUMBED POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTR GATE (MMIDDIY'J) DATE (MMIDD/YY) <br />A GEN ERAL LIABILITY NGB0158323 31-AUG-1999 31-AUG-2000 GENERAL AGGREGATE f 2.000.000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTSCOMP OP AGG f 2,000, OOO <br /> CLAIMS MADE OCCUR PERSONALA AOVIWURY f 2.000.000 <br /> OWNER'SA CONTRACTOA'S PROS EACH OCCURRENCE f 1.000.000 <br /> FlRE DAMAGE An Pis lire f 500.000 <br /> MED EXP An ans enan E $ • OOO <br />A AUT OMOBILE LIABILITY NKA0158324 31-AUG-1999 31-AUG-2000 <br />OOO <br />I <br />OOO <br /> X ANY AUTO COMBINED SINGLE GMIT . <br />, <br />f <br /> <br /> ALL OWNED AUTOS BODILY INJURY f <br /> SCHEDULED AUTOS (Per person) <br /> <br /> X HIRED AUTOS BODILY INJURY <br />f <br /> X NON-0WNED AUTOS (Par xciEent) <br /> <br /> PROPERTY DAMAGE <br /> f <br /> GA RAGE LIABILITY AUTOONLY ~EA ACCIDENT f <br /> <br /> ANY AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT 3 <br /> AGGREGATE <br /> EXCESS LIABILITY EACH OCCURRENCE f <br /> <br /> UMBRELU FORM AGGREGATE f <br /> <br /> OTHER THAN UMBRELLA FORM f <br />B WORKERS CONDENSATION AND NWA0157326 15JUL-1999 15JUL-2000 X WQR~Ij MITTS ORH <br /> EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT ), , OOO • OOO <br />f <br /> THE PROPRIETOR/ <br />PARTNERSIEXECUTIVE <br />INCL <br />EL DISEASE~OIJGY LIMIT S, 0 0 0, O O O <br />f <br /> OFFICERS ARE' EXCL EL DISEASE-EA EMPLOYEE f 1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATONSILOCATIONSIVEHICLESISPECIAL ITEMS <br />MINE #1, LOCATED AT McCLANE CANYON <br />MINE #2, LOCATED AT MONGER CANYON <br />PERMIT #C-80-004 AND #C-81-020 <br />. TIFiCATE HOL ~. ...:.:~. ~..: .: .::.:~.:~., ... .:. ~.: .. ~~.~ .~~~ ........ ...:. "~~.:.::.: ~~ <br />..C.E(i.. ..... ... DER .......:............ .. ... ... ... ...... .. .. ..... .. .... .. CANCECLATtON.'.::~:~~::~:'.:'::~::::'.:::~:'~'::~:::~.:'::~~i:..::.:~~:.;;:'::':.:'::~::':;'i::~:.~~:::~'.:.::::.~:~:<::~::.'::i:'.::::: <br />... .. ... .. .. ..... <br />.................................. <br /> SNOULD ANV OF THE ABOVE DESCRIBED PODCIES BE CANCELLED BEFORE 7HE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL WOTIX T9 MAIL <br />COLORADO DIVISION OF MINERALS AND GEOLOGY 30 DAYS wRrrTEN NOTICE TO THE CERTIFICATE NoIDER NANED TO rHE LEFT, <br />1313 SHERMAN STREET BUT FAILURE TO MAIL BU NOTICE SHALL IMPOSE NO OBDOATON OR LIABILTY <br />ROOM 215 OF KIND NE COMPANY nS AGENTS OR REPRESENTATVES. <br />DENVER, CO 80203 AUT DREPRESEN TVE // <br />.:.. . <br />. <br />. ...... <br />~ACOR025-341)853'::::i:.~~ :::.:::..::::::.:::.::~?;<~::.~::~. ~..':-:::..:_.:~:.:.LODESTAR..1~::~.;::~.:::~:~ <br />. <br />~:~.:..~....:~:::.:::.:;.:::~:::~.:~.~:::.--.:..: .:. ....:.,~._~--~.__::__ ACORD CORPORATION~19B8 ~~:. <br />
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