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GENERAL36116
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GENERAL36116
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Entry Properties
Last modified
8/24/2016 7:56:49 PM
Creation date
11/23/2007 8:36:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
General Documents
Doc Date
4/19/2007
Doc Name
Insurance of Certificate & Letter
From
J.E. Stover & Associates
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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4/13/07 <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Acordia of Kentucky-Lez HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lexington Crean Two, Sulta 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />220 Lexington Green Lirele COMPANIES AFFORDING COVERAGE <br />Lexington KY 40503-3311 COMPANY <br />1859) 273-6600 /\ Federal Insurance Company <br />IED <br />COMPANY <br />Yctlane Canyon Yining LLL B <br />P.O. Box 1169 COMPANY <br />Pikeville, KY 41502 C <br /> COMPANY <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HA VE BEENISSUED TO THE INSUREDNAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED,NOT W ITHSTANDINGANV REQUIREMENT,TERM ORCONDITION OF ANVCONTRACT OROTHERDOCUMENT W ITHRESPECTTO W HICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO POLICY EFFECTIVE POLICY E%PIR ATION <br /> <br />LTA TYPE OF INSURANCE POLICY NUMBER <br />DATE (MMIDDIYY) <br />DATE (MMRIDIYY) LIMRB <br />A GENERAL LIABLLRY 37111019 4/16/06 6/01/07 GENERAL AGGREGATE _ ~$ 2,000-,000 <br /> X COMMERCIAL GENERAL LIABIL ITY PRODUCTS-COMP/OP AGG 4 2,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL a ADV INJURY 4 1,000,000 <br /> OWNER'S 8 CONTRACTOR'S PROs EACH OCCURRENCE $ 1,000,000 <br />A AUTOMOBR.E LIABLLITY <br />X ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />X HIRED AUTOS <br />% NON-OWNED AUTOS <br />FIRE DAMAGE (Any one fire) S <br />MED E%P (Any one person) $ <br />73252298 4/16/06 6/01/07 COMBINED SINGLE LIMIT 4 <br />1,000,000 <br />1,000,000 <br />BODILY INJURY $ <br />(Per person) <br />BODILY INJURY $ <br />(Pef aotltleN) <br />PROPERTY DAMAGE <br /> OARAOE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> E%CEBS LIABLLITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM 4 <br /> WORKERS COMPENSATION AND <br />' WC STATU- OTH- <br />TORY IM ITS R <br /> EMPLOYERB <br />LIABRITY EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ <br />PARTNERS/E%ECUTIVE INCL EL DISEAS6POLICV LIMIT 4 <br /> OFFICERS ARE: EXCL EL DISEASE~EA EMPLOYEE $ <br /> OTNER <br />Yctlane Canyon Yine, Permit No. C-1980-004 <br />Division of Reclamation, <br />Yining and Safety <br />1313 Sherman St., Roam 215 <br />Denver, CO 80203 <br />ENDUED ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRATION DATE THEREOF, THE IBEUINO COMPANY WBL EIXIBNUDR(X'Xl(MAIL <br />30 DAYS WRTREN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />YYR)BYt11YMYXOtlO(YMIDBlY11YYN1ENYE)BFYYY%W OK7IYB761D(riB[%Y%YItlN(XMYKMOBIKM)fXX <br />Philip 8. Gibson <br />CERTIFICATE: 022/001/ 00004 <br />
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