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GENERAL36318
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GENERAL36318
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Entry Properties
Last modified
8/24/2016 7:56:55 PM
Creation date
11/23/2007 8:41:55 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
General Documents
Doc Date
12/27/1999
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />................ <br />II 1111111111111111 <br /> <br />TE Ot= <br />I <br />. . <br />.............. . . ... <br />CSR 'SW '. .~.~. .: DATE (MM/DOM') :: <br />LI ITY tNSURAN~E <br />ERT <br />FIGA WHSTE=i 12~23i99 <br />PRODUCER THIS CERTIFICATE S ISSUED AS A MATTER OF INFORMATION <br />The Haye Group, Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1650 IDS Center HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />80 South 8th St. , Suite 1650 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Minneapolis MN 55402 COMPANIES AFFORDING COVERAGE <br />Shelby M. Wintz coMA <br /> A Federal Insurance Company <br />Pnone Np 612-333-3323 Fa. Np. <br />INSURED <br />CO ~~yy ~~~~~~RR <br /> 8t~bif~1 IInion Fire Insurance <br />Western Fuels Aaeociation,Inc. iEi$I~i" <br />~M <br /> <br />Attn: Robert Norrgard o <br />ineralsBG <br />e0~0g <br />1100 Weat 116th Avenue <br /> COMPANY <br />Westminster CO 80234 p <br />C.. V..RAG S ....: ~:.~ : ~:: ~: ~ '.:' ...::..:..: ~:: ~:.: ~:.: ~.: ~ ~. . .....:.. ~.:. ~. ~ ~ .. .. . ~ . . <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 ANV 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE IMMIDD/YY) DATE (MM/DD/YY) <br /> GE NERAL LIABILITY GENERAL AGGREGATE E 2, 000, 000 <br />A X COMMERCIAL GENERAL LIABILITY (Q1) 3710-10-46 O1/O1/00 O1/O1/O1 PRODUCTS-COMP/oP AGG s2, 000, 000 <br /> CLAIMS MADE OCCUR PERSONALBADV INJURY f2, 000, 000 <br /> OWNER'SBCONTRACTOR'S PROT EACH OCCURRENCE f2, 000, 000 <br /> FIRE DAMAGE (Any one fre) E $00,000 <br /> MED EXP (Any one person) f 10,000 <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT f <br /> ANV AUTO <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />f <br /> SCHEDULED AUTOS lPe~ person) <br /> HIRED AUTOS <br />BODILY INJURY <br />f <br /> NON-OWNED AUTOS (Per ecnEenl) <br /> <br /> PROPERTY DAMAGE f <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT E <br /> ANY AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT E <br /> AGGREGATE S <br /> E%CESS LIABILITY EACH OCCURRENCE f2S, 000, 000 <br />B $ UMBRELIA FORM BE7391552 O1/O1/00 O1/O1/Ol AGGREGATE s 25, 000, 000 <br /> OTHER THAN UMBRELLA FORM f <br /> WORKERS COMPENSATION AND WC STATU~ OTH- <br />TORY LIMITS ER ' <br /> EMPLOYERS' IIABILITV <br /> _ _ _ _ _ _ _ _ _ _ EL EACH ACCIDENT E __ <br /> THE PROPRIETOR/ <br />PARTNERS/EXEGUTIVE INCL EL DISEASE-POLICY LIMIT f <br /> <br /> OFFICERS ARE: EXGL EL DISEASE-EA EMPLOYEE f <br /> OTHER <br />DESCRIPTION OF OPERATIONS40CATIONSNEHICLES/SPECIAL ITEMS <br />Evidence of Insurance as respects <br />New Horizon Mine in Nucla, CO (Permit # C-81-008) <br />CERTIFICATE HOLDER.::.: • .. .. ~.. ...: '.. ..: :: ~: .: ~:: :. ~.: :. . : ~ .:. :. :. .: :.:.' .CANCELLA'TION ' .....~..: ~...~ ........ <br /> COLOR- 2 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Colorado Mined Land EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />RBClamatl OIl 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT. <br />Mine Land Division <br />1313 Sherman Street, RM 215 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />DenVOr CO BO2O3 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> <br />' ~ .... <br />ACOf2D~25=S~.(1/95). .: .:. ~ : .: .. .. ..... ..: .. ~.. <br />. .. ............. ~ ~. : ~ ~ <br />~ . ..:. V <br />: <br />.. ~ACORD~GORPQRATION~1988': <br />
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