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GENERAL36465
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GENERAL36465
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Entry Properties
Last modified
8/24/2016 7:57:00 PM
Creation date
11/23/2007 8:45:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
General Documents
Doc Date
5/12/2006
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Attachment to ACORD Certificate for Nat; Dnal King Coal, LLC <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of [he <br />coverage afforded by [he insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the <br />policy, <br />NISUREb <br />Nat10na1 King COaI, LLC <br />4424 County RDad 120 <br />Hesperus Co 81326 USA <br />ADDITIONAL POLICIES <br />If a policy below does n <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />of include limit information, refer to [he corresponding policy on the ACORD <br />certificate form for policy limits. <br /> <br />INSR <br />LTR ADD'L <br />1N5~ <br />,TYPE OF niSURANCE POLICY NUMBER <br />POLICY DESCRnTION POLICY <br />EFFECTIVE <br />DATE POLICY <br />EXPIRATION <br />DATE <br />LIMmS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF <br />DY BNDORSEMENT/SPECIAL PROVISIONS <br />Re: 05M Permit CO-OlOlA; Come permit C-81-035. <br />of vi si on of Minerals and ~eol ogy is named as an additional insured as required by written contract but <br />limited to the operations of the Ensured under said contract, and always subject to the policy terms, <br />con i'Ei ons an exc lus on <br />cancellation provision shown herein is sub7'ect to shorter or longer time periods depending on the <br />jurisdiction of, and reason for, the cancellation. <br />Certificate No : 570017823562 <br />
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