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GENERAL37135
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GENERAL37135
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Entry Properties
Last modified
8/24/2016 7:57:23 PM
Creation date
11/23/2007 9:00:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
2/26/1997
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iii iinininiii iii <br />999 <br />~. .. ~ .. DATE IMAwD/YrI <br />P.AGE::1 pF :t - zs-FEK-1997 <br />Ai I I is Corroon Cor O°T~ <br />f3oratian oT Birwingha THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION <br /> <br />1927 First Ave <br />North I <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />. HOLDER- THIS CERTIFICATE QQ~~OES NOT AMEf4-1, E%TEND OR <br />.0. Box 11587 (35202) ALTEfl THE COVERAGE AFFOF~ED BY THE POLICIES BELOW. <br />irainghaw AL 35203 I COMPANIES AFF~JDING GmVERAGE <br />205) 323-7000 <br /> . <br />' COMPANY NatlOnel Union Fire Ins, Co. of Pittsburgh, PA <br />Betty Hollis p / ~~ <br />INSURED - <br /> PANY ~ , <br />COM <br /> p <br />B ` <br /> <br />Pi cketwire Process ing, LLC COMPANY ~~ <br />I <br /> <br />1311 Kentwood C <br />Evansville IN 47711 ~ COMPANY ~ <br /> D <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HA VE BEEN ISSUED 70 THE INSURED NAMED ABO VE FOR THE POLICY PERIOD <br />INDICATED,NOT W ITHSTANDING ANY REQUIREMENT, TERMOR CONDIT IONOF ANYCONTRACT OROTHER DOCUMENT W ITHRESPECT TO 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 />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS. <br />CO TYPE OF INSURANCE <br />LTw POLICY MUMEER POLICY EFFECTIVE POLICY EKPIRATION <br />' <br />LIMB! <br /> DATE (MNVDOM <br />) DATE (MMIDDIYY) <br />OENERALLIMLRY (GENERAL AGGREGATE f <br />COMMERCIAL GENERAL LIABILITY 'IPRODUCTS~COMP/OP AGG f <br />~- CLAIMS MADE ~ OCCUR I (PERSONAL 6 ADV INJURY ;f <br />OWNER'S 6 CONTRACTOR'S PROs , EACH OCCURRENCE ' f <br /> '~ FIRE DAMAGE (Any one Ime), 3 <br />' ' <br />' <br /> MED E%P (Any ono person) <br />3 <br />AUTOMOSLE LIASLRY (COMBINED SINGLE LIMIT f <br />ANY AUTO <br />ALL OWNED AUTOS <br />I I ~ ' <br />~ <br /> I <br />BODILY INJURY f <br />SCHEDULED AUTOS i i(Per person) ~ <br />J HIRED AUTOS <br />_ <br />;80DILY INJURY f <br />NON-OWNED AUTOS i i(Per accitlenD <br /> (PROPERTY DAMAGE <br /> <br />i f <br />GARAGE LIASLRY I I AUTO ONLY - EA ACCIDENT f <br /> ANY AUTO 'I OTHER IRAN AUTO ONLY: <br />I EACH ACCIDENT 3 <br /> AGGREGATE f <br />~ EKCEls LIASLIrY (EACH OCCURRENCE f <br />I UMBRELLA FORM AGGREGATE f <br />I OTHER iMAN UMBRELLA FORM I f <br /> WORKERS COMPENSATIDN AND i WC STATU- OTH- <br /> FMPLOYFRS' LIASLRY <br />TEL EACH ACCIDENT f <br /> THE PROPRIETOR/ INCL EL DISEASE~POUCY LIMIT I f - <br />'~ <br /> PARTNERS/E%ECUTIVE i <br /> OFFICERS ARE: E%CL EL DISEASE-EA EMPLOYEE i f <br />A ~', °TXERGeneral Liability SiI GL5652470flA 24-JAN-1997 24-JAN-1998 PI - 300,000 Each Person <br /> 500,000 Esch Accident <br /> PD - 300,000 Eseh Accident <br /> 500,000 Aggregate <br />DESCRIPTION OF OPERATIONSLOCATIOMeIVEHICLESIlPECIAL REMS <br />Operation of Coal Processing Facility 12 miles West of Weston, Colorado on <br />Highway 12. <br />.'.CERTIFICATQ HOLDER::::: ~ ~~~::~.~~.~:.~::.. ..:.~~.:.'~.~:~..'.;.....•, .. .~ .~ CANCELI-~ATH)N.~~..~.~.:..:~.: .. .... .'~.. ... .... ... ~.. .. <br /> SNOULD ANY OF THE ASOVE DESCRIBED POLICIES SE CANCEIJ-ED BEFORE THE <br /> EKPIRATION DATE THEREOF, THE ISSUING COMPANY WLL ENDEAVOR TO MAL <br /> 3O DAY9 WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />Colorado D 1 V 1 51 on of Yi nera I s and Geology SUT FALURE TO MAL SUCH NOTICE LNALL IMPOSE NO OSLIOATION OR LIASLRY <br />1313 Sherwan Street OF ANY KIND UPON THE COMPANY, RS ACENn OR REPRESENTATIVES. <br />Denver CD BD2D3 A{1r110AliFD 11EPRElEMTy1V <br />... :......... .::' :.VARIOUS . :':::..:.. .. <br />.11COFiD 25•S~(1195):~:.:::~<. ~:. .: ~:~ ~.:.~: .• .::~:.: :: :.:; ~::: ...: ~~~..;:~~.~~:: ~~ ~~ :IiCOf1D CORPORATION 1988 <br />~ I ~ 16 , <br />
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