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GENERAL37288
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GENERAL37288
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Entry Properties
Last modified
8/24/2016 7:57:28 PM
Creation date
11/23/2007 9:05:52 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
General Documents
Doc Date
4/19/2005
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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<br /> ~cB~~wa r^ <br />ACORD <br />IPATE ' ~~ ~~~~ <br />~E~T~~I~ <br />D/YY) j <br />c <br />~~#~~ ~N~7VRAN~E 0 <br /> ,x <br />~ 4/15/05 <br /> pRODUeER ~~~~~~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Aeordia of Kentucky-Lax HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Lexington Green Two, Suite 41D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 220 Lexington Green Circle COMPANIES AFFORDING COVERAGE <br /> Lexington KY 40503-3311 COMPANY <br /> (859) 273-fi600 /~ Federal Insurance Company <br /> INSURED COMPANY <br /> .;Centrah Appal aehia Yining LLC B _ ' <br /> P.O. Box „69 - ~. _ <br />_ _ _-. _ _ _ _ COMPANY -APR 19 2005 <br /> _ <br />Pikevllla, KY 41502 (~. <br /> COMPANY <br /> p Division of Minerals and Geology <br /> <br /> THIS IS TO CERTIFY 7HATTHE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> NOT W I7HSTANDING ANY REQUIREMENT,TERMORCONDITIONOF ANVCONTRAC70ROTHER DOCUMENT W ITHRESPEC770 W HICHTHIS <br />INDICATED <br /> , <br />CERTIFICATE MAV BE ISSUED OR MAV 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 npE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS <br /> LTR DATE (MMRIDIYY) DATE (MMIDD/YY) <br /> A GEN ERAL LIABaRY 37111019 4/16/05 4/16/06 GENERAL AGGREGATE 4 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP/OP AGO S 2,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL A ADV INJURY f 1,000,000 <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE (Any one lire) S 1,000,000 <br /> MED EXP (Any one person) S 10,000 <br /> A AUT OMOBLE LIABD.rfY 73252298 4/16/05 4/16/06 COMBINED SINGLE LIMIT '$ <br /> X ANY AUTO ~ 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY S <br /> (Per person) <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY S <br /> X NON~OWNED AUTOS (Per a<cident) <br /> PROPERTY DAMAGE S <br /> <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE S <br /> E%CESS LIABR.RY EACH OCCURRENCE 3 <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM 4 <br /> WORKERS COMPENSATION AND WC STATU~ OTM~ <br />TORY IM TS <br /> EMPLOYERS'LIABB.ITY EL EACH ACCIDENT S <br /> THE PROPRIETOR/ <br />PARTNERS/E%ECUTIVE INCL EL DISEASE~POLICY LIMIT $ <br /> OFFICERS ARE: E%CL EL DISEASE~EA EMPLOYEE 4 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSA.OCATION8IVEMICLESISPECIAL REMS <br /> YeClane Canyon Yi ne, Permit No. C-60-004 6 Yunger Canyon Yine, Permit No. C-81-020 <br /> CERTIFIGATE#4i5l.DER .. GANCEL4ATtQN .. .. <br /> SHOULD ANY OF THE ABOVE DESCPIBED POLICIES BE CANCELLED BEFORE THE <br /> State o/ Colorado EXPIRATION DATE THEREOF, TXE ISSUING COMPANY WDl ENtlBYDDRODDI MAIL <br /> DiVi SIOn Of Yi nerels 8 G.alogy 30 DAYS WRrrrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 1313 Sharman Sl., Roam 215 1110R1E~KYR1iXYXXYMID91M11KXK)m(tlKX7fYYllXYYp'tlBtlIND(7tl8lMtlXYWfX7DR(KIRBIKNXI(X <br /> Denver, CO 60203 0,~( %RNMIIXRX~(AEDIRIPAKIOKXXRXX)DDDIMID(%ARX7RWBRWOWNWRWIIWWC <br /> AISTHO D R S NTATI 8. <br /> PRI'(ip B. Glhsen <br /> <br />~ACORD GOAPURA710N 1588:1. <br />AEGtin25•S 1/98 <br /> LERTIF KATE: 022/001/ 00004 <br />
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