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GENERAL37330
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GENERAL37330
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Entry Properties
Last modified
8/24/2016 7:57:30 PM
Creation date
11/23/2007 9:06:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1989074
IBM Index Class Name
General Documents
Doc Date
1/13/1999
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />acoRV <br />CERTIFICATE OF LIABI LITY INSURE ~~~ ~~~~~~~~~~~~~~~~ DnrE IMM/DDmI <br />_ ggg 01/12/99 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Lockton Companies of Colorado <br />IVED HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />4500 Cherry Creek Dr. S . , a4o6tECE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Denver CO 80246-1532 COMPANIES AFFORDING COVERAGE <br />1pN 131999 COMPANY <br />, <br />Phov NO. 303-753-2000 Fe~NO. 303-753-2099 A TRAVELERS INDEMNITY COMPANY <br />INSURED <br />f Minerals 8 <br />COMPANY <br />Oivlsion o B THE TRAVELERS INDEMNITY OF IL <br /> COMPANY <br />Landmark Reclamation, Inc. C INDEMNITY INS. CO. OF NA <br />1601 W. Be1leView Ave. M14 COMPANY <br />Littleton CO 80120 p <br />COVERAGES <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, NOTVATHSTANDINGAKY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR 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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~O <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE IMMIDDmI POLICY E%PIRATION <br />DATE IMMIDDm) LIMITS <br /> GENERAL LIABILITY GENERAL AGGREGATE 3 2 , OOO , OOO <br />A X COMMERCIAL GENERAL LIABILITY DTC07B4F6693TIA9B 07/03/98 07/03/99 PRODUCTS-COMP/OPAGG s2,000,000 <br /> CLAIMS MADE ^X OCCUR PERSONAL 8 ADV INJURY 3 1 , OOO , OOO <br /> OWNER'S b CONTRACTOR'S PROT EACH OCCURRENCE S 1 , OOO , OOO <br /> FIRE DAMAGEIAny ona Dre) f3OO, O00 <br /> MED E%P (Any one parson) 3 5 , OOO <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />f1,000,OOO <br />A X ANYAUTO DT610764F8693TIL98 07/03/98 07/03/99 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Per parson) <br /> X HIRED AUTOS <br />BODILY INJURY <br />3 <br /> X NON-0WNED AUTOS (POf ACCldsnl) <br /> <br /> PROPERTY DAMAGE f <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE f <br /> E%CESS LIABILITY EACH OCCURRENCE S 4 , OOO , OOO <br />B X UMBRELLA FORM DTCUP764F8693TIL96 07/03/98 07/03/99 AGGREGATE s4, 000, 000 <br /> OTHER THAN UMBRELLA FORM 3 <br />_ WORKERS COMPENSATON AND <br />-- - - - - -- <br />- - - X WC STATU- OTH- <br />TORY LIMITS ER <br /> EMPLOYERS'LIABILITV EL EACH ACCIDENT S1OO,000 <br />L+ ~ <br />THE PROPRIETOR/ I J[ I INCL <br />PARTNERSIE%ECUTIVE ' <br />te C426O3922 01/01/99 O1/O1/OO EL DISEASE-POLICY LIMIT f SOO,000 <br /> r <br />OFFICERS ARE: EXLL EL DISEASE-Ell EMPLOYEE f LOO OOO <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHILLESISPELIAL ITEMS <br />RE: A11 Operations and the Rimrock Coal Mine C-89-074. <br />++ <br />CERTIFICATE HOLDER CANCELLATION <br />COLDI O r, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILLLNDiAYGR-W MAIL <br /> 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Colorado Division of Minerals <br />and Geology <br />1313 Sherman <br />Room 215 <br />, <br />Denver, CO BO2O3 AUTHORI <br />E <br />D <br />RE <br />P <br />R <br />E <br />S <br />ENT <br />A <br />TI <br />V <br />E ( <br /> /~ <br />I/I <br />/~A <br />/ <br />/ <br />' <br />, <br />, <br />- <br />( <br />I~ <br />/ <br />W s"ue"`"' " " ` ~-~`~ ~ s ' " <br />' <br />ACORD 25S (1195) A <br />Q6RD C PORATION 1988 <br />
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