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GENERAL37552
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GENERAL37552
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Last modified
8/24/2016 7:57:38 PM
Creation date
11/23/2007 9:13:20 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1991078
IBM Index Class Name
General Documents
Doc Date
6/5/2002
Doc Name
Certificate of Liabilty Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE OPID DATE (MM/°°"" <br />LTCOl 06/03/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Polk 6 Sullivan Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3401 West End Ave . Ste . 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Nashville TN 37203 <br />Phone: 615-385-2860 Fax:615-385-8358 INSURERS AFFORDING COVERAGE <br />INSURED INSURERA Travelers Indemnit Co, of CT <br /> INSURER B: <br />HoneyWOOd Coal Company <br /> <br />,~ Delta Coals <br />Inc. <br />' INSURER C'. <br />, <br />95 White Bridge Road INSURER D: <br />Nashville TN 37205 <br /> <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIB CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THE INSVRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTq TYPE OP INSURANCE POLICY NUMBER DATE MM/F~/YY E DATE MM/DD/1nY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1DDDDGD <br />A X COMMERCIAL GENERALLIABILITV 660-114P5718-TCT-02 D6/Gl/G2 06/01/03 FIRE DAMAGE (Any one(re) $ 1GDGGG <br /> CLAIMS MADE ~ OCCUR MED EXP (Any ona person) $ SDDG <br /> PERSONAL BADV INJURY $1GDDDGO <br /> GENERAL AGGREGATE $2D00000 <br /> GEN'L gGGREGATE LIMIT gPPLIES PER: PRODUCTS-COMP/OP AGG $Excluded <br /> POLICY }( PRO LOC <br />JECT <br /> AU TOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANV AUTO (Ea attMenl) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br /> SCHEDULED AUTOS ~ ~ (Per parson) <br /> HIRED AUTOS - <br />BODILYINJURY- <br />$ <br /> NON-0WNED AUTOS (Per acpaenN <br /> PROPERTY DAMAGE <br /> <br />(Per eccidenl) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESS LUIWLITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERB COMPENSATON AND TORY LIMITS ER <br />- .EMPLOYERS': LIABILITY -__ _ _ <br /> -E CEACHACCIDENT- _ -3--- - - <br /> E.L.DISEASE-EA EMPLOYEE $ <br /> E.L. DISEASE-POLICY LIMIT 8 <br /> OTHER <br />DESCRIPTON OF OPERgTONSILOCATONSNEHICLE&EXCLUSION$RDDED BV ENDORSEMENTISPECIAL PROVISIONS <br />Re: Hamilton Mine, Montrose County, Colorado, DMG Permit No. C-91-07B <br />X11- O"1 $ <br />JUN 0 5 2002 <br />Division of Minelal$ and Geology <br />VCKllri{:AIE: KVLUCK N ADDITONAL INSURED; INBURER LETTER:_ llANGE:LLAIIVN <br />DI VIMIl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEE%PIRATOI <br />DATE THEREOF, THEISSUING INSURER WILL ENDEAVOR TO MAIL _32 DAYS WRITTEN <br />Division of Minerals and NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />GeOlOgy IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER ITS AGENTS OR <br />Attn: H. Ranney <br />1313 Sherman $t. , ROOM 215 REPRESENTgTIVES. <br />Denver CO 8D2G3 I~MRIO ZED RE ESENTATi~ <br />
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