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GENERAL37744
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GENERAL37744
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Last modified
8/24/2016 7:57:46 PM
Creation date
11/23/2007 9:17:52 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981011
IBM Index Class Name
General Documents
Doc Date
8/19/1997
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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A~~©RD IIIIIIIIIIIIIIIIIII DATEen <br />si~ <br />,~ i <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />AON RISK SERVICES INC. OF CT. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />TWO PICKWICK PLAZA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.O. BOX 1409 COMPANIES AFFORDING COVERAGE <br />GREENWICH, CT 06836-1409 COMPANY <br />203-869-1140 A LANDMARK INSURANCE COMPANY <br />INSURED COMPANr <br />LODESTAR ENERGY, INC. e <br />333 WEST VINE STREET <br />SUITE 1700 COMPANY <br />C <br />LEXINGTON, KY 40507-1628 <br /> COMPANY <br /> D <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, NOTWITHSTANDING ANY REOUIREMEN7, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED B Y 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 />CO <br />L1R <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />PATE (MMmOmI POLICY EIIPIRATION <br />DATE (MMIDDIYY) <br />LIMITS <br /> GE NERAL LIABILITY GENERAL AGGREGATE S <br /> COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPK)P AGG S <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY S <br /> ONTIER'S 8 COMRACTOR'S PROT EACH OCCURRENCE S <br /> FIRE DAMAGE (Ar7 one Rre) S <br /> MED E%P (Any one person) S <br /> AU TOMOBILE LIABILITY /~ <br /> ~~ <br />V COMBINED SINGLE LIMIT S <br /> ANY AUTO <br /> <br /> ALL OWNED AUTOS ~ g ~g91 BODILY INJURY f <br /> SCHEDULED AUTOS PUG (Per person) <br /> HIRED AUTOS <br />Dp1pgY <br />p <br />BODILY INJURY <br />S <br /> NON-OWNED AUTOS <br />~I <br />nE p10 d' IPer emieent) <br /> CI <br /> pIVlCldn <br /> PROPERTY DAMAGE <br />S <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY. <br /> EACH ACCIDENT f <br /> AGGREGATE f <br />A EX CESS LIABILITY 5047287 03/14/97 02/01/98 EACH OCCURRENCE s 5 000 000 <br /> X UMBRELLA FORM AGGREGATE 5 5 000 000 <br /> OTHER THAN UMBRELLA FORM S <br /> <br />WORKER'S COMPENSATION ANU NC 6T~TU- OTFF <br />iORr LwiTS ER <br /> EMPLOYERS'LUIBILITY EL EACH ACCIDENT f <br /> THE PROPRiETOw <br />PARTNERS <br />F]tECIfiNE INCL EL DISEASE-POLICY LIMB f <br /> , <br /> OFFICERS ARE. EXLL EL DISEASE-EA EMPLOYEE S <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />AS RESPECTS THE APEX NO. 2 MINE, COLORADO, PERMIT NO. C-81-011 <br /> SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C1INCELLED BEFORE THE <br />COLORADO DIVISION OF MINERALS B. GEOLOGY EXPIRATON DATE THEREOF, THE ISSUING COMPANY VALL ENDEAVOR TO MAIL <br />1313 SHERMAN STREET, ROOM 215 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />DENVER, C080203 BUT FAILURE TO MAIL SUCH NOTCE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON 7NE COMPANY, ITS AGENTS OR REPRESENTATVES. <br /> AUTHORIZ EPRESENTATNE <br /> <br /> <br />
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