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GENERAL38609
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GENERAL38609
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Entry Properties
Last modified
8/24/2016 7:58:19 PM
Creation date
11/23/2007 9:46:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
9/27/2002
Doc Name
Certificate of Insurance faxed
From
Marsh Company
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Marsh USA Inc. 9/27/02 12:4 4 PAGE 2/2 RightFAX <br />-' - - ~ <br />- <br />- ~ ~ ~ CERTIFICATE NUMBEk <br />~ -. <br />.. ~ <br />, ~ <br />~ -, , --... - pTL-000713585-01 <br />PRODUCER TH18 CERTFICATE IB 188UED A8 A NATTER OF IgFORMA710N ONLY AND CONFERS <br />Mesh NO RIOHTB UPON THE CERTIFICATE HOLDER OTHER TH/W TN08E PROVIDED DI THE <br />P.O. BOX 38012 POLICY. THIS CER16lCA1E DOEB NOT AMEND. E%TEND OR ALTER THE COVERAGE <br />KnoxNlle, TN 37930.8012 AFFORDED BY THE POLIC@S DEBGRIBED HEREIN. <br /> COMPANIES AFFORDING COVERAGE <br /> CONPMIY <br /> 00004- A STEADFASTINSl1RANCE CCtN PANY <br /> DISUREO CDMPNJV <br /> LORENCITO COAL COMPANY, LLC B WA <br /> PICIQ:TWIRE PROCESSING <br />LLC <br /> , <br /> 2050D HIGHWAY 12 caAPANv <br /> WESTON, CO 81091 C N!A <br /> CQAPANV <br /> D N/A <br /> THIS IS TO CERTIFY THAT P0.1QES OF INSIRANGE DESQRIB® HEREIN HAVE BEEN RUED 70 THE INSIREO NPMED HH2EIN FOR THE P0.1CY PERIOD INDICATED. <br /> NOTNI7HSTANDING ANV REQUIREMENT, TERM dR CONDITOV OF ANV CONTRACT OR QTHER OOWMENT MATH RE8PEC1'TO WMICH THE (E2TIFICATE MAV BE 199JED OR MAV <br /> PERTNN, THE INSIRANGf AFFORDED BV THE POUQE9 DESCRIB® HEREIN IS 9U&IECf TO N.L'rNE TERMS, CONDITON3 AND E%0.USQJS ff SUQi POLIQE9 AGGREGATE <br /> LIMITS SiOYMJ MAV HAVE BEEN REDUCED BV PND QNMS <br /> ~ TYPE OF INSURANCE POLICYNUMBER POLICY EFFEGINE POLICY EXPIRATIW! Lm Re <br /> LTR GATE BIMIDDIYY) DATE QAMIDDlYY} <br /> p oE NERAL LwaalTr BOG 9304453 08113/02 08/13103 <br />GENERAL MaQ3EGATE <br />$ 2,D00,~~ <br /> x COMMERQAL GENERAL LIABILRV PRODUCTS-CQUPIOP AGG $ 1,000,OOO <br /> 0.NA13MADE ~ OCQ1R PERSDNAL 8ADVINJURY S 1,000,000 <br /> OAMER'88 CQJTRACTOR'S PROT EAQi OCQ/RRENCE $ 1,000,000 <br /> FlRE DAMAGE M anAAry $ SO,t1D0 <br /> MED EXP M me aeoT $ 5,000 <br /> AUT ONOBLE LIABRITV <br /> COMBINED 9NGLE LIMIT $ <br /> /NV AUTO <br /> QL ONNEO AUTOS HODILVINJJRV $ <br /> ~~ Da^a^) <br /> eW FOULED AUT09 <br /> <br /> HIRED AllT03 BODILVIN,4RV $ <br /> ~« ~~ <br /> NOV-ONNED AUT09 <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE LIAflIL17Y <br />NITOONLY •EAACQDENT <br />$ <br />` <br /><" <br />' <br /> AVV AITI'O OTHER THAN NITO ONLY: ,. <br />: <br />j <br />¢. ~ <br />- I;„... <br /> EAQi AGQDENT $ <br /> AGGREGATE $ <br /> EXCE88 LIABILITY EACH OCQIRRENCE $ <br /> UMBREILAFO2M AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> EMP LOYERe'LMBLRY TORY LIMfr9 ER "44; '~6 + ~i°.z`' <br /> EL EAQI ACQDBJT S <br /> THE PROPRIETORI IN0. EL DISEA~FO-ICY IIMR $ <br /> PARTNER3~EXEQITIVE <br />OFFIQ3TS ARE' <br />IXQ <br />EL OIgABEFAQi EMPLOYEE <br />$ <br /> <br /> DEBCRRTION OF OPERATM)NLLOCATONBIVEHNIE&SPECUIL 17EM8 <br /> RE: Permit # C~81-012 <br /> Lawtlon: New Elk Mine <br /> Oeductlble: $5,000 Combined BI 8 PD Per Oaunence ' <br /> HNAAD ANY OF TIE PgJOEb DESOUREO HEREIN EE GNfBIEC EEFgtE TlE EJ~IRAnW GATE nEREO%, <br /> 1FE INMMEA A~ORDlNO COVEMfM NNJ. EIS MVL ~{' Q GAYS WRITTEN NOII(P TO T/E <br /> Colorado Division of Minerela 8 Geology ~RTFIGTE HQkER NAMED FEREIN <br /> 1313 Shennen Street <br /> Denver, CO 80203 <br /> . ~ ARMI UeAPIG <br /> r, Ssmud F. Robinson <br />
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