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GENERAL38660
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GENERAL38660
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Entry Properties
Last modified
8/24/2016 7:58:21 PM
Creation date
11/23/2007 9:47:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
General Documents
Doc Date
8/31/2006
Doc Name
Certificate of Liability Insurance (E-mailed)
From
Tom Bird
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Attachment to ACORD Certificate for Nat;onal King Coal, LLC <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the <br />coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the <br />I' <br />po Icy. <br />msuaeD <br />National King Coal, LLC <br />4424 County Road 120 <br />Hesperus Co 81326 USA <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate forth for policy limits. <br /> <br />In SR <br />LTR ADD'L <br />ANRD <br />TYPE OFI65URANCE POLICY NUMBER <br />POLICY DEBCRIPTIOn. POLICY <br />EFFECTIVE <br />DATE POLICY <br />EXPIRATION <br />DATE <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATION$/LOCAIION$NEHICLE$/ESCLUSIONS ADDED BY ENDORSEMENTiSPECIALPROYISIONS <br />Re: OSM Permit CO-0106; CDRMS Permit CO-19$1-035. <br />Colorado Division of Reclamation, Mining & Safety is named as an additional insured as required by <br />written contract but limited to the operations of the Insured under said contract, and always subject to <br />the policy terms, conditions and exclusions. <br />Certificate No : 570019242112 <br />
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