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GENERAL38700
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GENERAL38700
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Entry Properties
Last modified
8/24/2016 7:58:22 PM
Creation date
11/23/2007 9:48:14 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
3/27/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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Ep : FICATE t}FLIABILII li\iSIRANCE ;; .:.,::,,, ; ,; DATE (YM,DD,YY) <br />. <br />Illllllll l'll III <br />:.:::.::;:.;:.:::,: ~:.~:: :....;~/,G~:::~~..Q~.:::'~. ,:: 24MAR-1998 .: <br />T.l~ :::::.::.: <br />::~:,.:;::::..:::.;:.:.•:::.;.:.::~.:: <br />: <br />::;::.: <br />:. <br />: <br />:::.;::.;; <br />:::.:,:: <br />: <br />,:: <br />:~~::;:;. <br />c:~: <br />: <br />:;; <br />~ <br />~ <br />; <br />: <br />~:s <br />a <br />; <br />: <br />.. <br />. <br />:. <br />. <br />. <br />.: <br />.. <br />. <br />. <br />:. <br />.:: <br />: <br />.: <br />: <br />. <br />:: <br />: <br />: <br />. <br />: <br />_9.. 92080 THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION <br />HVillia Corroon Corporation of Birmingham ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE <br />1927 First Ave. North HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EKfEND OR <br />P.O. Box 11587 (35202) ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Birmingham AL 35203 COMPANIES AFFORDING COVERAGE <br />(205) 323-7000 <br />coMPAnv National Union Fire Ins. Co. o} Pittsburgh. PA <br />Betty Hollis A <br /> <br />INSURED COMPANY <br /> B <br />PICKETWIRE PROCESSING, LLC COMPANY <br />1311 BENTWOOD C <br /> <br />EVANSVILLE IN 47711 COMPANY <br /> D <br />;. , <br />covEAaGES <br />~ <br />THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />IXCWSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO rypE OF INSURANCE POLICY MUYBER POLICY EFFECTNE POLICY EXPIRATION LIMB <br />LTii DATE pIWDO/1'Y) DATE (YY/DO,Y'/) <br />A GEN ERAL LIABILRY GL5652470RA 24~1AN-1997 01JUL-1998 GENERAL AGGREGATE S 2,000•OOO <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTSCOMP AGO f S,000,OOO <br /> CLAIMS MADE aOCCUR PERSONALb ADVINIURY f S,000,OOO <br /> OWNERB6CpRAACTOR'S PROS EACH OCCURRENCE 3 S,000.OOO <br /> FlRE DAMAGE A ans fire f SD,DDD <br /> MED E%P An ane rson 5,DD0 <br /> AUT OMOBILE LIABILRY <br />COMBINED SINGLE DMIT <br />f <br /> ANY AUTO <br /> ALL OWNED AUTOS ~ECEI ED BODILY IILURY <br /> <br />SCHEDULED AUTOS <br />(Per person) f <br /> HIRED AUTOS MAR 2 ~ 99B p~l <br />RV f <br /> NON-0WNED AUTOS - ac idsn ) <br /> <br /> PROPERTYOAMAGE <br /> ',~vlslon of Minerals Geology f <br /> W RAGE LIABILfrY AVID ONLY-EA ACCIDENT f <br /> <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> <br /> EACH ACCIDENT S <br /> AGGREGATE <br /> E%CE53 LIABILfTY EACH OCCURRENCE f <br /> <br /> UMBRELLA FORM AGGREGATE i <br /> <br /> OTHER THAN UMBRELLA FORM <br /> WC STATU- OTH- <br /> WORKERSCOMPEN9ATN)MAND T RV MI <br /> EYPIAYERS' WBILnY <br />EL EACH ACCIDENT <br />f <br /> THE PROPRIETOR, <br />PARTNERS <br />EXECUIIVE <br />INCL ' <br />_ <br />EL DISEASE~OIJCY OMIT <br />f <br /> , <br /> OFFlCERS ARE: EXCL EL DISEASE{AEMPLOYEE <br /> OTHER <br />DESCRIPTON OF OPERATx)NS,LOCATN)N9,VEHICLES,fPECIAL ITEMS <br />Operation of Coal Processing Facility 12 miles West of Weston, Colorado an <br />Highway 12. <br />.;.C.ERT~TCA.TE'MOLDER. ,..-...... ~ .. . . <br /> SHOULD ANY OF THE ABOVE DESCRIBED PODCIES BE GMCELLED BEFORE THE <br /> E%PIRATN)M DATE THEREOF, THE ISSUING COYPANY WILL »ta MAIL <br /> 30 DAY8 WRfITEN NOME TO THE CERnFx:ATE HOLDER MAMED TO THE LEFT, <br />COLORADO DIVISION OF MINERALS AND GEOLOGY ~1FxlDaETIRypNa7g10NNaia~J(saRmIlllmnafffmTaal®-ildN axraD®71M X% <br />1313 SHERMAN STREET ONE%MRT%1101Ntl%71MfM7(ftfl0i% z1t1g(x/fpBaltl(XOa%I~x% <br />DENVER CO 80203 AUTH ED REPRESENT E-/ _ <br />~A~CORD~25-S (1195E~ ::.: ....:.. :....:...::.< :.:. ..:::..~::..::: VAR)OUS~.:.:.::.'I.':'.s ~:~:: ~.";.y:'; :::'; :"':.::':..~:;:::::~: ~::::~;,:.:::: ,:.: ~:', :. ~:~ ~ ~:":~:',: ~®<ACOFIQ~CORPORATION"1988.1. <br />
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