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GENERAL38742
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GENERAL38742
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Entry Properties
Last modified
8/24/2016 7:58:24 PM
Creation date
11/23/2007 9:49:08 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
General Documents
Doc Date
5/30/2006
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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/'1VV~7 D <br />1~'~~ <br />1 ~~~ <br />~ <br />~~~~ ~~ ~~~~ D/YY) <br />~~~~~ ~~~U~~~~ <br />D <br />.' <br />Ts <br />: <br />~II <br />:. Rw ". <br />5 24/06 <br />~ : <br />PRODUCER _._._... ...... ._.... . .. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Aeordie of WV-Beckley ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />41 Eagles Road ® ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Beckley WV 25601 ~ - -OC(`°-~~~, ~ <br />~+ COMPANIES AFFORDING COVERAGE <br />I 1304) 252-6375 ~ `~ nG coMPANY <br />I : r ~ A Federal Insurance Company <br />INSURED <br />( - _... COMPANY <br />+ <br />Bowie .Resources, LLL Geo1D9Y <br />nd B "- <br />' -` <br />`~ <br />Ol Minerals a <br />1500 'Blg-Run~Roed, I COMPANY <br />~ <br />~' ~' <br />~~ ~ <br />; <br />I <br />Ashland, KY 41102 I C -~~~^^ <br />•~ ` <br /> <br />I _ <br />I- . . <br />- _ <br />_ I COMPANY I <br />~ <br />:i <br />' <br />` <br /> . <br />. <br />~. <br />.~ <br />_ .~.. .. <br />D <br />CbVERA~S . .. .. .. ... . <br />. . <br />THISIS TO CERTIFY THAT THEPOLICIES OF INSURANCELISTEDBELO W HA VEBEENISSUED TO THEINSUREDNAMEDABOVEFOR THEPOLICYPERIOD <br />INDICATED,NOT W ITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANVCONTRACTOR OTHERDOCUMENT W ITHRESPECTTO W HICHTHIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SH OWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OFINSURANCE •„ POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMRB <br />LTR DATE (MMIDD/VY) DATE (MMIDOIYY) <br />A GE NERAL LIABB.RV 37111143 ~ 5/31/06 5/31/07 GENERAL AGGREGATE $ <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY 4 <br /> OWNER'S A CONTRACTOR'S PROT ~ EACH OCCURRENCE 4 <br /> X Bl astingB XCU FIRE DAMAGE (Any one fire) $ <br /> - M_ED EXP (Any one person) f <br /> AUT OMOBILE LIABILRY <br /> ' COMBINED SINGLE LIMIT 4 <br /> r ANY AUTO ~ _ _ __ _ _ -_ , <br /> ALL_ OWNED AUTOS BODILY INJURY <br /> . SCHEDULED•AUTOS-• __~ : _ _'- _ (Per parson) q <br /> I HIRED AUTOS BODILY INJURY q <br /> NON~OWNED AUTOS ~ - - (Per amidenq <br /> PROPERTY DAMAGE <br /> q <br /> GARAGE LIABD.ITY AUTO ONLY - EA ACCIDENT $ <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE Y <br /> EXCE88LIABB.RY EACH OCCURRENCE 4 <br /> UMBRELLA FORM AGGREGATE q <br /> OTHER THAN UMBRELLA FORM g <br /> WORKERS COMPENSATION AND_ ~ '~ - '"--'~+~-` "" - "~' - `"' - --~ -~ -'WC STATU-C'--. OTH~ <br /> EMPLOYERS'LIABILITV TS P <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL EL DISEASE~POLICY LIMIT q <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: EXCL EL DISEASE~EA EMPLOYEE $ <br /> OTHER <br />DESCRIPTION OF OPERATIONSA.OCATIONSIVEHICLESISPECIAL ITEMS Evidence of Insurance as respects Bowie #2 Nlna Permit # <br />C-096-083. General Liability policy provides protection for use of explosives. <br />CERTIFIGATEHOEDER ., ._ ,_ ~ANf,ELLATtON:.; ., <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />State of Colorado E%PIRATION DATE THEREOF, THE ISSUING COMPANY WBl ENDEAVOR TO MAIL <br />_ <br />Dept of Natural Resources ~' ~ 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />DIV. Of NI nets l s 6 Gao l ogy BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> <br />~ <br />1313 Sherman Street, Raom 215 <br />~ ~OF ANY KING UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />Denver, CO 80203 AUTHORIZED REPRESENTATIVE <br />~ Janice L Whitl oak, AAI, CPIW <br />AepRb 23•S 1155 ~?ACORD CORpI¢RA71O14 i56g <br /> CERTIFICATE: 006/001/ 00009 <br />
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