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GENERAL39993
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GENERAL39993
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Entry Properties
Last modified
8/24/2016 7:59:18 PM
Creation date
11/23/2007 10:27:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981041
IBM Index Class Name
General Documents
Doc Date
4/5/1999
Doc Name
CERTIFICATE OF LIABILITY
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />AC RD <br />CERTIFIC:ATE <br />`:C1F': LIAB TY II~ ~~~~~~~~~~~~~ ~~~ E: <br />; <br />ILI <br />„ : <br />: <br />..PIIODUtER .... .... ... .::. . . <br />:.:: :: <br />: <br />:::::: <br />...: ~: ~ 999 ~: .: ~ ~.. ... 3/30/99 :.~ <br /> THIS CER11rI1;Alt Is 155uED AS A MATTER OF INFORMATION <br />Aeordiw e! Kontueky-Lex ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, E%TEND OR <br />LwKl npten brown Two, Sulto 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />220 Lwxinpton Grown Cl relo RECEI VEQ COMPANIES AFFORDING COVERAGE <br />Lwxlnpten KY 40503-3311 COLIpANy <br />16061 273-6600 O 1 A Nwtlonwl Unlen Flro Ins Co <br />INSURED <br /> COMPANY <br />liwwtwrn Assoel otwd Ceol Cerp. p1VlSlon o(Minef2ls&GBOIOg B <br />P.O. Bex 271 COMPANY <br />Prwstanshury, KY 41653 C <br /> COMPANY <br /> D <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HA V E BEENISSUED TO THE INSURED NAMED ABO VE FOR THE POLICY PERIOD <br />INDICATED,NOT W ITHSTANDING ANYREOUIREMENT,TERMOR CONDITION OF ANYCONTRACT OROTHER DOCUMENT W ITHRESPECT TO W HICH7HIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ <br />~ TYPE OF INBURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EIPIRATIOM <br />LD,iR^. <br />L, <br />,. DATE (MMR1D/YY) DATE (MMRID/1'Y) <br />A oE XERAL LIAaf_m GL5440717 12/31/98 12/31/01 GENERAL AGGREGATE S 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP/OP AGG f 2,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL A ADV INJURY f 1,000,000 <br /> OWNER'S 6 CONTRACTORS PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE (Any ona Ilre) f 100,000 <br /> MED E%P (Any one person) f 10,000 <br />A AU foMOaLE LIABI.m CA7202550 12/31/98 12/31/01 <br /> COMBINED SINGLE LIMIT S <br /> X ANY AUTO 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) S <br /> X HIRED AUTOS BODILY INJURY <br />f <br /> X NON-OWNED AUTOS (Per wccldenl) <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LIABLm AUTO ONLY ~ EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE f <br /> EKCEBB LIABLm EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE S <br /> OTIfrR THAN UMBRELLA FORM _ _ _ _ _. .S - <br /> WORKERB COMPEXBATION AND <br />' WC STATI} OIH~ <br />LIMI <br /> EMPLOYERB <br />LIABLm EL EACH ACCIDENT f <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUIIVE INCL EL DISEASE~POLICY LIMIT S <br /> OFFICERS ARE: EXCL EL DISEASE~EA EMPLOYEE f <br /> OTHER <br />DESCRIPTION OF OPERATIOXBLOCATIOXBIVEHICLEBIBPECIAL ffEMB <br />As RwwpoetE: Pewdwrhern Cowl Campony Ylno, locwtwd on Hwy 70, 12 mllws wowt of 6rwnd Junetlon, CO. INCLUDES EXPLOSIVE COVERAGE. <br />:~~ ERTIFI ~ATE~H LDER::~;::::::..:~...:..:::~.::.:~::.::;:~~..::.:.~:.- ::..:....:.:::.~.;:~.:::::::::::~:: <br />C.........C....:.... (3 . ........... ................:.... ::::~::~:::::.:.:.::::~ . AN E4LA. ~N~~.~~.:.:..:..:~,,.....:,.,.~...::.;..:.:~:~........:.:...:...:...:::.:...:::...~.:..:....:..:..::.,:: <br />G.... C:....:. ?10.....:....:.....:.:...:.:.:.:..:.:..:.:.:.................... . <br /> BMOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Ol Viwl on o! Ylnwrwlf wnd EIPIRATION DATE THEREOF, THE ISSUING COMPANY WR1 tYK16r`YdKYX1DMAL <br />6wolepy 3D DATt WRfrIEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, <br />1313 Shwrmon Strwwt, Rm. 215 )VOOBAIKYMK)60(IIIfYIOBI%11YIIIOWBK%%YYY%IH<ptlKEk%XYSB(XBXKWMIOB(KMMMKR70(X I <br />I <br />Ownrwr, CO 80203 XQA K <br /> AUTOO REP BEXTATIV 'r .r^ <br />~.la <br />~ <br />ACCNI 2B•S ':.' .:..::::...::..::.....::::::.:...............:. <br />C! 1i9$ ;: :.................::.::::::::..:::.::.::::::::::, ::::.. ....::..:........: <br />::.::.:.::.:::::.:: ...:.....:.. <br />;. <br />::::::::':.::". :'::'. ... .,...,..,. .,.. ............:: DCORP RATI N:.1. <br />:.:.:.:.................::...........:.::::.:...:.:::.::....... CDR.. O. O 968: <br />CERTIFICATE: 117/001/ 00146 <br />
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