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GENERAL40076
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GENERAL40076
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Entry Properties
Last modified
8/24/2016 7:59:21 PM
Creation date
11/23/2007 10:29:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981013
IBM Index Class Name
General Documents
Doc Date
6/30/2006
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE siz~izoos <br />PRODUCER <br />HLB ROGAL AND HOBBS OF TENNESSEE, INC. DBA ROSE SMITH TUCKER <br />120 MARKET PLACE BLVD. <br />KNOXVILLE. TN 37922 THIS CERTIFICATE IS ISSUED AB A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTg UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />665-251-5270 INSURERS AFFORDING COVERAGE <br />INSURED INSURERA: WESTMORELAND RISK MANAGEMENT. LTD. <br />WESTMORELAND COAL COMPANY INSURER e: <br />2 NORTH CASCADE AVE., 14TH FLOOR INSURER C: <br />COLORADO SPRINGS, CO 80903 INSURER D: <br /> INBURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW IUVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REpUIREMENT, TERM <br />OR CONDITION OF ANY CONTpACT Oft OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE I$$UED OR MqY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES <br />DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />LTPH <br />IVPEOF INSYMHCE <br />PJLICY MIM9EP PoLICr EEEECIMC <br />DAiE IMMJMY) {CIICV ESpIMTICN <br />MiE1MWp6YY) <br />LIMIR <br /> ENERAL EM, 9INTY~ -- ALHDCCORRENCE~'^ '~'~-~1~000rOBB <br />A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) <br /> CIAIM$MAOEOCCUR 00202 7~1~ZOO6 7/1/2007 MED EXP (ANY ONE PERSON) <br /> PER$ONALBADV. INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT$APPLLES PER: PRODUCTS-COMPIOP AGG $1,000,000 <br /> X POLICY PROJECT LOL <br /> AU TOMOBILE LIABILITY <br />ANY AUTO COMBINED SINGLE LIMIT <br />(EdM AR%IMD <br /> ALL OWNED AUTOS <br />SCHEDULED AVTOg BODILY INJURY <br />(Pel Person) <br /> HIREp AUTG$ <br />NON-OWNED AUTOS DOpILY INJURY <br />(Pel Amtlent) <br /> PROPERTY DAMAGE <br /> IPerAmaenq <br /> GARAGE LIABILITY AUTO ONLY-EACH ACCIDENT <br /> ANY AUTO OTHER THAN EA. ACC. <br /> AUTO ONLY' AGG. <br /> E%CE55 VABILITV EACH OCCURRENCE <br /> OCCUR ^ LUIM$ MADE AGGREGATE <br /> <br /> DEDUCTIBLE \ 'CD <br /> RETENTION E ~ <br />V F <br /> <br />_ WORRERSCOMFERSATIO(NAAO--- -- -- WC STAMORY LIMITS <br /> EMPLOYERS' LIABILITY ~ ~ <br />3 p 100 OTHER <br /> ~ + EL EACH ACCIDENT <br /> Od GCa <br />, <br />~~g8 r E.L. DISEASE-EA EMPLOYEE <br /> 1t1~ d 1 El DISEASE -POLICY LIMIT <br /> oTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BYENDORSEMENT/SPECIAL PROVISIONS <br />RE: THE GOLDEN EAGLE MINE PERMIT #C-81-013 <br />CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER: CANCELLATION <br />STATE OF COLORADO SHOULD ANY OF THE ABOVE DESCRIBED POLILIE$ BE CANCELLED BEFORE THE E%PIRATION GATE <br />MINED LAND RECLAMATION OFFICE THEREOF, THE ISSUING INBURER WILL ESM°,~°T^MAll30'OAY$WRITTEN NOTICE TO THE <br />ATTN: JOSEPH DUDASH CERTIFICATE HOIt]ER NAMED TO THE LEFT. <br />1313 SHERMAN STREET, ROOM 215 <br /> <br />DENVER, CO 80203 ~~ <br />AUTHORIZE EPRES A-/J ///~ <br />AcoftD ZS-s tM01) "10 DAYS NONPAYMENT OF PREMIUM <br />
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