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GENERAL40387
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Entry Properties
Last modified
8/24/2016 7:59:35 PM
Creation date
11/23/2007 10:37:56 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981011
IBM Index Class Name
General Documents
Doc Date
8/2/2000
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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//~ % / O /V III IIIIIIIII IIII III DATE IMMiDD/W) <br />AC,~R~,,, CERTIFICATE OF LIABILITY INSURA 999 D7/27/2BBD <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Reliance Administrators, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />P.O. Box 2838 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Rock Hill SC 29732-4838 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />803-981-5272 INSURERS AFFORDING COVEFU\GE <br />INSURED ;INSURER A. Federal Insurance Con an -Chubb Grou of Insurance Co's <br />Sunland Mining Corporation <br />C/0 Costein Mining Service, Inc INSURER B' <br />P. 0. Box 545 INSURER C '-I - <br />Cheraw SC 29520 INSURERD <br />-~_- ~ -` ~ - INSURERS---~-_ - -- - <br />COVEFIAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO ,WHICnLi S <br />. TE MAY BE ISSUED OR <br />I d. E <br />SL <br />~ <br />J <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE PERMS, E <br />CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INER <br />T <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE MM DD POLICY EXPIRATION <br />DATE MM DD <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one lrte) E lOO, OOO <br /> LYAIt.1S MACE ~ GCCL'R MED E%P (Any one person) E lO,000 <br />A 7325-53-93 DAL 03/12/2000 03/12/2001 pERSONALB ACV INJURY E 1,000,000 <br /> GENERAL AGGREGATE E 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG S 1,000,000 <br /> POUCV jECOT LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br />(Ea eccitlent) S <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) S <br /> HIRED AUTOS <br />BODILY INJURY <br />9 <br /> NON-OWNED AUTOS {Per accltlenl) <br /> PROPERTY DAMAGE <br /> <br />(Per eWltlenL) 9 <br /> GA MGE LIABILITY AUTO ONLY-EA ACCIDENT E <br /> ANY AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: qGG S <br /> EXCESS LIABILITY EACH OCCURRENCE S <br /> OCCUR ~ CLAIMS MADE AGGREGATE S <br /> E <br /> DEDUCTIBLE - E <br /> RETENTION E S <br /> T <br /> WORKERS COMPENSATION AND 7ppy LIMI <br />$ ~q <br /> EMPLOYERS' LIABILITY <br /> E L EACH ACCIDENT S <br /> E.L. DISEASE ~ EA EMPLOYE S <br /> E.L. DISEASE ~ POLICY LIMIT S <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />As Respects Colorado Permit No. C-81-011 <br />GtHIIHIGATE FiOLUtH ADDITIONAL INSURED; INSURER LETTER: (:AIVL:tLLAIIVN <br />Colorado Division of Minerals and Geology <br />1313 Sherman Street, Room 215 <br />Denver CO 80203 <br />SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL SMAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT <br />RT.vnu tra L/yy/) r+/+a.vnu s.vnrvns,nvn root <br />
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