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GENERAL41419
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GENERAL41419
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Entry Properties
Last modified
8/24/2016 8:09:13 PM
Creation date
11/23/2007 11:10:54 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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.I.^I~^I~~~11 III <br />I <br />A ;I <br />RA <br />iC <br />' <br />' <br />TE; OF <br />ERT <br />FIC <br />999 :~.::~ ..:.::..:....:... ; LIAB <br />,LIT <br />Y 1NSU <br />l1 <br />E ;,~aG~ ~F i 24MAR <br />; 8 <br />.. <br />.nuuucER 92064 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Willis Corroon Corporation of Birmingham ONLY AND CONFERS NO RIGHTS UPON THE CERTIFCATE <br />1927 First Ave. North HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTEND 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. of Pittsburgh, PA <br />Betty Hollis A <br /> <br />INSURED <br />COMPANY <br /> f3 <br />PICKETWIRE PROCESSING, LLC COMPANY <br /> C <br />1311 BENTWOOD <br /> <br />EVANSVILLE IN 47711 COMPANY <br /> D <br /> <br />':COYER' ~ :~::.::;:~:~:~:.'::::::~:::::~:~:~.:~:.:.,.:.: <br />AGES ...... . <br /> <br />::....:...::.:...:...:::..:..:..:::::: <br />.. ... .......... . . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE I NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY E%PIRATION DMIfS <br />LTR DATE (MMIDDIYV) DATE (MMIDDIYV) <br />A GE NERAL DABILRY GL5652470RA 24JAN-1997 01JUL-1998 GENERALAOOREOATE S z•~~0•~~~ <br /> X COMMERCIAL GENERAL DABIUTV PRODUCTSCOMP OP AGO S 1.Og0. 00~ <br /> CUIMS MADE ~OCCUH PERSONALb ADV INIURV 5 1,000,000 <br /> OWNER'Sb CONTRACTOR'S PROT EACH OCCURRENCE S 1.000,000 <br /> FlRE DAMAGE An onehre S SD. DBD <br /> MEO EXP An ons rson 5, D6D <br /> AU TOMOBILE LVIBILITY REC IVED <br />COMBINED SINGLE LIMIT <br />S <br /> ANY AUTO <br /> ALL OWNED AUTQS BODILY INIURY = <br /> SCHEDULED AUTOS <br />MAR 2 <br />7 1998 <br />(Per P.rsonl <br /> HIRED AUTQS BODILY INJURY <br />S <br /> NONOWNED AlRQS <br />l <br />& G <br />l (Per ueiesnU <br /> Division of Mi eo <br />ogy <br />ra <br />s <br /> PROPERTY DAMAGE <br /> s <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT S <br /> AGGREGATE <br /> EXCESS LUIBILRY EACH OCCURRENCE S <br /> UMBRELU FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FCgM <br /> WC STATU~ OTH~ <br /> WORKERS COMPENSATION AND TORY UMITS R <br /> EMPLOYERS' DABILITV EL EACH ACCIDENT S <br /> THE PROPRIETOR/ <br /> PARTNERS/E%ECUTIVE INCL EL DISEASE-POLJCV OMIT S <br /> <br /> OFFCEP.S ARE: - - - E%CL - ~ -- - - EL DISEASE-EA EMPLOYEE <br /> OTHER <br />DESCRIPTM)N OF OPERATN)NS/LOCATIONS/VENK:LESISPECUL ITEMS <br />Operation of Coel Processing Facility 12 miles West of Weston, Colorado on <br />Highway 12. <br />GERT1PIgA.TE.HOLDER .. ... ... ~: CANCELLATKIN .. ... <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLN:IES BE CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF, THE ISSUING COYPANY WILL ENDEAVOR TO MAIL <br /> 3O DAYS WRRTEN NOTICE TO THE CERTIFN:ATE HOLDER NAMED TO THE LEFT, <br />COLORADO DIVISION OF MINERALS AND GE OLOGY BUT FAILURE TO NAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />1313 SHERMAN STREET OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATNES. <br />DENVER CO 80203 AU7NyJRED REPRESENT vE~~ <br />~(QaL[/,C.a/ <br />) <br />mo <br />L.... <br />IACORD~25-S~ 3 :~::.:::~:::::..::.:.::.:::.:~.~::~:.::~::VARIDUS::.:~~:::~:: ::.::~::: `-"t'7-~ <br />o.. <br />'- <br />::.::.~::::.:~:::~.:~::~::..:::.i::.::::~: ~.::.~:: :.::.:~..~::.: ~:':: .~ACOFib~CORPORATIAN~19B8 ::: <br />
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