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GENERAL41678
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GENERAL41678
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Entry Properties
Last modified
8/24/2016 8:10:01 PM
Creation date
11/23/2007 11:20:22 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
10/6/1997
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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. .. <br />~ GERT:IFIG~TEO <br />a~~~~~ <br />~~ ::::.::::::::.ISSUE [ <br />'::' ::::::::::::.: <br />F:i:N ' <br />SUR!4NGE <br />III I <br /> <br />I~IIIII~III~III <br />. <br />0 .:... <br />: <br />: <br />:::::::.::.::: <br />::.:::.:.::::.::: . <br />:..:..::. <br />;.;:::.::.:::::::.::.::.:.::::: loft <br />. <br />. <br />. <br />... <br />PgaoucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OL_. 999 S <br />' UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />MCGriff, $eibelS BI W111iamS Of Maryland, In C. COVERAGE AFFORDED BV THE POLICIES BELOW. <br />One Commerce Center COMPANIES AFFORDING COVERAGE <br />10320 Little Patuxent Parkway <br />Suite 700 <br />, <br />Columbia, MD 21044 coMPapJY <br />LETTER A Colorado Comp. Insurance Authority <br />14101 884-5800 COMPANY <br /> LETTER B <br />INSURED <br />Oxbow Carbon & Minerals, Inc. COMPANY <br />Sanborn Creek Mine LETTER C <br />1601 Forum Place COMPANY <br />West Palm Beach, Florida 33401 L~R 0 <br /> COMPANY <br /> E <br />LETTER <br />C.OY:ERA~O:E ~:~~:.~::::~.::~::~:~.:.~:~.:.:::.~:~.:.~ ::: .: :...:.:. .. ::..:...:. .: .....: <br />5..... <br />....... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOP THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOC UMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY <br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSI ONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO POLICY FiFFRWE POLICY F%PIRATIOM <br />LTR TTpE OF IXBUPANCF POLICY MUMIEB DI1TE IMM/DD/TYI DATE IMMIDD/YYI LIMITS <br /> GfNE ML LIABILRY GENERAL AGGREGATE S <br /> COMMERCIAL GENEMLLIABILITY PRODUCTS-COMPIOP AGG. S <br /> <br /> CLAINS MI.DE ^UCCUR PERSONAL 6 ADV. INJURY S <br /> OWNER'S 6 CONLRACiOR'B PPOT. EACH OCCURRENCE S <br /> FIRE DAMAGE IAny enP lire) S <br /> MED. E%PEHBE IAAY Any peraonl S <br /> AVTO MOIILf LUIBILITY COMBINED SINGLE S <br /> ANY AUTO LIMIT <br /> ALL OWNED AUTOS BODILY INJURY S <br /> SCHEDULED AUTOS IpEr pErPpnl <br /> HIgED AUT00 BODILY INJURY S <br /> NON~OWNFD AUTOS IPU rt[itl~ml <br /> GARAGE LIABILITY $ <br /> PROPERTY DAMAGE <br /> E%CE95 LIAIILRY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA PoRM <br /> V <br />X STATUTORY LIMBS <br /> <br />~ ~~~ <br />A WOR%ER'S^MMDPENBATION QOtOOB37 t/OtI97 t/OtI9B EACH ACCIDENT 1000000 <br />S <br /> EMPLOYERS' LIABILITY OIBEABE~POLICY LIMIT S 1 OOOOOO <br /> DIGEAGE~EACH EMPLOYEE S 1 OOOOOO <br /> OTHER <br /> ~^'N n ~-- <br />DESCRIPTIONS OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />Re: Somerset and Sanborn Creek Mines - DMG Permit No. O-B1-022. OCT O 6 ~99/ <br />CERtIG1CAT8 HOCD.ER:'.:J. ~.:.~~:'~::.~~:::::~::~:: ~.:?.: ? :. ~,.:_;~~~~'~ ~~~ ~~ ~ ~: ::. <br />. .......... .. .......... .. ...... .. CANCECtATION~..~:: ~: ~:: ;: ~'~!:.' ..:.~:...::..':..'.;..raa,:,:,>~{u.ur.;: ..c~:;;';.~,:{; ; ,::! <br />........ ..... ... ...J..... ,::: ':::~} ::: ; .:: } :::~; :::~}::: ~: ~: <br />... . <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE <br />Division of Minerals & Geology E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENBEAV9R-i6 <br />Attn: Bill Carter MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH E <br />1313 Sherman St. Room 215 LEFT, <br />Denver, CO 80203 <br />'. AUTXORRED gEPRESENTATIVE <br /> ~//// /f <br />~arc~ /N/. C.ooner~ <br /> <br /> <br /> <br />~CO.NT)25:6~:~7/90.:~::~:.:::::~~~~:~::.:::~::~:::::::.~:.~:~::.~ :: <br />. .. .I.... 1 ... ............. ':~' <br /> <br /> <br />.::::::::::.::~~~:::: ~~~~~::::~~~~:~~::~~::::~~:~~:~~::~~~:~~::. ~: ::: ~~::::: .:~:: : ~:: 3 0 4 <br />~~ ~~COHR ~ ~~ AiiO N.. 90 <br />:~~~~ACO)i0. R <br />Ic <br />......_ .._......_._ .. ~.~a...."~__ _~ L.. Win. - - _ <br />
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