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GENERAL41718
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Entry Properties
Last modified
8/24/2016 8:10:02 PM
Creation date
11/23/2007 11:21:38 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981024
IBM Index Class Name
General Documents
Doc Date
10/17/1997
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iii iiuii~i~~~ i~i~ <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE DATEINWDDM) <br />~ 10/14/97 <br />PRODUCER SEDGWICK JAMES OF CA, INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ATTN: COREY ~GOOCH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />701 S. PARKER ST. r SUITE 5000 ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. <br />ORAN6Er CA 92868-4720 r COMPANIES AFFORDING COVERAGE <br />714-245-7800 COMPANY <br /> ERS INSURANCE CO. <br />A <br />UNDERWRIT <br />______ <br />INSURED _ <br />_ <br />_ <br />l- <br />COMPANY <br /> B COMMERCIAL INDERWRITERS INS. <br /> <br />KAISER VENTURES. INC. 1 <br />Do <br />ANV <br /> <br />3633 E. INLAND EMPIRE HL. r C <br />- - - <br />#850 <br />ONTARIO, CA 91764 COMPANY <br /> D <br />COVERAGES <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 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO i TYPE OF INSUMNCE POUCV NUMBER iPOUCY EFFECTIVE POUCY EIlPIRATONI UMITS <br />LTR t - I DATE (NM/DD/W) DATE IMWDDM7 - - <br />A OENERALLIABIUTY OOlOB 6/01/97 6/01 /98 GENERALAGCREOATE S 2, OOO/ OO <br />X COMMERCIAL GENERAL UABIUTY ' PRODUOTS ~ COMP/OP AOG f 1 r OOOr OO <br />~ CUIMS MADE rXJ OCCUR I ~ 'PERSONAL 6 ADV INJURY ~ f 1 r OOOe OO <br />.~ <br />OWNER'S S C.ONTFIACTORS PROT I I i EACH OCCURRENCE f L OOOe OO <br />-ti i <br />i <br />'FIRE DAMAGE (Any one fire) f SO / OO <br />~ _ <br />' MED E%P (Any one person) S <br />AUTOMOBILE LIABILITY r <br />~ C ~ F I~ ~l-- D <br />' - ' COMBINED SINGLE UMIT S <br />~ ANY AUTO I ~___ ___ _~ - <br />tiALL OWNED AUTOS (~7 '~7 (T(~7 BODILY INJURY If <br />701 (Per person) <br />~ <br />O <br />~ <br />SCHEDULED AUTOS I ~ <br />l.rl <br />/ <br />r-~ __ <br />HIRED AUTOS <br />•- <br />'BODILY INJURY <br />f <br />I <br />' NONAWNED AUTOS <br />...o~ I <br />_-- <br />(Par eccl0enq <br />Vll V~ uwIG~11U a UBDIU(~)' <br />~ PROPERTY DAMAGE f <br />OARAOE LIABILITY <br />-~ (AUTO ONLY-EA ACCIDENT S _ <br />ANY AUTO <br />~ OTHER THAN AUTO ONLY: <br />- <br />I i <br />EACH ACCIDENT <br />S <br /> <br /> AGGREGATE f <br />E%C <br />ESS LIABILITY 00109 <br />H ' 6/01/97 6/01/98 EACH OCCURRENCE S%Or OOO, OO <br />_ <br />_ <br />. X UMBRELLA FORM ( AGGREGATE f i O. OOO, OO <br /> ~ r <br />OTHER THAN UMBRELLA FORM ' f <br />•WORNERf COMPENSATION AND i ~ WC STATU~ OTH~ <br />VLIM17$ <br />EMPLOYERS'UABILITV EL EACH ACCIDENT +f <br />THE PROPRIETOfU <br />~ (NCI ~ EL DISEASE ~ POLICY UMIT <br />~ <br />-- f <br />PARTNEFEJEXECUPVE <br />OFFICERSARE. <br />E%CL' -- <br />-- <br />'EL DSEASE ~EA EMPLOYEE <br />f <br />OTHER <br />I <br />I <br />I <br />DESCRIPTION OF OPERATONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />RE: COLORADO COAL MINE AT WALSENHER6 (PERMIT NO. C-81-024) <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7ME <br />STATE OF CQLORADD E%PIRATION DATE THEREOF, THE I93DIN0 COMPANY WILL ENDEAVOR TO YAIL <br />DEPT. OF NATURAL RESOURCES 3OppYf WRITTEN NOTICE TO TIE CERTIFICATE MOLDER HAYED TO THE LEFT, <br />1313 SI~RMAN STREET BUT FAILURE TO MAIL SUCH MOTCE SHALL POSE NO OBUOATOM OR UPBIUTY <br />DENVER• CD BO2O3 OF ANY UPON THE MPpNY, AOEN75 OR REPRESENTATIVES <br /> AUTHORIZED ESENTATVE <br />ACORD 25•S (1/95) 12- 1$ CORPORATION 1988 <br />CERTSS_1 <br />
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