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GENERAL41809
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GENERAL41809
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Entry Properties
Last modified
8/24/2016 8:10:08 PM
Creation date
11/23/2007 11:25:45 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
12/31/1997
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
From
AON
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~.~ <br />._ --.. <br />/~ /~ p <br />A{r O/7D :..". ~'.'.~~:: <br />"~~ ~.: <br />:~ ~: ~~~'~~~'~':: :: ' <br />C~RT <br />tFICATE <br />OF <br />~: ~: <br />~~ ~':.. :: <br />LIAB[L1~ <br />......'. .~ .. .. .:... .. .. ..::~ ~~:~:::~~:.::.~~:~: <br />~;~::: DATE IMM/DD/YYI ::. <br />~: :'::'::~ <br />:~' <br />~~: <br />'Y INSURANCE <br />. <br />.. <br />.. <br />, <br />; <br />; <br />'~ ~ <br />~ ~ ~ ~ . . <br />. <br />. <br />. <br />; :, ,z <br />~ ......,.. 178/1997 :.. <br />PRODUCER <br />954-459-2300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Alexander & Alexander Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aon Risk Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />First Union Cente <br />S <br />it <br />1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />r, <br />u <br />e <br />200 East B <br />o <br />d B <br />l <br />d COMPANIES AFFORDING COVERAGE <br />r <br />war <br />ou <br />evar <br />Ft. Lauderdale FL 33301 COMPANY <br /> A FEDERAL INSURANCE CO <br />INSURED Oxbow Carbon & MlnerBlS,.IOC. COMPANY <br />Oxbow Mining, Inc. B AMERICAN GUARANTEE & LIABILITY <br />Attn: Bruce Clithero COMPANY <br />1601 Forum Place C <br />West Palm Beach, FL 33401 COMPANY <br /> D <br />' O.VERAG ' .:...:..:.::.....:.:..::::....:..:..::::.::::~.....:'.:'.:'.:'.:':':~ ~: ~ :~.:'.':.::: ~': ~~....................................:.::::: ~: ~:.................:......~ ::...: :: ~: ~.......... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L ISTED 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 70 WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN SURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMnS <br />LTP DATE IMM/DD/YYI DATE IMM/DD/YY) <br />A GEN ERAL LIABILnY 98-3710-42-68 07/21 /1 997 07/21 /1 996 GENERAL AGGREGATE 5 2, 000, 000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG 5 1, 000, 000 <br /> <br /> CLAIMS MADE ~ OCCUR PERSONAL N ADV INJURY F 1, 000, 000 <br /> OWNER'S N CONTRACTOR'S PROT EACH OCCURRENCE 0 1, 000, 000 <br /> FIRE DAMAGE IAny pna lire) 0 1, 000, 000 <br /> MED E%P IAny pna person) 0 10, 000 <br />A AUT OMOBILE LIABILITY 96-7307-72-56 07/21/1997 07/21/1996 <br /> COMBINED SINGLE LIMIT 0 1, 000, 000 <br /> X ANV AUTO <br /> ALL OWNED AUTO$ <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />IPer person) 5 <br /> HIRED AUTOS <br />BODILY INJURY <br />5 <br /> NON-OWNED AUTOS IPer eccitlencl <br /> <br /> PROPERTY DAMAGE 5 <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT 0 <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT 0 <br /> AGGREGATE 5 <br />B E%CESS LIABILITY AU02393042 Q9/Q1/1997 Q9/Q1/1996 EACH OCCURRENCE ! 2$,000,000 <br /> X UMBRELLA FORM AGGREGATE 9 25,000,000 <br /> OTHER THAN UMBRELLA FOflM' -- _ - ~ - 5 <br /> WORKERS COMPENSATION AND WC STATU OTH~ <br />T I <br /> EMPIOVERS' LIABIIRY <br /> EL EACH ACCIDENT 5 <br /> THE PROPRIETOR/ INCL EL DISEASE ~ POLICY LIMIT 0 <br /> PARTNERSIE%ECUTIVE <br /> OFFICERS ARE: EXCL EL DISEASE ~ EA EMPLOYEE 0 <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMB <br />.:CERTIF ATE~~HOLOER:.:':.::~:::.::::~::::.~:':~::~::~:.;::~::~:;'.:"::".;'.:":~~'~:'~:~~~: ~~~~~'~:~"~:':~:~:~'~:::~:'.~:~::::: :~ .ANCfCLATION::~'::'':~':~'~ :::.::.:::.:::::::.:.::::.::::.::::::::::~:::~:':~:.::~:::~::.;::.;:~:::~:::;::.;.~:~~:::::'.:.::::::~".::'.::::~:::: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Division of Minerals & Geology EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />Attn: Bill Carter 3O DAYS WRnTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> ERCEPT 10 DAYS NOTICE FOR NON-PAYMENT. <br />1313 Sherman Street, Room 215 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Denver CO BO2O3 24 OF AN RIND UPO THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTOO REPRESENTA E <br /> <br />I t <br />.. <br />.... ... .. <br />A ORt)25=St:7/951......::..::.:':::::::.:' :.::.:.::.::. . <br />:.::'.:'.: ':"::'.:.'. <br />..::::::.:'::". ':.:::.::.::::::':'':.'::":::©p.C.dRD:GORPOCi7i7lON.'t988: <br />IoSdsA`119455 <br />
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