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GENERAL41986
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GENERAL41986
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Entry Properties
Last modified
8/24/2016 8:10:26 PM
Creation date
11/23/2007 11:32:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980003
IBM Index Class Name
General Documents
Doc Date
11/27/1995
Doc Name
Certificate of Insurance
From
TERRAMATRIX
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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wla/ie~:. GERTIFICA7E 4F 1NSURANCE'' --_`;.;+,~5°?31;:i':'i;^~DEMT[PIW/~M7.:o,... <br />~.: 9/29/95 <br />< <br />......, <br />:..................~:... a.................:................................... <br />vnoDllrJEn . <br />THI E nFl T I U D A A MATTER INF RMAn L AN <br />Marsh i McLennan, Iaco~ orated CONFERS NO RIGHTS UPON THE CER7IFlCATE HOLDER. TNIS CERnFlGTE <br /> r ET(TEND OR ALTER THE COVERAGE AFFORDED BY THE <br />1166 AV9II139 Ot thH AmBlrl Ca9 POl1GES BELOW. <br />Nev York, NY 10036-2774 <br /> COMPANIES AFFORDING COVERAGE <br /> ~~ A CON~EN)r2iTA <br />L <br />CABIIALTY CO <br /> <br /> Oo <br />~~pp <br />LF~rTEn~ B T R~711'P3~N INBIIRANCB CO <br />N{uRED <br />H-G COAL COMPANY <br />C/O W.R. GRACE i CO. ~ C ~,H;,;;AI ~~I~ <br />1 TOWN CENTER ROAD <br />BOCA BATON, FL 33486 L~sT"pEa~ D <br /> corpANr E <br /> IfTTER <br />• ~~ <br />~~ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE <br />LISTED BEL OW HAVE BEEN <br />ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICTED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFIGTE 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 PDLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWMS. <br />~ TYPE OF NWRANDE POIiCY MUYDER ~;MM~O~ POLICY EI~i11TE:M <br />DATE IMM/OD/YY) LYt• <br />A °EME XAL ~^' CP 902514766 6/30/95 6/30/96 GENERAL AOOREOATE { 2o000oD <br /> S COMMERC4IL GENERAL LMBIrtY RiODUCTB-0OLP/OP A06 { 7000000 <br /> QAIM9 UAOE ®OCCUR. PER901ML6 AD/. INAILiY { 7000000 <br /> OWNER'{ { CONTRACTOR'S PROT. FACN OOCURPENOE t 7000000 <br /> FlRE DAMACf (Arty aM {r.) { <br /> MED. E7~EN9E (A^Y on.Pw+enl { <br />A ADT woaiE L~Teurr CP 902514766 6/30/95 6/30/96 OOMBINE091NQE <br /> g ANY Auro <br />ulArt <br />i 7000000 <br /> ALL OWNED AUT09 GODLY IH.NRY <br />i <br /> 9C/EDUIED AUT09 ~.r Wnanl <br /> HIRED AUT0.q BOOZY INJURY <br />i <br /> NONOWNED AUTO6 (P.r ~¢fd.^Q <br /> OARAOE LNBIRY <br />PRCFERtt DAMAGE <br />i <br /> <br /> EfICEp lNB{J7Y EACH OCCURRENCE i <br /> UMBRDIA FORM A~a~ i <br /> T FORM <br />O HER TWIN MBRELIA <br />U <br />B C 002521497 6/30/95 6/30/96 x sTAM°RVUMrts <br /> wol{EIY{eoM'Ex{ATEIN <br />A C 202521486 6/30/95 6/30/96 EACHACaceNr i 7oaoooo <br /> AND psEASE~FQJLY LIMB f 7000000 <br /> EwIarERr LIAB{m <br />pSEA~EACH E{fT.O/FE <br />{ 7000000 <br /> OTTER <br />OE{CRPTE7N OF OPEMIIMM~~/~E{/~E611 flEl~ <br />THE COVERAGE AND LIMITB BTATED ABOVS APPLY TO PERMIT NO C 80-003. <br /> <br />CarnF~CAT~-WLDFR ~ .:; ,, : •. . • n <br />; .cANc~......, o ::: , •.. • : ;..., , ..~.: a, <br /> '~: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7HE <br />MINED LAND RECLAMATION D I V . ~~~ IXPIRATION DATE THEREOF, THE ISSUING COMPANY WIL1H~~11~RH$ <br />1Z 13 BHERNAN STREET ~~ MAIL ~.O DAYS WRITTEN NOTICE TO THE CERTIFIGTE HOLDER NAMED TO THE <br />415 CENTENNIAL BOILDIN6 ~" LI=FT•&EYSIHMXD[Y~76H31ElWS~R~B~ldE~E[%B%%% <br />DENVER, CO 80203 ~~~~' H)f~H`]~Y~F~~~Y~M~~`~~1T~BBSB <br /> s:: <br /> <br />D REFREBFNd <br />AunlaTlla <br />: <br /> <br /> <br />ACORDxSS:. s::. •::. ::.::::.:::::.::::zca:::;:<.: :<~::,..:::~;.::.::::::::,.:: ;: <br />. <br />,.:, <br />ACOIIDCOAPORA110 . X00 <br />
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