My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL42025
DRMS
>
Back File Migration
>
General Documents
>
GENERAL42025
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:10:28 PM
Creation date
11/23/2007 11:33:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
General Documents
Doc Date
6/6/2007
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Act.-~;~~T#~~~ATE t'~~ L~k~ DDIYYI <br />1"~Y <br />~M~I <br />~ <br />~R1~~~E °" <br /> m <br />; <br />I <br />02/07 <br /> PROOUBER ~ -' ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Wells Fargo Insurance Services HOLDER. 7HIS CERTIFICATE DOES NOT AMEND, EXTEND OA <br /> of WY, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 41 Eagles Road COMPANIES AFFORDING COVERAGE <br /> Beckley WV 25801 COMPANv <br /> (304) 252-6375 /{ Netl Union fire Ins Co Pgh PA <br /> INSURED <br />~ COMPANY <br /> B <br />i <br />Res <br />u <br />es <br />LLC <br />` B ' <br /> ow <br />e <br />o <br />rc <br />, <br />~ <br />~ <br /> ~ <br />O <br />rl O <br />1500 BIg Run Road <br />`' COMPANY <br /> `\o~ <br />~ <br />G <br />Ashland, KY 41102 v QV 1• ~a C <br /> ~~ <br />te~~ <br />~~s <br /> ~ <br />~ye <br />y <br />COMPANY <br /> ~~ od D <br /> CL~VEAAf~S ~~~': t '. i s <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOLICV PERIOD <br /> INDICATED,NOT W ITHSTANDINGANY REQUIREMENT, TERMORCONDITIONOF ANYCONTRACTOROTHERDOCUMENT WITHRESPECTTO WHICHTHIS <br /> CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV 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 INBURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMRB <br /> LTR DATE (MMIDDIYY) DATE (MMX)D/YY) <br /> A GE NERAL LIABB.RY 6464602 5/31/07 5/31/08 GENERAL AGGREGATE 4 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP/OP AGG 4 1,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY S 1,000,000 <br /> OWNER'S A CONTRACTOR'S PROs EACH OCCURRENCE S 1,000,000 <br /> X Blasting FIRE DAMAGE (Any one fire) S 1,000,000 <br /> MED EXP (Any one person) 4 10,000 <br /> AUT OMOBILE LIABLITV <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY S <br /> SCHEDULED AUTOS - - (Per person) <br /> HIRED AUTOS BODILY INJURY <br />S <br /> NON~OWNED AUTOS (Per attitlent) <br /> PROPERTY DAMAGE S <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: ' <br /> EACH ACCIDENT $ <br /> _ gGGREGATE 4 <br /> E%CEBB LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM 4 <br /> WdRKEAS CAMPEN$ATION AND ~~ ------ -~ WC'SAU=--- OTH- <br />T IMITS R M1'-"-" _ <br />`. ' <br /> EMPLOYERB'LIABRITY EL EACH ACCIDENT S <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT S <br /> OFFICERS ARE: EXCL EL DISEASE~EA EMPLOYEE S <br /> OTHER <br /> DESCRIPTION OF OPERATIONBILOCATIONBNEHICLEBIBPECIAL ITEMS <br /> Permit 1tC-81-038 and Permit pC-96-083 <br /> gNGELLATE¢N ; <br />CERTIFICATE HOLE'iER <br />~ <br />~ <br /> ,. <br />_ <br />-- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />/`-- <br /> THE ISSUING COMPANY WILL ENtleNDOR(XdD(1A1AIL <br />~ E%PIRATION DATE THEREOF <br />St <br />t <br />f C <br />l <br />d <br /> , <br />a <br />e o <br />o <br />ora <br />o <br />` <br />` ~ . <br /> _ <br />Divisi On Of Ni nerals & Geology - 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 1313 Sherman Street, Rm 215 17(N78BIXtlRID(Otl(XKMKX7WIKXtDmIBIDBfYYXXMI(OfOBBXIIXriBU06XXNfN(%ill(KMOBIBR%XX <br /> Denver, CO 80203 DAD(XIWIXXJDIKWXXkXMIIXRk~XXAWMIPASQAtl(XXR3CX%IW6R0)W(X9(RX~ <br /> AUTHORIZED REPRESENTATIVE <br /> i <br />° <br />; WELLS FAAGQINSUAANCE $EAUlCE~~ hl4lotk, AAI, CPIW <br />tRAraQelgae <br />'~1`A~k~ <br /> ACORD <br />2s•S l~gg :. <br />~, <br />I.L1111r I1.p IL: YIY/YV I/ VYVLL <br />
The URL can be used to link to this page
Your browser does not support the video tag.