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GENERAL42376
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GENERAL42376
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Entry Properties
Last modified
8/24/2016 8:11:00 PM
Creation date
11/23/2007 11:44:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
General Documents
Doc Date
7/28/2003
Doc Name
Certificate of Liability Insurance
From
DMG
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Client#: 5934 <br />HORINAT <br />ACORD <br />CERTIFICATE OF LIABI LITY INSURANCE <br />°"YY"' <br />,~ o;;ZS,o3 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Acordia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Tower at Erieview HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1301 E. Ninth Street #3800 <br />Cleveland, OH 44114-1824 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: ZUfICh Am@r10an Ins CO <br />Bowie Resources, Limited <br /> INSURER e: <br />Horizon Natural Resources, LLC <br /> INSURER C: <br />2000 Ashland Drive <br /> INSURER D: <br />Ashland,tCY 411D7-TOSS <br /> INSURERE: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OFINSURANCE POLICY NUMBER DALTEVMM/DDInYYE PDATE MM/DD/Y ~N LIMITS <br />A GENERALUABIUTY GL0929854903 06129/03 D8~29~D3 EACH OCCURRENCE $1 DDD DDD <br /> X COMMERCIAL GENERALLIABILITV OREMGETORENTED $1 DD DDD <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $1D DDD <br /> X Blasting & XCU PERSONAL 8 ADV INJURY $1 DDD DDD <br /> GENERAL AGGREGATE $5 DDD 000 <br /> GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $2 DDD DDD <br /> POLICY jR~ LOC <br />A AUT OMOBILE LIABILITY BAP319030404 Dt1~29~D3 08/29/03 COMBINED SINGLE LIMIT <br /> (Eaaccitlenl) $1,DDD,DDD <br /> X ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON-0WNEO AUTOS <br />(Per accident) 8 <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accitlenQ <br /> GARAGE LIABIDTY AUTO ONLY-EA ACCIDENT E <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br />A EXCESS/UMBRELLA LIABILITY EOG929784104 06129/03 08/29103 EACH OCCURRENCE E25 DDD DDD <br /> X OCCUR ~ CLAIMS MADE AGGREGATE 825 DDD DDD <br /> <br /> DEDUCTIBLE 8 <br /> X RETENTION $1DDDD 8 <br />A WORKERS COMPENSATION AND WC28tIt144DDt1 D6~29~D3 D$~29~D3 ~( WC STATU- GTH- <br /> EMPLOVERS'UABILITY <br />ANV PROPRIETORIPARTNERIEXECUTIVE _ - -.- E.L. EACH ACCIDENT - - 57,000,000 - <br /> OFFICER/MEMBER EXGLNDED? E.L. DISEASE-EA EMPLOYE $1,DDD,DDD <br /> If yes, tlescribe untler <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />81,DDD,DDD <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Re: Bowie #2 Mine Permit C-096-083 <br /> <br />' <br />General Liability Policy provides coverage for use of explosives RECEIVED <br />G <br />!1 <br />~ <br />J <br />z a zoos <br />State of Colorado <br />Dept of Natural Resources <br />Div. of Minerals & Geology <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />POLICIES BE CANCELLED BEFORE THE EXPIRATON <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~D_ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />HIiVRU CJ (CYV 1/U6) 7 0T ( 85474a J/M4146/ YJL V N4VRV \.VRrVRN11VIY "Itl88 <br />
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