My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL42793
DRMS
>
Back File Migration
>
General Documents
>
GENERAL42793
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:11:36 PM
Creation date
11/23/2007 11:58:47 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981011
IBM Index Class Name
General Documents
Doc Date
3/12/1998
Doc Name
CERTIFICATE OF INSURANCE
From
SEDGWICK
To
DMG
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
- - ~ooz <br />ILTE P+waonr <br />D'~ncoaa x~l 1 CERTIFICATE~OF LIABILITY INSURANCE <br />Sedgrrick of Tennessee <br />P 0. Box 19810 <br />_ _ __ 3/12/98 <br />r THIS CERTIFICATE IS ISSUED AS A NATTER OF iNFOR11NT10N <br />ONLY AID CONFERS NO RI6HT5 UPON THE CERTIFICATE <br />NOIDER. THIS CERTIFICATE DOES NOT ANEro, E%TEro OR <br />Inc . ,DETER THE COV E AFFORDFg$Y TH~F~QlI[~BELO~_. .___ <br />Knoxville, TN 37939-2810 cov=ANY <br />423-584-9101 I A Essex Insurance Co. <br />~ -` ~ CJMPANY <br />B _ ~_ <br />SUNLAND MINING CORPORATION ~wM?°"T <br />ROUTE 2, BOX 57 ~ ~ _., _.__-. ,_ <br />JEFFERSON, SC 29718 i CO°'PANV <br />D <br />OOVERACES <br />THIS IS TO CERTIFY THAT THE POLICIES OF It:SURAtiCE L15TE0 BELOH HAVE BEEN ISSUED TO THE INSURED NAHEO ABOVE FOR THE PDLICY PERIOD <br />INDICATED, NOiNITHSTpNDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT HITH RESPECT TO NHICH THIS <br />CERTIFICATE NAY BE ISSUED OR MAY PERTAIN. THE InSURAnDE AFFORDED BY TFIE PODUES DESCaIBED HEREIN IS SUBJECT TO All THE TERMS, <br />E%CLUSIONS- AND CONDITIO OF suCH POLIC ES LIMITS SHOVN M Y AVE BEFN RFDU~BY PA ).AIMS" , _ .. __ <br />m~ ~ POLAY 6FH.'INE POLIC'T E'WIRATION tlffe <br />LTRY~- I~ TYPE OF M61JRI1NOE POIJC/ NUYeER ~ wTEMAVODMY OATEMWDDMT~ . _ <br />- q I' c#NEPeL wenmr ` 3 A M 9 7 4 7 A -~ 3/ 1 2/ 9 8 13/ 1 2 / 9 9 I GENERAL Aaot+EGaTE-T 1 0 D 0~ 0 6 <br />I COMMERCIAL GENERAL UAeILITV PI L7CDUGTS-COMP/OP aOG $ __ __ <br />r I C'.aIM3 `~ OCCUR I I LPEq$ONAL 8 ADV INJURY 5 ian n n O _ <br />~ MADE <br />EACY. o; cuPRENCE ~s, 0 0 0 0 0 <br />_ OWYEP'S fl CONT P90T I I I .. _~--Q-.. .- <br />I FIRE DAMAGE 14ny one Ilml I = <br />I ~ I ~MED E%P I AnY one amcol y 1, D D D <br />~~ANY AUTO ~ ~ COMBINED SINGLE LIMIT I s - <br />AuowNEpauTO$ I ~eoDlJVlwunY ~ - <br />~SCHEOULED AUTOS <br />L, J wPED AUIOs <br />J NON.OVMEO AUTO <br />I <br />LJ _ _ <br />6NY e.VTO <br />Excess uAeltm <br /> UMRRELL4 FOPM <br />OTHER THAN UM2gELU FORM <br />~Mb{6QIAM$LVMPBII$A7M7N 41b.• <br />OYSrs <br />A~fIY <br />E) <br />~. <br />` <br />xPL <br />U <br /> <br />TnE PROPPiETOR/ INCL <br />PARTNEPSIExECUTIVE <br />OFFICERS ARE..` E%CL <br />a1HFA <br />(Pe, pe¢onl <br />900RY IwuRY <br />IPe~ eccldsml <br />I PROPEWY DRMAOE <br />AUTO ONLY ~ Ea 6Gb0ENr <br />OTHER THAN AUTO ONLY <br />EACH 4CbGENT <br />1 I <br />I 1 <br />_ IIT <br />I <br />_.. _ <br />AGGREGATE If <br />' EACH OCCURRENCE S <br />AGGREGATE ~ E . <br />EL DISEASE ~ POLICY UM~T S ~ <br />AS RESPECTS THE APE% N0. 2 NINE, COLORA00 PE0.N1T N0. C-81-011 <br />52.500 DEDUCTIBLE APPLIES PER CLAIn FOR BODILY 111JURY AND <br />PROPERTY OANAGE <br />CERTIFlCJITE: HOLDER <br />COlORA00 DIVISION OF MINERALS <br />AND GEOLOGY <br />1313 SRERMAH STREET, ROOM 215 <br />DENVER, CO 80203 <br />CANCELLATION <br />I SIUULD AAIY 6 THE A9Q+1: OESCRBE9 iOVU1E3 9E C4IJCELLEO BEfU~ THE <br />ETmfiAMN OATS THEREOF. THEISBIAeG OpApAM' WIi ElOFJWOR TO eAA1L <br />] D OAY6 ~YNf1Yl+ NORCE TG THE OEFIIFGATE HOIOER IaMED TOlT1G LEFT <br />eur Fawn ro wAa eua+ NoncE snnu lutRxtE No py(:ATION oR LIAeRm <br />OP AN/ IG~N~D^JUe~P~p/Iy/R~/-E` I~OOMPINY. I1H AGE/R3 OR IERFSENfATIVF9. ..... <br />2. 24 <br />
The URL can be used to link to this page
Your browser does not support the video tag.