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GENERAL43405
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GENERAL43405
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Entry Properties
Last modified
8/24/2016 8:12:11 PM
Creation date
11/23/2007 12:23:05 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981038
IBM Index Class Name
General Documents
Doc Date
6/6/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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/4GaR~ <br />+ <br />~~~ <br />~~"' ~,~~~ <br />: C~R`C~ "~{I ~! ~ ~~ii~Rli+~iM~F DATE(MAVOOIrv) <br />~~ <br /> , <br />S <br />, <br />, . <br />~~ 6/02/07 <br />~ <br />~~ <br /> PROOticER ~-- ~ -~~~ ~~ THIS CERTIFICATE IS ISSUED AS A <br />MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Halls Fargo Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> of WV, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 41 Eagles Road COMPANIES AFFORDING COVERAGE <br /> <br /> B°eklay WV 25601 C"-V ED COMPANY <br /> 1304) 252-6375 E~ A Natl Union Fire Ins Lo Pgh PA <br /> INSURED <br />117,1 C ~O COMPANY <br />O <br /> 1 <br />Bawia Resources, LLC JU1v <br />U maUGn, B <br />' <br />(a <br /> C <br />1500 Big Run Road n OT tZ~ <br />COMPANY <br />~(Ylsw <br />nd Safety <br /> a <br />Ashland, KY at7DZ p17Ymn9 C <br /> COMPANY <br /> D <br /> Ct3VEAGES _ <br /> THIS IS TO CERTIFY THAT THEPOLICIES OF INSURANCELISTED BELO W HA VE BEENISSUED TO THE ENSURED NAMED ABO VEFOR 7HEPOLICYPERIOD <br /> INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 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 E%PIRATION LIMRS <br /> LTR DATE (MMIDDIYV) DATE (MMIDDIYY) <br /> A cE NERAL LIABam ~ 6464602 5!37/07 5/31/08 GENERAL AGGREGATE Y 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG S 1,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 6 ADV INJURY $ 7,000,000 <br /> OWNER'S 6 CONTRACTOR'S PROT EACH OCCURRENCE $ 7,000,000 <br /> X Blasting FIRE DAMAGE (Any one Ilre) f 1,000,000 <br /> MEO E%P (Any one person) 3 10,000 <br /> AU TOMOBLLE LIABILITY <br /> COMBINED SINGLE LIMIT S <br /> ANY AUTO <br /> ALL, OWNED AUTOS BODILY INJURY ~- <br /> - SCHEDULED AUTOS (Per person) $ <br /> HIRED~AUTOS~_~ - ~ BODILY INJURY g <br /> NON~OWNED AU70S (Per accltlenl) <br /> PROPERTY DAMAGE q <br /> <br /> DARAGE LIABILITY AUTO ONLY - EA ACCIDENT 4 <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT Y <br /> AGGREGATE $ <br /> F%CESS LIABB.RY EACH OCCURRENCE $ <br /> UMBRELL-A FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> ORKER6 COMPENSATIONAND,- __~ __ __, __ WC STATU- _ 0TH- <br />"- <br />- <br /> <br />~- _ <br /> EMPLOYERS'LIABILITY ~ - T IMlTS <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL EL DISEASE~POLICY LIMIT S <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE: E%CL EL DISEASE-EA EMPLOYEE $ <br /> OTHER <br /> DESCRIPTN)N OF OPERATN7NSILOCATIONS/VEHICLES/SPECIAL REMS <br /> As respeots Bowie #2 Yi n• Parmi4 #C-81-038. General Liability Polley provides protaetlan far use of explosives. <br /> G£RT7FIGATE H~Lt1£R _ GANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> State of Colorado EXPIRATION DATE THEREOF, THE ISSUING COMPANY VAIXX)tlIIDBNIItlR(WX7(MXK$(XX <br /> Division of Reelamatlon 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Yining and Safety )U070BMKtlMX70NXXdNiK)gIXMKI{N10E(8B7BHMYXIMirtltll(XR%XIB(XdIXYWRIXNKNNIBIKW7IXX <br /> 1313 Sherman Street, Raom 215 ~~_--~ a1D(WAXXXJMOIRXXR'RpRX7fIBDOlR9lNRARNMXXfA(%XIOWNO)W(%C(RXIB6B8606N19RWOgUC <br /> CO 80203 - AUTHORIZED REPRESENTATIVE <br />Oenver <br /> , <br />WELLS FARGOINSURANCE SERVICES <br />~~ <br />1(~V <br />IN~ <br /> i <br />, <br />; <br />L <br />,itlaPk, AAI, CPIW <br /> AICOBQ aS•S 1J55 'I ' ~}AGORD GOt`tPOPA.TiQiJ 78SS r <br /> CERTIFICATE: 010/001/ 00046 <br />
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