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GENERAL45656
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Entry Properties
Last modified
8/24/2016 8:15:38 PM
Creation date
11/23/2007 2:00:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
9/11/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~-I~II1111111111 <br />I IIIII II9111~~ ~u ........ <br /> <br />ERTIFICATE <br />OF .....:.:.:.:.-..:.. . <br />" '' GATE (MM/DD/'/Y) ' <br />LIABILITY <br />tN3URANCE <br />paGE <br />o <br />.: <br />. „ , .;: <br />. <br />i: <br />F .:~ . 4SEP-,998 <br />PRODUCER 1Q3027 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Willis Corroon Corporation of Birmingham ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1927 First Ave. North HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 17587 (35202( ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Birmingham AL 35203 COMPANIES AFFORDING COVERAGE <br />(205( 323-7000 <br /> cGMPaNV National Union Fire Ins. Co. of Pittsburgh, PA <br />Betty Hollis A <br />INSURED COMPANY <br /> B <br />PICKETWIRE PROCESSING COMPANY, L LC COMPANY <br /> C <br />1311 BENTWOOD <br /> <br />~EVANSVILLE IN 47717 COMPANY <br /> D <br /> <br />COVERAGES...:..;' ::..' ...:........ ........:::. ,. . <br />: .............. ..::.: .. ... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMI TS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LINITS <br />LTR DATE IMMIDDIVYI DATE (MMIDD/YY) <br />A GEN ERAL LIAeIUTr 00015229 G7JUL-7998 01JUL-1999 GENERAL AGGREGATE f 2.000.000 <br /> X COMMERCIAL GENERAL LIABILITY PPODUCTSCOMP OP AGG f 1.000,000 <br /> CUIMS MADE ~ OCCUR PERGONALb ADV INJURY b 1.000.000 <br /> OWNER'S6 CONTRACTOR'S PROS EACH OCCURRENCE f 1,000,000 <br /> FlRE DAMAGE An ane rira f 50.000 <br /> ME^ExP An one rson 5,000 <br /> AUT OMOBILE DABILITV <br /> COMBINED SINGLE UMIT f <br /> ANY AlJrO <br /> ALL OWNED AUTOB BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />IPer person) f <br /> HIRED AUTOS BODILY INJURY <br />f <br /> NON-0WNED AUTOS IPer accEenp <br /> PROPERTY DAMAGE <br /> f <br /> GA PAGE LIABILITY AUTO ONLY ~ EA ACCIDENT f <br /> ANV AUTO OTHER THAN AUTO ONLY <br /> 7 <br />~ <br />SEA q <br />~~° EACH ACCIDENT f <br /> 1 <br /> AGGREGATE <br /> E%C ESS DABILITY EACH OCCURRENCE f <br /> UMBRELLA FORM DIV. OF MIN RALS AGGREGATE f <br /> BGEOLO Y <br /> OTHER THAN UMBRELLA FORM <br /> - WC 6TATU~ OTM~ <br /> WOR%ERS COMPENSATION AND TORY LIMITS <br /> EMPLOYERS' LIABIITTY <br />EL EACH ACCIDENT <br />f <br /> THE PROPRIETOR( <br /> PARTNERS/E%ECUtIVE INCL EL OISEASE~POLICYLIMIT f <br /> OFFlCERS ARE: E%CL EL OISEASE~EAEMPLOVEE <br /> OTHER <br />DESCRIPTION OF OPERATIONSJLOCATIONS/VEHICLES/SPECIAL ITEMS <br />Operation of the New Elk Coal Processing Facility Permit No. C-B1-012 <br />12 miles West of Weston, Colorado on Highway 12. <br />~CERTnRCATE HOLD~R~~~:.:' :.::.'::~:~:~:~:::::.:~:..~.::~ .: :.:.::.:.::..:.:.:~.:.:... " CANCELLATION.. .':.,:'..'... ::..~. ~.~ ~.. .. .. ... ...... .. <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL t7~VCTlYxm MAIL <br /> 7 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />COLORADO DIVISION OF MINERALS AND GEOLOGY ®xp FApDaExltl(xpM1I7oIlaMMBI[~]tlBAmx pnN78s>NarOBCUCpx1p%raoL[M,>®%TYL%% <br />13135HERMAN STREET DfxxAplfx xRNMZZxIDN(%ypgz xffBrxAG6M1tlLZDpx~AxB6CZz <br />DENVER CO 80203 AURESENT vE~/ - <br />I. ACORD25S~795 ~~~:. ~~~ :. ~.:~ ~~:.~ ~ . ~ :'~ :' ~. V/iR10US. .~.~. ' :' : ' .. ~ ~ ~:'~: ~.m~~ACORD~CORPORATION 1988: <br />I I I I, <br />
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