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GENERAL45676
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Entry Properties
Last modified
8/24/2016 8:15:41 PM
Creation date
11/23/2007 2:00:54 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
1/20/1999
Doc Name
CERTICIATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />ACORD ': <br />Ir~RTIFICAT.E::OF.,l1ABILI TY:INSU'RANCE:; ;::::':;`..:`: <br />III ~I~~I~~I~'I~~ ~I~ <br />PgooucEq ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ THIS CERTIFICATE IS ISSUED AS A N <br /> ONLY AND CONFERS NO RIGHTS Urvrv Ins L,L:n nrlt:AlE <br />Aon Riek Services of Florida HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O.BOx 019012 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Miami, FL 33101-9012 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />305-372-9950 p' FHDHRAL INSURANCH COMPANY <br />INSURED <br />COMPANY <br />OXBOW MINING, INC. B Zurich Insurance Com an <br />Attn: Bruce Clithero COMPANY <br />1601 Forum Place, Suite 1400 C <br />West Palm Beach, FL 33401 COMPANv <br /> D <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 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <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 INSURANCE POLICY NUMBEq POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR GATE IMMIDO/YYI DATE IMM/DD/YY) <br /> GEN EIIAL LIABIITY GENERAL AGGREGATE ! 2, OOO, QUO <br />A X COMMERCIAL GENERAL LIABILITY 3710-77-65 1/01/98 3/01/99 PRODUCTS COMP/OPAGG ! 1,000,000 <br /> CLAIMS MADE X~ OCCUR PERSONAL N ADV INJURY ! 1, OOO, OOO <br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE ! 1, OOO, OOO <br /> FIRE DAMAGE IAny ana lire) i lUO, ODU <br /> MED E%P IAny ane person) 3 lU, UUU <br /> AUT OMOBILE LIABILRY <br />A X ANY AUTO 7839-00-53 1/01/98 3/01/99 COMBINED SINGLE LIMIT f 1, UUU,OOO <br /> ALL O W NED AUTOS <br />BODILY INJURY <br />! <br /> SCHEDULED AUTOS IPer person) <br /> HIRED AUTOS ECE~VEp <br />BODILY INJURY <br />! <br /> NON~O W NED AUTOS ~ IPer acudentl <br /> g9 <br /> 2 p ~g PROPERTY DAMAGE ! <br /> GARAGE LIABILITY a VeU~UyY AUTO ONLY EA ACCIDENT 3 <br /> 15 <br />~~Inera <br />. <br /> ANV AUTO .I OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT 3 <br /> AGGREGATE ! <br /> EXCESS LIABIIR-Y EACH OCCURRENCE 3 2S, OOO, OOO <br />B X UMBRELLA FORM AU02393042 9/01/98 9/01/99 AGGREGATE ! 2S, UUU,OOO <br /> OTHER THAN UMBRELLA FORM 3 <br /> WORXERS COMPENSATION AND WC STATU OTH- <br />TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> EL EACH ACCIDENT ! <br /> THE PROPRIETOR/ <br />PARTN <br />VF INCL EL DISEASE- POLICY IIMIT ! <br /> ERSIEXECUTI <br /> OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE ! <br /> OTHER <br />A POLLOTION LEGAL 3710-00-43 7/21/98 7/21/99 HACH OCC $1,000,000 <br /> LIABILITY AGG. $1,000,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />Re: Sanborn Creek Mine Per Division of Minerals ~ Geology Permit Number <br />(NO. C-81-022), Commercial General Liability Coverage includes use of <br />Hx loeives. <br />.CERTIFICATE:.HOLDER::.:::::::::~:.~::: ~::~.;::::.::::::: ~~:: ~:~::.:'.::::.;::~::.:: ~::: ~.: ~: ~~: ~.:::::: <br />........ ............. ...:........ ....:.. :......... .. .... <br />.CANCELLATION'~:':~~:::~.'~::':'~:.':.'::.:~:::..:'.::...:;~~:' ~:'::::: ~:.-. -::-::~:'::~;'.::::~::';~:::::::; ~:;::.:::::~:: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />D1V1910n of Minerals & GBOl09y EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL WiP%1C117(AQ MAIL <br />Attn: Bill Carter 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />1313 Sherman Street Room 215 7~7xxamoLtEx~mmcBUxxaB;a¢omE~axwcxoexsEav~L4pban>t»mmpxXlppNplf <br />Denver CO 80203 wEX X7IDaNXABEXZWiPR ]PSVRN%XORC7l7PX0510fikTALx.R <br /> AUTOO PRESENTATIVE 013587009 <br />....... ..... I .. .. ............. .......... <br />AOORp:25-5 T 9 -..- ..:::....... ...........:... .: :: :::::: :.:.............:.. <br />1..1 S). ,......;::':.::: ;.:.:: .:::;:::.:.:.:' :: ; ;:.: :.::..::::::::... <br />:..::::..................... <br />::::::.:::::.:..::::';:::.::..:.::::.::::.:::::.,...:pCORD CORPORAl30N: 1988'. <br />v <br />
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