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GENERAL45837
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GENERAL45837
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Entry Properties
Last modified
8/24/2016 8:16:14 PM
Creation date
11/23/2007 2:08:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
General Documents
Doc Date
4/20/2006
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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R~ <br />CERTiFf~~ <br />TE ~F ~ <br />~Ag weDm) <br />~~ <br />~T~ ~ <br />~ <br />~ <br />~ <br />D <br /> ~„yt <br />r <br />I <br />m <br />..: <br />'.: <br />:.: <br />:: <br />~: m <br />17 <br />V <br />M <br />LFG :~ <br />4/t4/ <br />- <br /> . <br />... .. <br />... <br />. <br />: .. <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Y ordia at Kentucky-Lez <br />I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER <br />THIS CERTIFICATE DOES NOT A <br />E <br /> <br />' . <br />M <br />ND, EXTEND OR <br /> Lexington Green Two, Suit 410 ... <br />~1 ~; ~ <br />{~` ~ij~ n~ <br />r ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> `J <br />i <br />220 Lexington-Green Circle . ~ r~ll~,rS ~~ ~ COMPANIES AFFORDING COVERAGE <br /> I <br />Lexington KY 40503-3311 r <br />aE~C FiV <br />D <br />COMPANY <br /> t <br />(859) 273-6600 ( /\ Federal Insuranoe Company , <br /> INSURED - ~ ~ ., ' <br />COMPANY <br />' ' <br />~ <br /> _ <br />_ <br />_ _ <br />{AY Holdings TLC APR 2 0 2006 s <br /> -LAY Yinlnp LLC ~ COMPANY ~ ~ 'A <br />- <br /> P.O. Box 1169 C <br />~~ <br />Diviawn of Minerai8 antl Gadogy <br /> Pikeville, KY- 41502 -~ ~ ... COMPANY <br /> D <br /> CtiYERA4~S ' <br /> THIS IS TO CERTIFY THAT THEPOLICIES OF INSURANCELISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR THEPOLICYPERIOD <br /> INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANVCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS <br /> CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br /> ~ TYPE OFINBURANCE I POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS <br /> L7R _ , - - _ DATE (MMIDDm) DATE (MMA)D/YY) ,. <br /> A OE NERALLIABLRV 37111019 4/16/06 4/16/07 GENERAL AGGREGATE 4 2,000,000 <br /> X COMMERCIAL OENERALLIABILITV PRODUCTS~COMP/OP A00 $ 2,000,000 <br /> CLAIMS MADE CI OCCUR PERSONAL fl ADV INJURY f 1,000,000 <br /> OWNER'S fl CONTRACTOR'S PROT EACH OCCURRENCE f 1,000,000 <br /> FIRE DAMAGE (Any one fire) f 1,000,000 <br /> MED E%P (Any one person) f 10,000 <br /> A AVT OMOB6S LIASB_m 73252298 4/16/06 4/16/07 <br /> ' - COMBINED SINGLE LIMIT. f - <br /> X ANY AUTO <br />.. 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEWLED AUTOS (Per'persan)" ""- - ~ - - -- <br /> X HIRED AUTOS - - _. .... .. ~ _ BODILY INJURY <br />f <br /> X NON-OWNED AU70S (Per;amidenq <br /> PROPERTY DAMAGE q <br /> <br /> GARAGE LIABam AUTO ONLY ~ EA ACCIDENT 3 <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE 4 <br /> ExCE88 LIAB1m EACH OCCURRENCE 4 <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM f <br />_ - WORKERS COMPENSATION AND ~ - "-`~`~ -"'~"` ~' - '-"-~-~ -- -- -AWE-STATl1~-- _-OTH~. _ <br /> EMP <br />' <br />~ i~ Y I I <br /> LOYERS <br />LIABO.m <br />I EL EACH ACCIDENT f <br /> THE PROPRIETOR/ I INCL EL DISEASE~POLICV LIMIT $ <br /> PARTNERS/E%ECUTIVE <br /> OFFICERS ARE: E%CL EL DISEASE~EA EMPLOYEE f <br /> OTHER <br /> DESCRIPTION OF OPERATIONBA.OCATIONB/VEHICLESIBPECIAL REMS <br /> Y9CIane Canyon Yina, Permit No. L-80-004 6 Yunger Canyon Yl ne, Permit No. C-81-020 <br /> CERTIFICATE HOLDER .. .. ... .. CANGELLATtON ~;; .. ,. . <br /> SHOULD ANY OF THE ABOVE DEeCRIBED POLICIES BE CANCELLED BEFORE 7HE <br /> State of Colorado EXPIRATION DATE THEREOF, THE IB8UIN0 COMPANY WOl ENOENIIDR(XW(MAB. <br /> Oiri sl on o} Ylnarals 6 Geology 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLDER NAMED TO TXE LEFT, <br /> 1313 Sherman St., Room 215 BYY7BYIKYNBX00(XYMK)BIIOHOBtlENBBXYYtlXXNXYtlYY7f11XXfBIXYXY1dKXip(YMOBIYNkXX <br /> Denver, CO 80203 010( XA701XX XX19(X7UWWBOWOlRI1X)RWRRW66NWIIDlXR7C <br /> AurwoR r T <br /> ~ Philip B. Gibson <br /> ACOAC! 2S S i1S5'; ~+4COAD GORPpRATION 5988 ~_ <br /> CERTIFICATE: 022/001/ 00004 <br />
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