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GENERAL45992
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GENERAL45992
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Last modified
8/24/2016 8:16:38 PM
Creation date
11/23/2007 2:14:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
General Documents
Doc Date
1/8/2001
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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i~f ~iini~f~iiu i~~ <br />999 <br />a~-- <br />- <br />` ~ .. <br />? <br />: ° <br />CertiRCatett <br />_"-+_ <br />PRODUCER: TNIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERT IFICATE DOES NOT AMEND, <br />MBfSh USA InC. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES LISTED BELOW. <br />P. O. Box 19810 COMPANIES AFFORDING COVERAGE <br />Knoxville <br />TN 37939-2810 ~ COMPANY <br />, A <br />865-584-9101 LETTER ZURICH AME COMPANY <br />INSURED: COlAPANY B <br /> LETTER <br />LORENCITO COAL COMPANY, LLC COMPANY ~ JAN 0 g 2001 <br />da AL PERRY LETTER <br />9203 PETERSBURG ROAD COMPANY <br /> O <br />EVANBVILLE. IN 47711 LETTER n';~' <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, LIMITS SHOWN <br />MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTWE POLICY EXPIRATION LIMITS <br />LTR DATE MM/DD GATE MMlDD <br />A GE NERAL LIABILITY GL9298313-01 01/01/01 01/01/02 GENERAL AGGREGATE $ 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000.000 <br /> CLAIMS MADE QX OCCUR PERSONAL 8 ADV INJURY $ 1,000.000 <br /> OWNER'S CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000 <br /> FIRE DAMAGE An one fire $ 50,000 <br /> MED EXP An one erson $ 5.000 <br /> AU TOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ - <br /> ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS Per erson <br /> HIRED AUTOS BODILY INJURY $ - <br /> NON-OWNED AUTOS Per accident <br /> PROPERTY DAMAGE $ - <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY <br /> EACH OCCURRENCE $ - <br /> UMBRELLAFORM <br /> OTHER THAN UMBRELLA FORM AGGREGATE $ <br /> WORKMAN'S COMPENSATION STATUTORY LIMITS <br /> AND EMPLOYERS LIABILITY EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $ <br /> PARTNERS( E%EDUTIVE <br /> OFFICERS aRE E%CL DISEASE-EA EMPLOYEE $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS <br />RE: PERMIT #C-96-084. LOCATION: 2 MILES WEST OF SEGUNDO, CO ON HIGHWAY 12. <br />$5,000 -- PROPERTY DAMAGE DEDUCTIBLE IS APPLICABLE. <br /> SHDULD ANY OF THE POLICIES LISTED HEREIN BE CANCELED BEFORE TH <br />E%PIRATION <br />E <br /> ~JJ <br />~ <br />DATE THEREOF, THE INSURER AFFORO'.NG COVERAGE YJILL ~y~MAll <br />COLORADO DIVISION OF MINERALS AND GEOLOGY 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN. <br />1313 SHERMAN STREET <br /> <br />DENVER, CO 80203 <br /> MARSH USA, INC. <br /> <br /> By: <br /> <br />
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