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GENERAL45995
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GENERAL45995
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Entry Properties
Last modified
8/24/2016 8:16:38 PM
Creation date
11/23/2007 2:14:52 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1983059
IBM Index Class Name
General Documents
Doc Date
7/13/2006
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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AGUKU,w CERTIFICATE OF LIABI'LI TY INSURANCE of/o6/o6 <br />exoooceR <br />Aon Risk Services, Inc of Florida THIS CERTIFICATE IS ISSUED .YS A pIATTER OF INFORMATION ONLY <br />222 Lakevi ew Avenue IS <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.. T <br />H <br />$ui to 510 C <br />) <br />CERTIFICATE DOES NOT AIYIEND, EXTEND OR ALTER T <br />y <br />){~Q <br />west Palm Beach FL 33401 USA . ~ <br />~ <br />COVERAGE AFFORDED BY THF. POLICIES BELON 1 I Is <br /> INSURERS AFFORDING COVERAGE <br />exone. (866 283-7124 ewx- 866 430-1035 <br />EYSUaeD INSURER A-. American International Special in s <br />OXbOw Cd rbon & Mi neral5 LLC MSURER e. Hartford Fire InSUrdnCe Co. <br />ed <br />9Y <br />1601 FOfUm Pl ,,. C, <br />~ <br />Attn: Donna 3. Gul bransen INSURER C; Federal Insurance Company OrytsgR °fl'I{~~r~ <br />West Palm Beach FL 33401-8101 usA d <br /> wsuRERD Westchester $urpl us Lines Ins co ~= <br />`c <br /> <br /> MSUREft E~. L <br />COVERAGES This Certificate is not intended to sRecifp all endorsements, coeei es, terms, conditions and exclusions of [he policies Shown. SIR May App y i <br />THE POLICIES OF MSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD MbICATED, NOTWFfHSTANDMG c <br /> <br />ANY REQU[REMEM, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED Oft MAY c <br />= <br />PERTAM, THE MSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI N IS SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OP SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLARdS. <br />INSR <br />4TR <br />TYPE OF BVSURANCE <br />POLICY NUMBE0. POLICY EFFECTIVE POLICY E%PIRATION <br />LIMAS <br />ti <br /> DATEtMMU)D\YV) DATE(M1IMIDDIVV) <br />C GENERAL LIABILITY 35863379 ~ ' <br />l = 06/01/06 06%01/07 EACH OCCUmRENCE 51,000,000 <br />m <br /> General Liabi <br />ity <br /> X COMMERCIAL GENEAAL LIABILITY EIRE DAMAGElAnv One B10 51,000, BBD a <br /> CLAIMS MADE~O[CUR APED EX-IAnv oru anxn) 510,000 n <br /> ~ <br /> PERSONALR ADV MIIRtY Sl, OOO, 000 <br /> GENERAL AGGREGATE 52,000, BBB <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER. <br /> PRODUCTS-COM1IPIOP AGG 52,000, 000 ' <br /> PRO <br />~ <br />~ ~ <br /> POLICY <br />LOC <br />fECT Z <br /> n <br />a <br />B A UTOMOBILE LIABILITY 20UENZQ6228 09/O1/DS 09/01/06 COMBMED SMGLE LIMIT 4- <br /> Business Automobile le„~damq 51,000,000 " <br /> X ANY AUTO <br />a` <br /> ALL O WNED AUTOS BODILY INIUEt' ` <br /> SCHEDULED AUTOS (Pcr puson) <br /> HIRED AUTOS <br />BODILY INJURY <br /> NON OWNED AUTOS (Pn aaidenp <br /> PROPERTY DAMAGE <br /> ;E <br />j <br />P <br /> cr auc <br />nu <br />( <br /> GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br /> ANY AUTO <br />OTHf0. THAN EA 0.CC <br /> AUTO ONLY <br /> AGG <br />D ExCESS LIABILITY G 97 7 002 <br />b <br />ll <br />i <br />bili 06/01/06 0 O1 7 EAf,H OCCURRENCE 325, BBD. D00 <br /> <br />X OCCUR ^ CLAIMS MADE Um <br />re <br />a-L <br />a <br />Ty- <br />AGGREGATE <br />525, BOB, OOO <br /> <br /> DEDUCTIBLE <br /> X RETENTION 310,000 <br /> <br />WORKERS COMPENSATION AND lVC STATU- OTH- <br /> <br />' TORY LIMITS ER <br /> EMPLOYERS <br />LIABILITY <br />E L EACH ACCIDENT <br /> <br /> E L DISEASE-POLICY LIMIT <br /> E L DISEASC <br />FA fMPLOVEE ~ <br /> - , <br />i <br />A omen PL59528238 09/29/03 09/29/06 Limit (p 550,000,000 <br /> Poi luti on Legal Li abi lily <br /> X poll Legal Liab <br /> •L, <br />DESC0.(PTION OF OPERATIONSrt.OCATIONSiVEHICLFSIE%CLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: Terror Creek company. C-1983-059 <br />commercial General Liability covers use of ezplosi ves. a. <br />Division of Minerals & Geology is named as an addition al Insured excluding workers' Compensation and Employers' ~e <br />CERTII7CATE. OLBER ::. ~~.? ~,' CANCELLA'CION - - <br /> ' <br />'7 <br />D1 V15100 Of Ml neral5 & Geology SHOULD ANYOF THE ABOVE DESCRIBED POLICIES eECANCELLED BEFORE THE EXPIRATION ~ <br />rL <br />1313 Sherman Street, Room 215 DATE THEREOF,THE ISSUING COMPANY WILL FFIB6WGiSG MAIL <br />Denver CO 80203 USA 30 DAYS WRITTEN NOTICE TO THE CERTImCATE HOLDER NAMEDTO TIIE LEFt, <br /> <br />wRFlsa°^.,e..-.,;RaManrH-lrsws~•~_~,.,~;.:.m:-P~,F>Ee+Tnzluc <br />S ~ <br /> J <br />/~ <br />AUTHOIUZED REPRESENTATI VE / //~/ '~ <br />~ ACORD 25-S (7/971 ~ - ACORD CORPORATION 19881 ~ <br />
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