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GENERAL46112
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GENERAL46112
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Last modified
8/24/2016 8:17:07 PM
Creation date
11/23/2007 2:21:33 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
12/28/2005
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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/~~_, p____ . ~_ ,~ <br />'" ~~~'~ _~~ <br />~ s $ ~ a <br />3' <br />ACORD <br />~ <br />- <br />_ ~ ~' ~~ ~ `ad°„ s -s~°a4. ~ DATE MM DD YY <br />)'1 <br />~ <br />- <br />,M <br />~.. raN s <br />nm_ r <br />u, 12/22/05 <br />PnoouceR <br />Aon Risk Services, Inc of Florida THIS CERTIFICATE IS ISSUED AS .4 D1ATTER OF INFOR}IATIOA ONLV <br />222 Lakeview Avenue .4ND COSFERS NO RIGHTS UPON THE CER"FIFIC.4TE HOLDER. THIS <br />Suite 510 CERTIFICATE DOES NOT A}IE\D, ESTEND OR.4LTER TILE <br />West Palm Beach FL 33401 USA CO\'ER4GE AFFORDED BV THE POLICIES BELOW. <br />PBONE"(866) 283-7124 Fax. 866 430-1035 INSIiRERS AFFORDING COVERAGE <br />INSURED INSURER A: Hartford Fire InsO ranee Co. <br />oxbow carbon & Minerals LLC INSURER B: Lexington I O ny <br />1601 Forum P1 <br />Attn: Donna 1. Gul bransen INSURERc <br />west Palm Beach FL 33401-8101 uBA <br /> <br /> INSURER D' <br /> I95URER E: <br />'~CO~?CRAGE5~7fiisiGertific`ateisiiotslDt'~nde"il;inS afi°"all°eiiilor5emerits:'?c6ver aeeslHerins_,conditioris~nd~es" iBn"s€dith~"6liciesF3fiD\ln SZR;y?~ay;~App<<y, <br />THE POLICIES OF INSURANCE LISTED BELOH' HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 18~IQv~{~ TWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE ISSUED OR MAY <br />PERTAIN, THE MSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI N IS SUB.IECT TO ALL THE TERh15, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGRF,GATE LIMITS SHOWN h1AY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ISSR <br />LTR <br />T}'PE OF 1]Sl'R.1SCE <br />POLIO']L9IBER POLICI"EFFCCTI\' <br />' <br />' POLICI'EYPIR\TIOS <br />' <br />' <br />LIMITS <br /> DATE({I\I\DDO <br />} <br />) DATEpI\I\DDll <br />\ <br />1 _ <br />B GE]ER{L LL\BILITI- 728783$ 12/01/8$ 06/01/06 EaCH OCCLRRENCE $1,000,000 <br /> X CO\I{IERCIAL GENER{L L1.4BRIT1' FIRE DA\IAGEIAm~one fire: $50.000 <br /> CL.4U15 ]LADE ^X OCCUR \IED EXP L{nv one Person) <br /> PERSOSALd AD\"IULR}' $1,000,000 <br /> GE\ER{L AGGREGATE 51,000,000 <br /> <br /> GE\"L iGGREGATE LI\IIT APPLIES PER <br /> - PRODUCTS-CO}1P,OP AGG S1, 000, 000 <br /> PRO- <br />' ~ <br />~ <br /> POLIC} <br />LOC <br />IECT <br />A <br />a <br />l'TOMOBIL[ L1,\BILITI' 20UENZQ6228 09/01/05 09/01/06 <br />COMBINED SISGLE LI}IIT <br /> Business automobile (Ea accidevp $1,888,888 <br /> X .{S}'AL-1'0 <br /> ALL On3'ED AL40S BODRI" 61LR}- <br /> (Per pe¢oP) <br /> SCHEDOLED AUTOS <br /> HIRED ALTOS BODIL}' 1C1CR}' <br /> (Per aaiEenO <br /> RO] OR\ED aLT05 <br /> PROPERTI'DA.VAGE <br /> (Pcraccidcnp <br /> <br /> GAR4GE LIABILIT{ .4LT0 O>il' - Ed aCCIDEST <br /> OTHER TIIA\ EA ACC <br /> ALTO OSLI". <br /> AGG <br /> CSCESS LIABILIT}' EACH OCCURRESCE <br /> OCCUR ~ CL.M}IS MADE AGGREGATE <br /> <br /> DEDL'CTBLE <br /> RETENTION <br /> \}ORAERS CO\IPEFS:\TIOS A6D \\C STdTU- OTH- <br /> ' <br />' <br />" TOR}'LAIITS ER <br /> C)IPL01 <br />ERS <br />LIABILITI E.L. EACH ACCIDE]T <br /> E.L. DISEASE-POLICY LIlIIT <br /> E L. DISEASE-E{ E\IPLO}'EE <br /> OTHER <br />DESCRIPTIO] OF OPERATIO]S LOCATIO]S~\EHICLESEKCLGSIONS AUDED B}' ENDORSE]IEPT; SPECIAL PRO\'ISIOSS <br />CER"1'IFICATEHOLDER:;.:_%~~.,~~ =«~~ip :s ,~..~ ~~~..sGANCELI;A`I'iOtNr:~masr~.~.m~`~~~ ~ ".-~: .. ~~~- ,. ~. __. <br />Mined Land R0Cl dmdtl On DIV. SHOLRD AN}'OF THE.ABO\'E DESCRIBED POLICIES BE CANCELLED DEFORE IHE ESPIRAiION <br />1313 Sherman St, ROOM 21S DATE THEREOF TH£ ISSUING CO}Bd61'\\'ILL ENDEA\'OR TO \f{IL <br />' <br />' <br />Denver Co 80203 USA S\t <br />RITTEN 60TICETO THE CERTIFICATE HOLUER SAAIEU TO THE LEFT, <br />iO DA} <br /> BUT FAILURE TO DO 50 SHALL UIPOSE NO OBLIG4T10] OR L1.4BILIT}" <br /> OF.4N}'KIND UPON THE COAIPAKI', IT$ AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATI\£ ~/~ / ~~'~i'_i_ <br />~GORb~25"~~J197'.°.~:m~' -" -. •'-°~;z~: -_~~ ~m.~m ~~.,'':Y.~_... %a}~~ORD~.GO`R'S'OR'v`~1~1~10~~~1;958 <br />r= <br />U <br />>_ <br />a. <br /> <br />nl <br />m <br />n <br />rn <br />,y <br />O <br />O <br />H <br />Z <br />L <br />V <br />~~ <br />1 <br />>tr <br />
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