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GENERAL46523
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GENERAL46523
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Entry Properties
Last modified
8/24/2016 8:20:20 PM
Creation date
11/23/2007 2:42:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
General Documents
Doc Date
8/31/1998
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIII III <br />a~:~~i:u. CERTIFICATE OF INSURANCE ' DATEIASATIDDIYY) <br />~ <br /> ...:..........:......... .......:......... 8/27/98 . <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Acordia of Kentucky-Lex ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lexington Green Two, Suite 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />220 Lexington Green Circle COMPANIES AFFORDING COVERAGE <br />Lexington, KV 40503-3311 COMPANY <br />606-273-6600 A Federal Insuranee Company <br />INSURED <br />COMPANY <br />White Oak Mining & CDnFt. ~ ~ Natl Union Fire Ins CD of PA <br />Grand Val ley Coal Company REC EIVE COMPANY <br />P.O. Box 60 C <br />He I per , UT. 84526 C MPANY <br /> AUG 3 1 1998 p <br />:..:. . <br />THISIS TO CERTIFY THAT THEPOLICIESOFI SURA ENIS UED 70 THEINSUREDNAMEDABOVEFOR 7HEPOLICYPERIOD <br />INDICATED,NOTWITHSTANDINGANVREO REMENT, FANVC TRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS <br />CERTIFICATE MAY REISSUED OR MAV PER AIN THEINS RDED BV THE OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH P LICI . LIMI H WN M NAVE BE EN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE -OLICY E%PIRATION LIMn9 <br />LTR DATE (MMRJOIYY) DATE (MMIDDlYY) <br /> GEN ERAL LIAa LRY GENERAL AGGREGATE f 2000000 <br />A X COMMERCIAL GENERALLIABIL1IY 3710-45-17 9/16/97 9/16/98 PRODUCTS~COMP/OP AGG f 2000000 <br /> CLAIMS MADE ~X OCCUR PERSONAL 6 ADV INJURY f 2000000 <br /> OWNER'S 6 CONTRACTOR'S PROs EACH OCCURRENCE S 2000000 <br /> FIRE DAMAGE (Any one lire) f 1 OOOOO <br /> MED EXP (AnT one person) f 1 OOOO <br /> AUr OMOB6.E LIABLmY <br />COMBINED SINGLE LIMIT <br />f <br />A X ANY Auro BAP7320-38-21 9/16/97 9/16/98 2000000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) f <br /> X HIRED AUTOS BODILY INJURY S <br /> X NON~OWNEO AUTOS (Per accitlenl) <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LlAadrrY AUTO ONLY ~ EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDEN7 f <br /> AGGREGATE f <br /> EKCESS LIABRRY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION AND <br />' STATUTORY LIMITS <br />B EMPLOYERS <br />LIASR.ITT WC565-43-99 6/01/98 6/01/99 EACH ACCIDENT f 1000000 <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE INCL DISEASE ~ POLICY LIMIT f 1 OOOOOO <br /> OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE f 1000000 <br /> OTHER <br />DESCRIPTION OF OPERATIONSA.OCATIONSIVEHICLESISPECIAL REM9 <br />As respects: Mine No. 1, located at Mc Lane Canyon on S. R. 139, 19 miles <br />north of Loma, Colorado: Mine No. 2, l ocated at Munger Canyon on S. R. 139 <br />about 18 miles north of Loma, Colorado . INCLUDES EXPLOSIVE GOV. <br />.. CERTIFICATE HOLDER. ~. ~~ ~~.~ :.:...:.....: .:.. . ~.:..:......:.:. .: ..:... ..:. CANCELLATION : ~..::....: ~.::::..:~: ~:: ~~::~::::: ~::::~: ~~~ ~ ~ .:~. ~~: ~.. ~.~ .... .. ... <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 9E CANCELLED BEFORE THE <br /> E%PIRATION GATE THEREOF, THE ISSUING COMPANY WILL}pS0)!A%praTp,OAAIL <br />^ i v i s i D n O f Minerals and 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />GeD I ogy xuxeraveElao:wx:srorww~cxaewM)xaECecoca~actcTCnLOeamRURrTKOnc <br />1313 Sherman Street, Rm.215 ;P.fx7d1C ~ Ar1c %t1a5tTP8hTR!~X,xidR ~TlKI!f§[x <br />Denver , CO 80203 AuTHDRIZ RE NTATIVE j i - ~" ~: 069353000 <br />- " <br /> , . <br />~ <br />.. . <br />... <br />. ~ <br />:: <br />.: <br />~ACORD 2S-S (3/931:::.:.:..... ~..~ <br />:~ ~ ~ ~ ~ ~ : :. ~: <br />::~.~ ..: : ~::.:~: :~~~.~~:~.. ~.... .. .. ~ ~ :~A~•ORD CORPORATION~I993 <br />
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