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GENERAL46543
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GENERAL46543
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Entry Properties
Last modified
8/24/2016 8:20:23 PM
Creation date
11/23/2007 2:43:32 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
3/26/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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• III IIIIIIIIIIIIIIII <br />A C O R D L E R T I F I CAT E O F I N S U R A N C E ISSUE DATE ,..... __, .999 ._, _., ,3 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CON- <br /> FERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT <br />HOME LOAN 8 INVESTMENT COMPANY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />BOX 100 <br />P <br />O <br />. <br />. <br />145 North 4th Street LOMPANf ES AFFORD [ NG COVERAGE <br />Grand Junction CO 81502-0100 COMPANY <br /> LETTER A Bituminous Insurance Co. <br />Code Sub-Code COMPANY RECEIVE D <br />LETTER B <br /> <br />INSURED COMPANY <br /> LETTER L <br /> <br />Somerset Mining Company A Colo Ptrshp <br />COMPANY MAR 2 6 1993 <br />By Ng Ptr Bear Coal Co., Inc, LETTER D <br />P.0. Box 535 COMPANY <br />Somerset CO 81434- LETTER E . <br />'~1VIS <br />' <br /> <br />~~~. ., : <br />10~ <br />f <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH <br />TI(IS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO POLICY POLI LT <br />LTR TYPE OF INSURANCE POLICY NUMBER EFF DATE E%P DATE LIMITS <br />A GENERAL LIABILITY <br /> LL P2108717 08/01/92 08/01/93 GENERAL AGGREGATE E 2000000 <br /> CK7 COMM GENERAL LIABILITY PROD-COMP/OPS AGGREGATE S 2000000 <br /> CLAIMS MADE X OCCUR PERS 8 ADVERTISING INJ E 1000000 <br /> [ ] OWNR'S 8 CONTRCTR'S PROT EACH OCCURRENCE f 1000000 <br /> [ ) FIRE DAMAGE CONE FIRE) E 50000 <br /> [ ] NED EXPENSE CONE PERSON) E 5000 <br />A AUT OMOBILE LIABILITY CAP1804508 08/01/92 08/01/93 COMBINED SINGLE S 1000000 <br /> ~~ LIMIT <br /> [ 7 ANY AUTO <br /> [ ] ALL OWNED AUTOS BODILY INJURY E <br /> [X] SCHEDULED AUTOS ~ (PER PERS) <br /> [X7 HIRED AUTOS BODILY INJURY E <br /> [X] NON-OWNED AUTOS (PER ACC) <br /> [ 7 GARAGE LIABILITY <br /> [ ] PROPERTY DAMAGE E <br />A EXCESS LIABILITY LUP1777057 08/01/92 08/01/93 <br /> EACH OCCURRENCE E 2000000 <br /> [X7 UMBRELLA FORM AGGREGATE E 2000000 <br /> [ 7 OTHER THAN UMBRELLA FORM <br /> C ] STATUTORY LIMITS <br /> WORKER'S COMPENSATION EACH ACCIDENT S <br /> AND DISEASE-POLICY LIMIT S <br /> EMPLOYER'S L7A81LITY DI SEASE-EACH EMPLOYEE S <br /> OTHER <br /> E <br /> E <br /> E <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />ERTIFICATE HOLDER ANLE ELATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Division of Minerals 8 Geology THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL Gtf8i1FBR <br />1313 Sherman Street Room 215 TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER <br /> NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IM- <br />Denver CO 80203• POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANT, <br /> ITS AGENTS OR REPRESENTATI <br /> AUTHORIZED REPRESENTATIVE <br /> James 0. Ha ion, CPCU <br />ACORD 25-5 (7/90) ACORD CORPORATION 1990 <br />
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