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GENERAL46735
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GENERAL46735
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Entry Properties
Last modified
8/24/2016 8:20:59 PM
Creation date
11/23/2007 2:52:38 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
General Documents
Doc Date
6/30/2003
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Client#: 5934 <br />HORINAT <br />ACORD <br />CERTIFICATE OF LIABI LITY INSURANCE OATEIMMIDD/YYYV) <br />,~ 06/27/03 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Acordia <br />ECEIV ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />~ <br />Tower at Erieview HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />0(13 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />3 O 2 <br />1301 E. Ninth Street #3800 ,uN LUu <br />Cleveland, OH 44114-1824 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED meret$B <br />ofM' INSURER a: Zurich American Ins Co <br />- <br />Bowie Resources, Limited pivtsion <br /> INSURER B: <br />Horizon Natural Resources, LLC <br /> INSURER C: <br />2000 Ashland Drive <br /> INSURER D: <br />Ashland, IfY 41101-7058 <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSVRANCE POLICY NUMBER DATEYMMFDDIYYE PDATE MM/DDm N LIMITS <br />A GENERAL LIABILITY GL0929854903 Oti/29/O3 07/29/03 EACH OCCURRENCE E1 OOO OOO <br /> X COMMERCIAL GENERAL LIABILITY PAEMG ETO RENTED n E1 OO OOO <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) S10 000 <br /> X Blasting & XCU PERSONALBADV INJURY E1 000 000 <br /> GENERAL AGGREGATE E5 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E2 OOO O00 <br /> POLICY PRO- LOC <br />JECT <br />A AUT OMOBILELIABILIT' BAP319030404 06/29/03 07/29/03 COMBINED SINGLE LIMIT <br /> <br />(Ea accident) $1,000,000 <br /> X ANV AUTO <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> X HIRED AUTOS <br />BODILY INJURY <br />E <br /> X NON-0WNED AUTOS (Per accitlenl) <br /> PROPERTY DAMAGE <br /> <br />id <br />P $ <br /> - ( <br />er acc <br />ent) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br />A EXCESS/UMBRELLA LIABILITY EOG929784104 06/29/03 07/29103 EACH OCCURRENCE $25 OOO OOO <br /> X OCCUR ~ CLAIMS MADE AGGREGATE $25 OOO OOO <br /> 8 <br /> DEDUCTIBLE E <br /> X RETENTION $ 1 OOOO $ <br />A WORKERS COMPENSATION ANO WC288644008 Otl/29/O3 O7/29/O3 )( WG STATU- DTH- <br /> EMPLOVERS' LIABILITY <br />ANY PRGPRIETORIPARTNERiEXECUTIVE <br />-- <br />- <br />EL EPCH HCCIDENT - <br />$1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYE $1,000,000 <br /> If yes, describe antler <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$1,000,000 <br /> OTHER <br />DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: Bowie #1 Mine Permit C_a+_nza <br />Re: Bowie #2 Mine Perm' C' C-09 ~g~ <br />General Liability Policy provides coverage for use of explosives <br />State of Colorado, Dept. of <br />Natural Resources <br />Div. of Minerals & Geology 1313 <br />Sherman Street, Suite 215 <br />Denver, CO 80203 <br />LD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _3(L DAYS WRITTEN <br />:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />iE NO OBLIGATON OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS OR <br />nL.vrcu ca L~uuymall O1Z #54U3at/M4U3ti7 PJL l'1 NIiVRU I~VRrVRAIIVR Tnaa <br />
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