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GENERAL46764
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Last modified
8/24/2016 8:21:04 PM
Creation date
11/23/2007 2:53:29 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
12/27/2005
Doc Name
Certificate of Insurances
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD <br />a'G <br />~ <br />R <br />I <br />~''T} <br />~~ TB v ~ ~ ~aa~i~r?a~ ea,ra' DATE (MM/DD/YY) ; <br />~ <br />22 <br />5~ <br />`' ~ <br />3 <br />ne <br />~ <br />~ <br />FL <br />u~O ^ <br />I 1 <br />~ ~ <br />12/ <br />/05 <br />~ <br />PRODUCER <br />Aon Risk services, Inc of Florida T111S CERTIFICATE IS ISSUED AS A DIATTER OF INFORDIATION ONLI' <br />222 Lakeview Avenue AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />Suite 510 CERTIFICATE DOES NOT Ap1EN D. EXTEND OR ALTER THE <br />West Palm Beach FL 33401 USA CO\'ERACE AFFORDED Bl' THE POLICIES BELO\\'. <br /> INSURERS AFFORDING COVERAGE <br />Pxo:vE~(866 283-7124 FAx- R66 430-1035 <br />1\SLIREp INSURERA Hartford Fire Insurance Co. <br />Oxbow Carbon & Minerals LLC INSURER B Lexington Insurance Compan <br />1601 Forum P1 <br />Attn: Donna J. Gul bransen INSURER C <br /> <br />west Palm Beath FL 33401-8101 USA . <br /> <br /> NSt1RER D. <br /> ISSURER E: <br />GOl'^f:IiTGESF`rFiiS;Gertiftzate°itriat~in[eniieil.lo `s ecifiualtttidor5enreo[Bttii er a=es teitnk: zontli(iLilrartil ecclusit3nS~C.the'Da7rcres3hoxn-,G.:~ral`SIR.:~?7ay.~q/}pp;=y <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI(~I}{~~Cpf~I~IeI'FIIB'~[ ING <br />AN}' REQUIREMEM. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CE ATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHORT MA}' HAVE BEEN REDUCED BY PAID CLAIMS. <br />65R <br />LTR <br />Tl'PE OF ISSFRA\CE <br />POLICI'SOIBCR POLICS EFFECTI\" <br />' <br />' POLIC\' E\PIR{TIOS <br />' <br />LMITS <br /> DATEfAM\DDI\ <br />} <br />1 DATCI\DRDD\}l <br />1 <br />B GE\ER{L LIADILIT\' 7267035 12/01/05 06/01/06 EACH OCCURRESCE $1,000,000 <br /> X CO\L\IERCLAL GEIER{L LIABILITC FIRE DAB\IAGEIAm'one fire: $50,000 <br /> QAI]IS MADE ^X OCCUR A(ED EAP (Anc one cersonl <br /> PERSOFAL@.Ap\'1]ILRI' $1,000,000 <br /> GE\ERAL AGGREGA TE $1 <br />000 <br />000 <br /> , <br />, <br /> GEY L AGGREGATE LI\IIT APPLIES PER. <br /> PRODCCTS-CO>R`OP AGG $1 <br />000 <br />000 <br /> PRO- <br />' ~ , <br />, <br /> POLICI <br />JECT LOC <br />A ALTO?IOBIL[LIABILITY 20UENZQ6228 09/01/0$ 09/01/06 <br />COMBISED SINGLE LI\IIT <br /> 6US1De55 AUtOm06ilE tEa accdem) Sl <br />000 <br />000 <br /> X {~}. {LTD , <br />, <br /> ALL O\\'SED ACFOS BODR\' IKJ LRI' <br /> SCHEDULED ALTOS (Per Ve~n1 <br /> HIRED ALTOS <br />RODR\' 1S1CR1' <br /> SO] Ot\'SED dCfOS IPer acciden0 <br /> PROPERTI' D.l\IAGE <br /> id <br />vp <br />IP <br /> eraw <br />c <br /> GAR{CE LIABILITY d[A00]1\"-EA ACCIDEAt <br /> A:T ALTO <br />OTHER TFLAN Ea ACC <br /> ALTO O[L1'. <br /> AGG <br /> ESCESS LL ABILITI' EACH O[CCRRE~CE <br /> OCCUR ^ CLAI]IS MADE AGGREGATE <br /> _ _ _ _ _ - _ __- __ _- _ <br />- .DEDCCTBLE -~ - -._ _ <br /> RETEI\TION <br /> <br />R'ORAERSCOYIPENSATIOSASU \YC STATU- OTH- <br /> <br />" <br />' TORY LI\IITS ER <br /> C]IPLOI <br />LIABILITY <br />CRS <br />E.L EACH ACCB)E]T <br /> E L. DISEASE-POLICI' LD11T <br /> E.L. DISEASE-E{ E\/PLO\T'E <br /> O FIIER <br />DESCIUPTIO] OF OPERATIOSSILOCdTIOSS'\'EHICLES~E\CLC510\5 ADDED BS [6DORSE>fE]T6PECIAL PRO\ISIOSS <br />C~RI`IFICATfiHOLDER?:.e ~a#. ~",.- -°:'". °.a-.`:~ ° ~~I Ce1NCEELATIO\''; _nal~. °a$=~'~` '.:~a. ~s~a~...x~$~€ <br />Dl V15100 Of Minerals & Geology SHOULD.AN\'OF THE ABO\'E DESCRIBED POLICIES BE CA\'CELLED BEFORE THE EFPIR{TIO] <br />' <br />' <br />' <br />Attn: Bill carter DATE THEREOF, THE ISSUING CO\1PA\} <br />\\ <br />ILL ESDEd\ <br />OR TO \LAIL <br />1313 Sherman $t, Rm 21$ 30 DAPS\\'RITTEN ROTICE TO THE CERTIFICATE HOLDER NA\IEDTO THE LEFT, <br />Denver CO 80203 USA BUT FARURE TO DO SO SHILL 111POSE NO OBLIGATION OR LIABILFfI" <br /> OF ARl' KIND UPOS THE CO\IPANI', ITS AGENTS OR REPRESENTATI\'ES. <br /> AUTHORIZED REPRESEO-FdTIPE / ,%~/; <br />;aCtiRU2~-S 7197`" "~~ `=*~Q;,r~~,~ ~~ °ti , ° 1,:. r ,, a -_'~. P -' ~~ ~.,_ `?~ °°ORU`GORPORA'1'IO~i°tl19R8 <br />L <br />u <br />>. <br />v <br />0 <br />rn <br />n <br />O <br />O <br />Z <br />u <br />G <br />L <br />L <br /> <br />
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