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GENERAL47202
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GENERAL47202
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Entry Properties
Last modified
8/24/2016 8:22:01 PM
Creation date
11/23/2007 3:17:05 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
9/7/1999
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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;:. <br />' <br />. <br />~ ~ ~ <br />~ <br />. DATE QAM/DD/Y1 <br />) : <br />. <br />::~ '. ::: ~ ::: ::.' <br />LIi4BILITY:INSUR~N <br />999 <br />ERTI:FIGATE <br />Off <br />C~: <br />'Rdc <br />' <br />: <br />_ <br />. <br />. <br />. <br />. <br />~.;1.oF::: <br />:Y <br />. 3-SEP-,999 <br />.... ............................................................... <br />PRODUCER 124773 THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION <br />Willis Corroon Corp. of Birmingham ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE <br />800 Shades Creek Parkway HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTEND OR <br />Suite 6000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PO Box 11587 (35202) COMPANIES AFFORDING COVERAGE <br />Birmingham AL 35209 <br />(205) 671-3871 COMPANY National Union Fire Ins. Co. of Pittsburgh, PA <br />Lisa J. Birchfield, CIC, CISR A <br />INSURED COMPANY <br /> )3 <br />PICKETWIRE PROCESSING COMPANY, LLC <br />C/O AL PERRY COMPANY <br />9203 PETERSBURG ROAD C <br /> <br />EVANSVILLE IN 47711 CQMPANV <br /> D <br />., ..::~'~~~ <br />~:COVERAGE$.:::~:'~:.':: ~.:::::::: ~:::.::'..'.:'.: ':::':::~.:~.:~.~;~:~:.::: ~::::.: ~:::~:: ~::. ~: ~.: ::.~ .:.~: :~~:~~':'.~:~::~~:~::~~::::::.:'..': ~:: ~'~.".~::..::~.::..:::.:~:..~..;: <br />:'::''.: ~:~.::.::~~::::'~:: :: ~:::~:: <br />" <br />'. <br />~ <br />~ <br />q <br />R <br />r~ <br />j <br />~ <br />~ <br />O <br />O <br />RE <br />H <br />~ <br />C <br />l811)f MM~BPIrCY'TOr WHICH TH <br />IS <br />REQUIREMENT, TERM OR CONDI ON OF ANV CONTRAC <br />OR OTHER <br />N <br />D GATED, NOTW <br />STAND NG NV <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF_SUCH POLICIES. UMITS SHOWN MAV HAVE BEEN REDULED_BV PAID-CLAIMS <br />CO TYPEOF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY E%PIRATION LIMITS <br />LTR DATE (NM/DOryV) DATE (NM/DD/YV) <br />A GE NERAL LIABILITY GL5440348RA 01JUL-1998 01-NOV-1999 GENERAL AGGREGATE f 2.000.000 <br /> X COMMERCIAL GENERAL LIABILITY Pfi000CTSCOMP OP AOG f 5,000,000 <br /> CLAIMS MADE OCCUR PERSONALS ADV INJURY f 1.000.000 <br /> OWNER'SACONTRACTCR'S PROT EACH OCCURRENCE S 1,000.000 <br /> FlRE DAMAGE An one lire f SO.000 <br /> MEO E%P An ons srson 5.000 <br /> AU TOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />f <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJUPV f <br /> SCHEDULED AUT0.S (Per person) <br /> HIRED AUTQR BODILY INJURY <br />f <br /> NON-0W NED AUTOS (Per acctlant) <br /> PROPERTY DAMAGE <br /> f <br /> GA RAGE LIABILITY AIROONLV ~ EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY' <br /> EACH ACCIDEM f <br /> AGGREGATE <br /> E%CESS LIABILffY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM f <br /> - --- - WC STATU- OTH- <br /> WORNERSCOMPENSATION AND TORY LIMITS <br /> ENPIDYERS' LIABILITY EL EACH ACCIDENT S <br /> THE PROPRIETOR/ <br /> PARTNERS/E%ECUTIVE INCL EL DISEASEFQJCY OMIT f <br /> <br /> OFFlCERS ARE: EXCL EL DISEASEEA EMPLOYEE <br /> OTHER <br />DESCRIPTK)N OF OPERATIONSILOCATN)NSryENICLESISPECUL ITEMS <br />Operation of the New Elk Coal Processing Facility Permit No. C-81-012 <br />12 miles West of Weston, Colorado on Highway 12. <br />~:CEATfF7CATEHOLDER :~ ~GANGELtJITK)N 1{)dAYeanceUanoRforponp4y <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRATN)N DATE THEREOF, THE ISSUING COMPANY WILL ~1f0 MAIL <br /> 3O DAYS WRIREN NOTx:E TO THE CERTIFICATE HOLDER MANED TO THE LEFT, <br />COLORADO DIVISION OF MINERALS AND GEOLOGY I»TOI %AN)~FXItlDIMIN )61/L71(MNINEI( Nz NaxlBe IDdlaNtlml%gN(piNUm~%1nLZ% <br />1313 SHERMAN STREET NNX%1flDlx %riLT% zffHl%K6KIn(9f%DO%X-OBI7RMBBNnNIN7BBI%% <br />DENVER CO 80203 AUTHOR ED PRESENTATVE <br />i <br />~ACORD.2S=S 19S :~":~:::~::~:;:~~:.;.:~~~: ~; ~. ~:::~:'~~.~~~.: .:~;VARIOUS;::':.::::::.'::'::.:':~: <br />';.:~:;;::',;:::::.';.:.::::::~:~: ~:~~~. ~~. ~: ~.~: ~~:~:::.::~.: .'A RD CORPORATION~~19B8 ~. ~: <br />
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