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GENERAL47979
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GENERAL47979
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Entry Properties
Last modified
8/24/2016 8:23:33 PM
Creation date
11/23/2007 3:59:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981041
IBM Index Class Name
General Documents
Doc Date
6/30/1997
Doc Name
CERTICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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Re ' <br />Se <br />III <br />III IIIIIIIIII <br />'.`::. ::::' :::::.....:... ...:........... :...:.:::. .. .. ....: <br />iAv~~~ei~. CERT~~CATE .:::::::. .. ..:...:...: :... ..:..:...:. .. ..:.:.:.. <br />:.':.:::...:..:.~.:..~..~ .~.~ .:.~..~.:..: <br />DATEIMMIDD/17) <br />.: ~ :. <br />~ 1NSURA1~lCE <br />......,:.. , : <br />Pe00U0EN ... .... ............. ....:.: .::....... ......... : - <br />. ~... : ,: <br />..........:.:....:.:: 6 / 26 / 97 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Aeordi• ResgerHsrr is ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> <br />Lexington Green Two <br />Suite 410 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />3201 Nieholasvi I Is Rosd COMPANIES AFFORDING COVERAGE <br />Lexington, KV 40603-3311 COMPANY <br />608-273-6600 A Federal Insurance Company <br />INtURFD <br /> COMPANY <br />Western Aasoeiated Coal Corp. B National Union Fire Ina. Co. <br />PO Box 271 COMPANY <br />Prestonsburg, KV 41653 C <br /> COMPANY <br /> D <br /> <br />TH191S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED TO7HE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED,NOT W I7H97ANDING ANYREQUIREMENT, TERMORCONDITION OF ANYCON7RACTOROTHERD000MENT W ITHRESPEC770 W HICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ TYPE OP IMEURAMCE POLICY NUMEER POLICY EFFECTIVE -OLICY EIPIRATION LIMmt <br />LTII DATE (MMIDD/I'Y) DATE (MMNDIYI') <br /> OE MEIIAL LIAELRN pENERAL AOOREOATE f 6OD DDDD <br />A X COMMERCIAL OENERALLIABILIIY 3710-25-6 9 12/31/96 12/31/97 PRODUCTS-COMP/OPA00 f 1000000 <br /> CLAIMS MADE OCCUR PERSONAL 6 ADV INJURY f 1000000 <br /> OWNER'SA CONTRACTOR'S PROT EACH OCCURRENCE f 1000 DDD <br /> FIRE DAMAOE (Any ana Ilre) S 76DDDD <br /> MED E%P (Any ona person) S 1 DDDD <br /> AU TOMOaLi LIAELRY <br /> COMBINED SINOLE LIMIT S <br />A X ANY AUTO 7309-38-2 3 12/31/96 12/31/97 1000000 <br /> ALL OWNED AUTOS BODILY INJURY S <br /> SCHEDULED AUTOS (Per parson) <br /> X HIRED AUTOS BODILY INJURY <br />S <br /> X NON~OWNED AUTOS (Per accldenU <br /> REC IVED PROPERTY DAMAOE f <br /> <br /> OARAaE LIAELRY II IA1 <br />U 0 AUTO ONLY - EA ACCIDENT S <br /> ANY AUTO IJIY ~~~~ OTHER THAN AUTO ONLY: ' <br /> EACH ACCIDENT f <br /> Division of miner I$ (!, AOOREOATE f <br /> FKCitt LIAELIfY EACH OCCURRENCE f <br /> UMBRELLA FORM AOOREOATE f <br /> OTHER THAN UMBRELLA FORM f <br /> WORKE11t CONPEMtATION AMD <br />' STATUTORY LIMITS <br />~~ ~ <br />B EMPLOYERa <br />LIAELrrY _ T.BD __ _ _ _ _ EACH ACCIDENT f <br />6DDDDD <br /> THE PROPRIETOR/ INCL DISEASE ~ POLICY LIMIT S 6DDDDD <br /> PARTNERS/E%ECUTIVE <br /> OFFICERS ARE: E%CL DISEASE ~ EACH EMPLOYEE 3 600000 <br /> oTHa <br />DEtG11PTION OF OPERATIOMtLOCAT10Nt1VENICLEaNIPECIAL IfEMt <br />A^ Respects: Powderhorn Coal Company Mine, located on Hwy 70, 12 miles east <br />of Grand Junction, CO. INCLUDES EXPLOSIVE COY. <br />...................... ....... ............................ CaM[CEO:UITKk1:::::.::::::::::::::':.:.::'::':':'::.:: •:;. ;:;::::::::.::::::;:;:::..:..:::":::::;;;::;:::::;.:::::::: ':::::;::: <br /> tNOULD ANY OF THE AEOYE DEtCR19E0 POLICIEt aF CANCELLED aEFORE THE <br /> EKPIRATION DATE TXEREOF, 7NE IttUINO COMPANY WLL ENDEAVOR TO MAL <br />D i Y i s i D n O } Minerals and 3O DAYt WIInTEN NOTICE TO TNF CERTIFICATE MOLDER NAMED TO THE LEFT, <br />GBO I Oey BUT FALYRE TO MAL tUCH NOTICE tHAU IMPOEF MOO IOATIO LIAELm <br />1313 Sherman Street, Rm. 216 OF A IND PON THE COMPANY, Ta~R ENTATIYEt. <br />Denver , CD BO203 AUTHOR EP ENTA IYE 056977000 <br />I <br />-- ~col~col~an 71QN1893 <br />
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