My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL48147
DRMS
>
Back File Migration
>
General Documents
>
GENERAL48147
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:24:01 PM
Creation date
11/23/2007 4:08:09 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
12/14/2004
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
<br />ACORD (:ERTIFlCATE OF LIABILITY INSURANCE DAt2/8/04~ <br />PRODUCER RECEIV <br />Aon Risl< Services <br />222 LakE)VieW Avenue. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />OLDER. THIS CERTIFICATE DOES NOT AMEND, EJCTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />West PEllm Beach, FL 33401 DEC ~ 4 ?Q INSURERS AFFORDING COVERAGE <br />INSURED ivis' n of Minerals an <br />L~ I ~ Lexin ton Insurance Com an <br />Oxbow Carbon & Minerals, LL INSURER :Federal Insurance CDm an <br />1601 Forum Place -Suite 1400 INSURER G: American International S ecialt Lines <br />West Palm Beach, FL 33401 INSURER D: <br /> INSURER E: ' <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, 7HE 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 />INSR TypF OF INSURANCE POLICY NUMBER POLICY EFFECTNE POMCY EXPIRATON LIMBS <br /> GENERAL LIABILITY EACH OCCURRENCE f 1,000,000 <br />A COMMERCIAL GE~ER <br />AL <br />LW <br />OIUTY 0313639 12/1/04 12/1105 FIRE DAMAGE onefire f 50000 <br /> ( <br />~ <br />~ <br />I n10000R <br />L -- _~ .f ___ <br /> _ <br />. _ - _,___ __ _ - <br />- _ PERSONALBADV INJURY S 1000000 <br /> GENERAL AGGREGATE f 1,000 000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG f 1000,000 <br /> POLICY PRO- LOC <br /> AUT OMOBILE LU181LR1! COMBINED SINGLE LIMIT f 1 <br />000 <br />000 <br />B X ANY AUro {04)73077258 9/1/04 9/1/05 (Ea aa9tlent) , <br />, <br /> <br /> ALL OWNED AUTOS BODILY IWURY <br />f <br /> SCHEDULED AUTOS (Par pereon) <br /> HIRED AUTOS <br />BODILY INJURY <br />f <br /> NON-OWNED AUTOS (Par acdtlent) <br /> PROPERTY DAMAGE <br /> f <br /> (Per acdtlanp <br /> GAR AGE LIABIDTY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO OTHER THAN EA ACC f <br /> AUTO ONLY: pGG f <br /> EXCESS LUUlILffY EACH OCCURRENCE S 10000,000 <br />A X occuR [~cwMSMADE 6478379 12/1/04 12/1/05 AGGREGATE f 10,000000 <br /> s <br /> DEDUCTIBLE f <br /> X RETENTION f 25 000 f <br /> WORKERS COMPENSATION AND WC STATU- OTW <br /> EMPLOYERS' LIABILITY <br />E.L. EACH ACCDENT <br />S <br /> E.L. DISEASE-FA EMPLOYE f <br /> E.L. DISEASE-POLICY LIMIT j <br /> OTHER <br />C POLLUTION/ENV IMP PLS 9528238 9/29/03 9/29/06 Aggregate Limit $50,000,000 <br />DESCRIPTION OF OPERATIONSR.OCATIONSNENICLESIEXCLUSION9 ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: TERROR CREEK COMPANY. COMMERCIAL GENERAL LIABILITY COVERAGE INCLUDES THE <br />USE OF EXPLOSIVES. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFr~ORE THE EXPIRATION <br />DIVISION OF MINERALS & GEOLOGY GATE THEREOF, THE ISSUING INSURER WRL ENDEAVOR TO MAIL 3O DAYS WATTEN <br />1313 SH ERMAN STREET, ROOM 215 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL <br />DENVER, CO 80203 USA IMPOSE NO OBQGATION OR LIAB)LRY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATNES. <br />AUTHORIZED REPRESENTATNE <br />Michael J. Andersen, Res' <br />~- <br />
The URL can be used to link to this page
Your browser does not support the video tag.