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GENERAL48200
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Entry Properties
Last modified
8/24/2016 8:24:07 PM
Creation date
11/23/2007 4:10:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992080
IBM Index Class Name
General Documents
Doc Date
11/21/2005
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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<br />OAKRENE-01 MORL <br />ACORD~, CERTIFICATE OF LIABILITY INSURANCE °" visMizoos I <br />PRODUCER (940) 723-0771 <br />Allred Thompson Mason Daugherty Ins <br />P O Box 1071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Wichita Falls, TX 76307-1071 INSURERS AFFORDING COVERAGE NA1C # <br />INSURED Oakridge Energy Inc; Pueblo Mining I ~,\) INSURER A Mld-GOntlnant Ca$U3Ity CO. <br />4613 Jacksboro Highway R~~ INSURER s: Texas MuWai insurance Co. <br />Wichita Falls, TX 76302- <br />5 INSURER C' <br />NOV 2 ~ 200 INSURER D' <br /> I SURER E' <br />COVERAGES ,,.als and ~jQ°~~'~ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE B$5fb19~ LIED 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 COND1710NS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR D' P04CY NUMBER POLICY EFFEC'JNE POLK:Y EXPIRpmON DMRS <br /> OENEMLLUIWLITY EACH OCCURRENCE E 1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY 04GL000612795 12/5/2005 12/5/2006 PREMISES Ea ocwrence E 100,00 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any are person) E EXCLUDE <br /> PERSONALBADV INJURY S 1,000,00 <br /> GENERAL AGGREGATE S 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E 2,000,00 <br /> X POLICY PRO- LOC <br /> <br />A AUT <br />X OMOBILE LIABILITY <br />qNV AUTO <br />04CA002738570 <br />12/512005 <br />1215/2006 COMBINED SINGLE LIMB <br />(Eaewdenp S 1,000,0 <br /> <br />X ALL OWNED AUTOS <br />SCHEDULED AUTOB BODILY INJURY <br />(Per perm") <br />S <br /> X <br />X HIRED AUTOS <br /> <br />NON-OWNED AUTOS BODILY INJURY <br />(Per accident) <br />E <br /> PROPERTY DAMAGE <br /> <br />(Per eccideM) S <br /> GARAGE LIABBITY AUTO ONLY-EA ACCIDENT S <br /> ANV AUTO OTHER THAN EA ACC E <br /> AUTO ONLY: AGG E <br /> EXCESSAINeRELLA LIABILRV EP.CH OCCURRENCE E 1,000,00 <br />A OCCUR ~ CLAIMS MADE 04X4141622 12/5/2005 12/5/2006 AGGREGATE S 1,000+00 <br /> E <br /> DEDUCTIBLE S <br /> X RETENTION $ 10,000 S <br /> 'VARKERS CONPENEATION~AND- - - -"'- - - ~- --- -- - - -- X WC STATU- OTH- <br />TD YLIMRS - ER _ - _ _ _~ _ _ <br />- <br />B EMPLOYERB' i.IABILITY <br />ANV PROPRIETORIPARTNERIE%ECUTIVE SBP0001027321 7/14/2005 7/14/2006 E.L. EACH ACCIDENT E 500,00 <br /> OFFICERPoAEMBER EXCLUDEOP E.l. DISEASE-FA EMPLOYEE S 500, <br /> n yea, de.uloe uneer <br />SPECIAL PROVISIONS belox <br />E.L. DISEASE-POLICY LIMIT 500,00 <br />S <br /> OTHER <br />DESCRIPmON OF OPERATIONS /LOCATIONS / VEXICLES! EXCLUSIONS AWED 9Y ENDORSEMENT/SPECIAL PROVISIONS <br />Carbon Junction Coal Mine, Durango, Colorado Permit #C•92-080 <br />Colorado Division of Minerals 8 Geology <br />1313 Sherman Room 215 <br />Denver, CO 802D3- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRAmON <br />DATE THEREOF, THE ISSUING INSURER VALLXXIH}MAR 3O DAYS WRITTEN <br />NOTCE TO THE CERTIFICATE HOLDER NAKED TO THE LEFT, <br />AUTHORIZED REPRESENTATIVE <br />-/ <br />
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