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GENERAL48400
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GENERAL48400
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Entry Properties
Last modified
8/24/2016 8:24:47 PM
Creation date
11/23/2007 4:18:48 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
9/17/2004
Doc Name
Certificate of Insurance
From
Acord
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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<br />ACORDrM CERTIFICATE OF`LIABILITY.INSCIRANCE ;.• ~: ~ 09/lo/oa <br />PRODUCER <br />Aon Risk services, Inc of Florida THIS CERTIFICATE IS ISSUED AS A 11.4TTER OF INFORMATION ONLY <br />222 Lakeview Avenue AND CONFERS NO RIGHTS UPON THE CERTIFICATE 110LDER. THIS <br />Suite 510 CERTIFICATE DOES NOT AD1END, EATEND OR ALTER THE <br />West Palm Beach FL 33401 USA COVERAGE AFFORDED BV' THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br />Pxoxe- 866 283-7124 FAx- 866 430-1035 <br />INSUICen INSURER A. Lexington Insurance Company <br />Oxbow Carbon & Mi neral5 LLC <br />1601 F <br />P1 INSURERS: Federal Insurance Company <br />orum <br />Attn: Donna 7. Gul bransen c <br />MSIIRER C: ` .. <br />~ <br />101 W <br />u5A <br />west Palm Beach FL 33401-8 <br /> INSURER D: <br />e <br /> v <br /> INSIJREa E: <br />~COVERAC.ES This Cert~cate is noLintended tD s eei ~ all endorsements. cove es tertns. conditions and exclusions aPthe tmlici wn:. _= SZR -May= pp- y <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA , A TANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEYI~ ~D~~~ c <br />,_ <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PoLICIEef <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ISSR <br />LTR <br />TYPE OF INSURANCE <br />POLICI'NUMBER POLIO'EFFECTIY <br /> <br />DATE(111M1nDD\\9'J POLICt'EXPIRATION' <br /> <br />DATE(!1lnDDU'tT <br />LIMITS <br />rn <br />~ <br />A <br />ceseRAL LuBB.lrv 5270634 12/01/03 12/01/04 EACH OCCURRENCE 41,000,000 ~ <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAAfAGE(Anv one fire; $SO, OOO ~ <br /> CLAIMS MADE X^DCGUR AfED EXP IAnv one oewn7 O <br /> PERSONAL&ADV MIURY 51,000,000 <br /> GENERAL AGGREGATE 81,000,000 <br /> GET L AGGREGATE LIM1RT APPLIES PER: <br />PRODUCTS-CWBIOP AGG <br />E1, 000, 000 <br /> <br /> POLICY ~ IECT ~ LOC Z <br /> 1 <br /> O <br />B <br />A <br />UTOtiOBILE LL161LITV 7307-72-68 09/01/04 09/01/05 <br />COMBINT'D SINGLE LIM1llT <br />t. <br /> Business automobile (E. eamem) 51,000,000 <br /> X Arn AUTO m <br /> V <br /> ALL OWNED AUTOS BODD.Y MIURY <br /> Per pawn) <br /> SCHEDULED AUTOS <br /> <br /> HIRED AUTOS BODILY NJURY <br /> <br />NON OWNED AUTOS (Per acciden0 <br /> <br /> PROPERTt' DAMAGE <br /> (Per eccidem) <br /> <br /> GARAGE LIABILFTt' AUTO ONLY -EA ACCIDENT <br /> ANY AUTO OTHER THAN EA ACC <br /> AUTO ONLY: <br /> AGG <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> <br />OCCUR CLAIMS M1IADE AGGREGATE <br /> <br /> DEDUCTIBLE <br /> RETENTION <br /> N'C STATU- OTH- <br /> wORKERSCO]fPENSATIO;VAND TORY LIMI ER <br /> EtIPLOt'ERS' LIABILITY <br />E L EACH ACCDENT <br /> - <br />E L. DISEASE-POLICY LL\11T <br />M1 <br />O <br />EE s <br />~. <br />E L. DISEASE-EA E <br />IPL <br />Y <br /> ~~ <br />OTHER <br /> <br />' <br />' L~ <br />~ <br />ENDORSEMENT/SPECIAL PROVISIONS <br />EHICLES/ESCLUSIONSRDDED B\ <br />DESCRIPTION OF OPERATIONS/LOCATIONS/\ _ <br /> <br /> <br />GERTIFICA"~'E'AOLDER`"' '--'CA-iYCE1,liAT10N -` =~ ` ='_- _`- `~-= =- ` - <br /> SHOULD ANY OF TFiE ABO\'E DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUMG COMPANY NTLL ENDEAVOR TO MAD. <br />Dl V15l OI1 Of M1 ^erd 5 & Geology 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAM1fED TO THE LEFT, <br />Attn: Bill carter <br />Rm 215 <br />1313 Sherman st BUT FAILURE TO DO SO SHALL IMPOSE NOOBLIGATION OR LIABILITY <br />~- <br />, OF ANY KIND UPON THE COM11PANt', ITS AGENTS OR REPRESENTATIVES. k <br />Denver CO 86203 USA <br />f <br />' <br />AUTHORIZED REPRESENTATR <br />E ~,!-~__~/~,-~.,`__ <br />Ac^nun vr_c Ivost ~ .... - - .--° --- -,._ -- _ _ '~. ACORb ORP RATION 198 ~ <br />
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