My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL48441
DRMS
>
Back File Migration
>
General Documents
>
GENERAL48441
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:24:52 PM
Creation date
11/23/2007 4:19:54 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981011
IBM Index Class Name
General Documents
Doc Date
3/30/1998
Doc Name
CERTIFICATE LIABILITY INSURANCE
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
acoRO CERTIFICATE OF LIABILITY INSURANCE III IIIIIIIII~IIIIII °3 ~A°°° e <br /> <br />PFmDUCER THiS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THTS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />S e d g w i c k o f Tennessee Inc . ~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELON. <br />P 0. Box 1 9 A 1 0 ' COMPANIES AFFORDING COVERAGE <br />N n o x v i I l e, T N 3 7 9 3 9- 2 8 1 0 COMPANY <br />423-584-9101 i A Essex Insurance Co. <br />INSURED COMPANY <br /> R __ ________ _ _ _ _ <br />SUNLAND M 1 N I1JG CORPORATION COMPANY <br />ROUTE 2, BOX 57 C <br />JEFFERSON SC 29718 COMPANY <br /> D <br />COVERAGES <br />THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />111DICATED, NOTWITHSTANDIIIG ANY REQUIREMENT, TERM OR CONDIT ION OF ANY CONTRACT OR OTHER DOCUMEIIT WITH RESPECT TO WHICH THIS <br />CERTIFICATE F1AY BE ISSUED OR MAY PERTAIN. THE INSURANCE AF FORDED BY THE POLICIES DESCRIBED HERE 111 IS SUBJECT TO ALL THE TERMS, <br />_ <br />EXC LUS I011S_AND CONDITIOIJS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ___ <br />. <br />CO TYPE OF INSUPANCE ~ POLICY NUMBETi POLICY EFFECTNE POLICY EXPIRATION <br />DMRS <br />~ <br />LiR OATE(Mµl]OIYYj DATE{MMIDD/YY1 <br />A GENERAL LwBILm 3 A M 9 7 4 7 A 1 3/ 1 2/ 9 8 1 3/ 1 2/ 9 9 GENERAL accREGATE s 1 0 0 0 0 0 0 <br />X COMMERGAL GENERAL LIABILITY PRODUCTS COIAPIOP AGG 5_ _ ___ _ -__ <br />' CIAUdS X OCCUR <br />.MADE ~ PERSONAL S ADV INJURY 4 <br />-_ _ - - - - ~D O D D_D_. <br />OwNER'S B CONT PROT EACH OCCURRENCE _ 4 I O O O O O D_ _ <br /> FIRE DAMAGE 1 Any ore Lrq g rl D~ O O_ <br /> <br />_ MED E%P 1 Any ore pasonl 5 1 0 0 0 <br />_-_- _ -_ --_ _--.-__-_ <br />AIJIOMOBIIf UABIIIIY <br />-- - COAIBW EO SINGLE LIMIT 5 <br />ANV AUTD _ <br />ALL OWNED AUTOS OC/1C <br />\/C <br />gODILV INJURY <br />^^ <br />SCHEDULED AUTOS flC~l L I <br />D <br />S <br />~ YC (Per person) <br />--~-- <br />- <br />HIREDAUTGS MAR 3 <br />N <br />A <br />O s <br />~ 1998 ~ Ipooa«~d~~,RY <br />NON~ <br />W <br />ED <br />UTO <br />- <br />- <br />_. _ _ nivisi0n of Mine ~ PROPERr/DAMAGE S <br />rals & Geology <br />-GARAGE UABIIfIV' 'I ~ l AUTO ONLY ~ EA ACCIDENT 5 <br />__ ANY AUTO I OTHER THAN AUTOONLY. . <br /> EACH ACCIDENT 5 <br /> AGGREGATE 5 <br />IXCE55 LWBILRV -EACH OCCURRENCE _ _ 5 <br />UMBRELLA FDRIA AGGREGATE 5 <br />OTHER THAN UMBRELLA FORM ' <br />WOWQWI'S COMPENSATgN AND I WC STATU~ OTH~ <br />uR~y~TS LNBLLTTV _ . _ _ __ I _ _ _ - _ _. -^ _ _ TORY LIMITS ~ ER <br /> ' EL EACH ACCIDENT S <br />THE PROPRIETOR/ INCL I ~ EL DISEASE -POLICY LIMIT <br />5 <br />PARTNERS;E%ECUTNE -- <br />OFFICERS ARE E)CL ~ <br />~- _. ._ __- EL DISEASE ~ EA EMPLOYEE S <br />._-_ - _ __---__ _ _ _ - -- _ _ <br />OTHER <br />DESCRIPRON OF OPEMTIONSAOCATgNSNEMICLES/SPECW. RFA15 <br />AS RESPECTS THE APEX 110. 2 MINE, CO LORA00 PERMIT N0. C-81-011 <br />$2,500 DEDUCTIBLE APPLIES PER CLAIM FOR BODILY INJURY AND <br />PROPERTY DAMAGE. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CNICEl1ED BEFORE THE <br /> LOWRAPON DATE THEREOF, THE ISSUING COMPANY WILL L~TO MAIL <br />COLORADO D I V I S I O N O F M I N E R A L S 1 0 DAYS WRnTEN NOTICE TO THE CEAPFICATE HOMIER NAMED TO THE lEF1 <br />AND G E 0 L O G Y <br /> <br />1313 SHE RMAIJ STREET, ROOM 215 BIJT FAILURE TO MAIL SUCN NOTICE SHALL IMPOSE NO OBLIGATgN OR LIABILITY <br />DENVER , C 0 $ O 2 O 3 OF ANV qND UPON THE COMPANY, RS AGENTS OR REPRESENTATIVES. <br /> ~- <br />AIRHOWZFD REPRES A <br />2 - 2 4 (c)ACORD CORPORATION 1993 <br />
The URL can be used to link to this page
Your browser does not support the video tag.