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GENERAL48720
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Entry Properties
Last modified
8/24/2016 8:25:27 PM
Creation date
11/23/2007 4:31:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981013
IBM Index Class Name
General Documents
Doc Date
8/29/2007
Doc Name
Insurance Certified Revised (Faxed)
From
Kent Gorham
To
Jim Fulton
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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RUG-29-2007 13 47 <br />HRH of Tennessee. Inc. <br />P.02 <br />ACORD CERTIFICATE OF LIABILITY INSURANCE GATE 8 /2 912 0 0 7 <br />pRDgp-y+y <br />HILB ROGAL AND YgB85 OF TENNE$BEE INC. <br />120 AWRI~T PLACE BLVD. <br />KNOXVILLE, TN 57922 TMISCERIIFlCATE IS ISlULD l15 NMATTIR OF WFORfMTUIN OILY I1N0 CONFERS <br />!W RWMB Urox THE OERTVICATE HOLOCR TNq CERTIFIUT! 00lS NOT AMEND, <br />E%TENDORALTER THECOVER/WE AFroRDED EY THE POLICIES BlLOW. <br />8652515270 INSURERS AFFOROWO COVERAGE <br />wHI1RED pl$URERA: NATIONAL UNION FIRE INS. CO. OF PITTSBURGH PA <br />BASIN RESOURCES, INC. wsuRBRa <br />2 NORTH CASCADE AVE., 3RD FLOOR wslREn e: <br />COLORADO SPRINGS, CO 80903 vLaulER O: <br /> MISURER E <br />THE POLICIES G MEiUUNCE LISTED BELOW HAVE HEEN ISSUEDTO TN! INBWEO HAYED ABOYE FORT{IE POLICY PERIOOIMpIGATEO. NOIWIiNSTANDINO ANY IIEOUIRlMENf, TEiM1 <br />OR CONDITION OF ANT fANTRAGT OR DYER DOLUNENTY(rtN RESPER TO WIYCN THIS CERIIFlWTE MAY HE IHSUED OR MAY PERiNN. TIE INSUMNCE AFFORDED HYTxE POLICI4 <br />DESCRIBED xEREN u SUBJECTlO ALL THE TEiNi EXClU5WN5 AND CONDNIONS OF SUCH POLKAE3. AGGREWTE LDMTS bXOWN WY NAY! HEEN REDUCED BY PND CLADL9. <br />IA]0. <br />m <br />IYreaF PaLanrce <br />FMKTNMP PRICV OiEC1AE <br />a+epxmrn IDKY E%RR.IIYFI <br />wrePF+Mr+n <br />LMR! <br /> GENE RAL LMNUTV EACH OCCURRENCE 51,000,000 <br />A X DDMLlROALGEIERALLIABITTY fE~0A1M(iE(AM'OTEFIRE) SO,000 <br /> CLAWSraoE ~X ocam GL643-18-68 7/1/2007 7N2008 NEDEm pNV w+E PERSONI 55,000 <br /> X e+ad.L eRear lnpny PERSONALAADV.EUURr 51,000,000 <br /> X IWAABp PnlpvlyDm,pe GENERALAGGREWTE 52,ODO,000 <br /> GENLAGGREWTE lWR6 APPLIES PER: PRODUCTS. COL~IOPAGO 52,000,000 <br /> X POLICY PROJECT LOC <br /> NfTOMOd1E LU.BLRY <br />ANY AUTO CONBNED SINGLE LIMIT <br />IEEMI ArmaE) <br /> ALLOVAVEDAU105 <br />SCNEdRED AUiOH BCdLY INJURY <br />(Pr PMwnl <br /> YREOAUTOS <br />NONONNEDAUTOS BODRY BiJDRY <br />(ParAtitlMq <br /> PROPERTY WNAGE <br /> (PV A¢GM) <br /> GARAGE LIABAIiY AUTO ONLY-EACH ACCIDENT <br /> AM'AUiO OTHER MAN EA. ACC. <br /> UTOONLY: AGG. <br /> E%CEES LIA9NfiY EACH OCCURRENCE <br /> OCCUR ^ Cu1M6 YWE AGGREWTE <br /> <br /> DEDUCTIBLE <br /> RETENTgN S <br /> WOWERR CDNPENSATgx AND WCSTAMORY L&ITS <br /> EMPLOYERS LN<' OTER <br /> E.l. EACH ACCIDENT <br /> El DISf15E-EA EMPIIIFEE <br /> EL DISFa3E-POLICY UMG <br /> OTHER <br />OESCRIPTON OF OPERATN)NSM1l)GTgNSNFHICLE3lE)(CLUSIpSADDED HY EIEfORSENENTI3PECIKPROV13gN9 <br />RE: THE GOLDEN EAGLE MINE PERMIT #681-013 <br />REPLACES CERTIFICATE DATED 8/20/07. <br />CENLIIIfATE HOLDER AmW3xuL REREEO: NRl1NlR LETTER rvrEU.noN <br />STATE OF COLORADO SHOIAD ANYOF THE ABOVE pESfliIBEO EDUCES HE CANCELLED BEFORE THE EXPBUTIai WTE <br />MINED LAND RECLAMATION OFFICE THEREOF. THE IAUING rISURER Vnu EIIDFAUOp-TO NAL SD Oars vmlTTeN NOncETO THE <br />ATTN: JOSEPH DUDASH CERnfIGTE MOLDER NAl1E0 TOTNE LEST. <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, CO 80203 AUIHORI2E0 RENE9EMA <br />acDRO asE(EDII '10 DAYS FOR NONPAYMENT OF PREM M <br />
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