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GENERAL49059
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Entry Properties
Last modified
8/24/2016 8:27:00 PM
Creation date
11/23/2007 4:49:43 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981038
IBM Index Class Name
General Documents
Doc Date
6/17/2002
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Client#: 5934 <br />AEI <br />A("nRn <br />CERTIFICATE OF LIABILITY INSURANCE o6 <br />'iz~ z <br />n / <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Acordia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />TOW2r at ErleV leW HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />1301 E. Ninth Street #3800 <br />Cleveland, OH 44114-1824 ECEIVED INSURERS AFFORDING COVERAGE <br />wsDRED INSURER A: Zurich American Ins Co <br />Bowie Resources, Limited <br />JUN 17 2002 INSURER B: XL America Insurance Co. <br />Horizon Natural Resources, LLC ; INSURER C: ACE Insurance Co. of Ohio <br />2000 Ashland Drive INSURER D: Lloyds of London <br />• Ashland, KY 41 101-7058 Division of Minerals s Geol <br /> SURER E: <br />'COVERAGES' <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED O <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SOBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUC <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDOCED BY PAID CLAIMS. <br />SR TYPE OF wSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DA E M D POLICY EXPIRATION LNfITS <br />A cENEMLLIABILITY GL0929854902 06/29/02 06/29/03 EACH OCCURRENCE al 000 000 <br /> X COMMERCW.GENERALLIAB RfT1' FIRE DAMAGE (Arty orc EVe) ElOO OOO <br /> CLAIMS MADE ~ OCCUR MED EXP (Any am pcnan) E 1 O O O O <br /> X Blasting & XCU PERSONALSADV INJURY fl OOO OOO <br /> GENERAL AGGREGATE f 5 O O O O O O <br /> GENLAGGREGATE LRNRAPPL@S PER: PRODUCfS -COMP/OP AGG 52 OOO OOO <br /> POLICY PRO- LOC <br />A AU TOMOBILE LIABILITY BAP319030403 06/29/02 06/29/03 COMBINED SINGLE LIMIT <br /> (Eaa¢ider¢) fl, 000, 000 <br /> X ANYAUro <br /> ALL OWNED AUTOS <br />_. _. ... _ ~ <br />_ _ ~ <br />- ~ ~ <br />BODILY INIURY ~ -"' ' <br /> SCHEDULED AUTOS - - _ - - H'er person) - _. <br /> X HIRED AUTOS <br />, - <br />- _ . . - - - __ .. .. ._ <br />BODILY INIURY ---". .. <br />E -~ ~~ <br /> X NON-OWNED AUTO$ ~ ~ _ (Per eaMup) ' <br /> PROPERTY DAMAGE ~ <br /> f <br /> (PC! BCCWCN) <br /> GARAGE LIABILITY AUTOONLY-EA ACCIDENT f <br /> ANY AUTO OTHER THAN EA ACC E <br /> AUTO ONLY: pGG S <br />A excFSSLUBU.ITY EOG929784103 06/29/02 06/29/03 EACH OCCURRENCE a25 000 00 <br /> X OCCUR ~ CLAIMS MADE AGGREGATE E 2 5 O O O O O <br /> E <br /> DEDUCTIBLE S <br /> X RETENTION f1000O E <br />_A woRlrBRSrn N • JoN AND_ .- WC2.86.6440.03. __ _ _ _06/.29/02.. -0.6-/29-~0-3 X WC STATU- 0TH- _ _ __ ___ _ <br /> EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDEM <br />S1 OOO OOO <br /> E.L. DISEASE -EA EMPLOYEE fl OOO OOO <br /> E. L. DISEASE -POLICY LIMIT Sl OOO OOO <br />B oT~RProperty XNYP0024401 11/26/01 11/26/02 $50,000,000 Blanket <br />C Property WPA659491 11/26/01 11/26/02 Property Limit <br />D Pro ert NA003550Z 11 26 O1 11 26 02 <br />DESCRDTION OF OPERATIONSHACATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> <br />Re: Bowie #1 Mine permit C-81-038 <br />Re: Bowie #2 Mine permit C-96-083 <br />General Liability policy provides coverage for use of explosives <br />St. of Colorado Dept. of Natural <br />Resources <br />Div. Minerals 8I Geology <br />1313 Sherman Street Ste.215 <br />Denver, CO 80203 <br />ACORD25-S (7/97) 1 of 2 #M28045 <br />PORES BE CANCELLED <br />R:REOF, THE ISSUWG wSURER WH.LENDEAVOR TOMAIL3.O-DASS WRD'IEN <br />'OTHE CERTB+R'A1E HOIDERNAMED TOTHE LEFT,BUTFABAIRE 'IODOSOSHALL <br />NO OB LR:ATN)N OR LIABD.r1YOF ANYIONID UPON THE wSURER,SIS AGENTS OR <br />NFC O ACORD CORPORATION 198£ <br />
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