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GENERAL49141
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GENERAL49141
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Entry Properties
Last modified
8/24/2016 8:27:19 PM
Creation date
11/23/2007 4:52:42 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
General Documents
Doc Date
9/18/1995
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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r:'.~'~~:..... :. ~ ................... .. ..:::...:...........:~:::::....:..... ::::::: ... :, ...... ...:... ..:: :. .. ~:....::...... ~~~~ •III IIIIIIIII IIII III:::~:~ IesuE DATE (MM/DD/rv) <br />a~%~~~~~~• CERTlF1CATE IDP INSURANCE :', n 9/,4/95 <br />IRODUCER _.. .. .. ..... . <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOAMA71ON ONLY AND <br />Acordia of Lexington CONFEpS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> ' EXTEND OR ALTER THE COVEpAGE AFFORDED BY THE <br />Lax i ngton Green Two , Suite 410 pOLIC ES BELOW. <br />3201 N i cho I esv i l l e Road COMPANIES AFFORDING COVERAGE <br />Lexington, KV 40503-3311 <br />606-273-6600 COMPANY-~------~ --- - ~--~ ------ <br /> LEnER A Federal Insurance Company <br /> <br />E <br />~---- -'----~------ ---------- COMPANY <br />B <br />INi <br />1gE0 LETTER <br />White Oak Mining 8 Const. Co. coMPANV ~~'E1'(~~ [~ <br />C <br />"'~ <br />~~ <br />R Grand Vel ley CDaI Company <br />~~~ <br />C <br />LEVER <br />P . O. BO% 1409 COMPANY <br />LETTER D ~ 1995 <br />Pikeville, KV --- <br />--_-- -~f~fOfl <br />KY 41601 p) <br />COMPANY <br />"71ne <br />' LETTER E <br />faf5 ~ <br />~e <br />COVERAGES <br />,.::..: . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />TERM OR CONDITION OF ANY CONTRACT UR Ol'HER DOCUMENT WITH RESPECT TO WHICH THIS <br />INDICATED <br />NOTWITHSTANDING ANY REQUIREMENT <br />, <br />, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 0Y THE POLICIES DESCRIBED HEREIN IS SUBJEC7 TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS._ _ _ _ _ <br />~ TYPE OF IN6URANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMRa <br />L DATE (MM/DD/YY) DATE(MM/DD/YY} <br /> GE NERAL LIABLRY EBAL AGGPEGATE <br />GEN f 2000000 <br />A X COMMERCIAL GENERAL LIABILITY 3710-45-17 9/16/95 9/16/96 _ <br />PRODUCTS-COMP/OP AGG. f 2000000 <br /> CLAIMS MADE ~ OCCUR. PERSONAL 8 ADV. INJUflY f ZOOOOOO <br /> OWNER'S 8 CONTRACTOfl'S PROT. EACH OCCURRENCE S 2000000 <br /> X I nC I UdeS Ube Of pAMAGE (Any one lire) <br />FIRE f 100000 <br /> EXp I Os I Ve6 _ <br />MED. EXPENSE l4n one arson f 1 OOOO <br /> AUT OMOBEF LIABLRY <br />COMBINED SINGLE <br />f <br />A _ X ANY AulD 8AP7320-38-21 9/16/95 9/16/96 LIMIT 2000000 <br /> _ ALL OWNED AUi05 ROPILY INJURY <br />S <br /> _ SCHEDULED AV10S leer person} <br /> X HIflfO AUTOS <br />8001 LY INJURY <br />3 <br /> X NON-OWNED AUTOS (Per a¢itlend <br /> GARAGE LIABILITY PROPEflTY pAMAGE f <br /> EXCEBa LIABLITY EACN OCCURRENCE f _ <br /> _ UMBRELLA FOflM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM ' <br /> WORKER'! COMPEN6ATION STATUTORY LIMITS _ _ <br /> AND EACH ACCIpFNT f __ _ <br /> <br />' OISE45E-POLICY LIMIT f <br />--- <br /> EMPLOYERa <br />LIABLRY - <br />DISEASE-EACH EMPLOYEE f <br /> OTHER <br />DE6CRIPTION OF OPERATION6R.OCATION6IVEHICLE516PECIAL ITEM6 <br />As respects: Mine ND. 1, located Bt McLan e Canyon on S. R. 139, 19 miles <br />north of Lome, Colorado: Mine No. 2, loca ted at Munger Canyon an S. R, 139 <br />about 10 miles north of Loma, Colorado. REVISED TO INCLUDE EXPLOSIVE GOV. <br />CERT~ICA7E tiULriER ::::::.:. <br />-CANCELLATION..:.: <br /> ' SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> . EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> MAIL 30 DAYS WRITTEN NOTICE TO THECERTIFICATE HOLDERNAMED TO7HE <br />D i V i s i On O f M i ne f a I s and ." LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />GaolOgy ~ LIABILITY OF NY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. <br />1313 Sherman Street, Rm.215 <br />Denver , CO BO203 ~ AUTHOR PRE6 TATIYE ' ' r <br />1 f~ 069353000 <br /> _~ <br />~ <br />~ <br />~I.. .....:: ... .. .. ...... ...:. ... .. <br />_AGpAA 26:5..<X7YQ).::.,.:: ..:'!. '.'`:..; ., . .:::'.::.... .:. .. .. <br />.~ <br />. c:~t..>,i:1 .:.::.::... ::.:.....: :.:: .. ACQRD GORP..ORA.7lON.:}99U:: <br />
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