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GENERAL49913
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GENERAL49913
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Entry Properties
Last modified
8/24/2016 8:29:46 PM
Creation date
11/23/2007 5:31:03 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
General Documents
Doc Date
11/14/2005
Doc Name
Certificate of Liability Insurance
From
J.E. Stover & Associates
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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JUL-11-2005 05:O1PM FROM-CENTRAL APPALACHIAN MINING 6064320031 T-003 P. 002/002 F-236 <br />s <br />IMPORTANT <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement <br />on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may <br />require an endorsement A statement on this certificate does not confer rights to the certificate <br />holder in lieu of such endorsement(s). <br />DISCLAIMER <br />Tha Certfficata of Insurance on the reverse side of this form does not constitute a contract between <br />the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it <br />affirmatrvety or negatively amend, extend or altar the coverage afforded by the policies listed thereon. <br />r~ <br /> <br />
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