My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL50464
DRMS
>
Back File Migration
>
General Documents
>
GENERAL50464
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:36:53 PM
Creation date
11/23/2007 5:58:22 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
9/18/2006
Doc Name
Certificate of Liability Insurance
To
DRMS
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
SAS , <br />~ <br />~~~ CERTIFICATE OF LIABILITY INSURANCE °" <br />. ,roe <br />"~ <br />Aon Risk Services, Inc. of Florida <br />~~~\ /~ <br />222 LakeV18W AVenUe, Ste. 510 <br />`aP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />~ <br />West Palm Beach, FL 3340T~ <br />6 INSURERS AFFORDING COVERAGE <br />~~ RERN a ord Fire Ins Co ' `" ' n ~~' `~ ". ~' <br />Oxbow Mining LLC <br />1601 Forum Place pivison ut ~DCOa ~y <br />N1Yning and INSORERB: Federal Insurance Co <br />INSURER C: <br />West Palm Beach, FL 33401 INSURER D: <br /> INSURER E: <br />CGVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REDUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMEM WRH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CWMS. <br />UISR TYPE OF DlSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY PXPIRATpN LDIRS <br /> GEN ERAL LWBBJTY EACH OCCURRENCE f 1000000 <br />B CAMMERCVLLGENERALLIABIIITY 37107765 9/1/06 9/1/07 FIREOAMAGEWryurefro) s 1000000 <br /> CUIMB MADE ®OCCUR NED EXPfM wepartml f 10000 <br /> PERSONAL SADV INJURY S 1000000 <br /> GENERAL AGGREGATE f 2000000 <br /> GE NL AGGREGATE LIMIT APPLIES PFR PRODUCTS-CONPX)P AGG f ZOOOOOO <br /> POIJLY PRO• LOC <br /> AUf ONOBLLE WBRIfY <br />,INGLELIMR <br />C <br />a~QUD <br />s 1 <br />000 <br />000 <br />A X ANYAUro 20UENZQ6230 9/1/06 9/1/07 E <br />I , <br />, <br /> <br /> AIL OWNED AUTOS BODILY INJURY <br />f <br /> SCHEDULED AUTOS (Px PNOORJ <br /> HIRED AUTOS <br />GORILY INJURY <br />S <br /> NON-0WNED AUTOS IPS eOYUBn1) <br /> PROPERTY DAMAGE <br /> f <br /> (Px xvOml) <br /> GARAGE IIABILnY AUTO OPLLY-EA ACCIDENT i <br /> ANY AUTO OIHER THAN EA ACC f <br /> AUTOONLY: AGG f <br /> E%CESS LNBB.RY EACH OCCURRENCE S <br /> <br /> OCWR ~CIAIMS MADE AGGREGATE f <br /> f <br /> DEDUCTIBLE S <br /> RETEMION f E <br /> WORNERB COYPENSIITN%F AND WC STATLL OTH- <br /> ELPLOYERB' LIABILRY <br />E.L. EACH ACCIDEM <br />f <br /> E.L. DISEASE-EA EMPLOYE S <br /> E.L. DISEASE • POLICY LIMIT f <br /> OTNEIt <br />DESCIUPIION dP OPERAT1pN3R0CATN)NSNENICLESIE%CLU810N9 ADDED BY ENDORSEMENTIfPEC4L PROVISroNH <br />Re: Elk Creek Mine, Permit #C1981-022 <br />Division of Reclamation, Mining and Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />BNWLD ANY OF THE ABDVE DESCRG]ED POLICIES BE CANCELLED BEFORE THE E%PIRATRMI <br />DILTE THEREOF. THE ISSUDLO DISURER WILL' MAIL 30 DAYS wpmeL <br />NDTILY TO THE CERnFICATE HOLDER NAfED To TXE LEFT, <br />Michael J. Andersen <br />
The URL can be used to link to this page
Your browser does not support the video tag.