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GENERAL50838
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GENERAL50838
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Last modified
8/24/2016 8:37:21 PM
Creation date
11/23/2007 6:17:52 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
8/30/2002
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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.: Oxbow Mining LLC <br />1601 Forum PI <br />West Palm Beach FL 33401-8101 USA <br />C-S~-OZZ <br />Dane/Oz <br />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 />COMPANY <br />A <br />COMPANY <br />B <br />COMPANY <br />C <br />COMPANY <br />POLICY EFFECTIVE POLICY EXPIIIATTO <br />DATE (MM/DD/YY) DATE (MM/DD/VY) <br />09/01/02 09/01/03 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />TYPE OF INSURANCE POLICY NUMBER <br />A GENERAL LIABILITY 3710-77-65 <br />General Liability <br />~{ COMMERCIAL GENERAL LVU3ILITV <br />CLAIMS MADE ~ OCCUR <br />OWNER'SBCONTRACTOR'S PROT <br />A AUTOMOBILE LIABILITY <br />$ ANV AUTO <br />-ALL OWNED AUTOS <br />-SCHEDULED AUTOS <br />HIRED AUTO$ <br />NON-OWNED AUTOS <br />Business Automobile <br />09/01/02 1 09/01/03 <br />Division of Minerals & <br />LIMTTB <br />PRODUCTS-COMP/OP AGG $1,000,000 <br />PERSONALBADV INJURY $1,000,000 <br />EACH OCCURRENCE $1,000,000 <br />FIRE DAMAGEIAnv one frel $100.000 <br />LIMIT I $1,000,000 <br />BODILY INJURY <br />( Per Person) <br />BODILY INJURY <br />(Per accidenq <br />PROPERTY DAMAGE <br />GARAGE LIABILITY <br />-I ANY AUTO <br />EXCESS LIABILITY <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION AND <br />EMPLOYERS' LIABILITY <br />THE PROPRIETOR/ I-I INCL <br />PARTNERS/EXECUTIVE N <br />OFFICERS ARE: EXCL <br />I DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL REMS <br />Division of Minerals 8 Geology <br />Attn: Joe Dudash <br />1313 Sherman Street, Room 215 <br />Denver CO 80203 USA <br />ONLY - EA ACCIDENT <br />~ THAN AUTO ONLY: <br />EACH ACCIDENT <br />AGGREGAT <br />OCCURRENCE <br />EL EACH ACCIDENT <br />EL DISEASE-POLICY LIMIT <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION GATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LVU3ILITV <br />AUTHORIZED REPRESENTATIVE <br />Federal <br />~ -~-l_. ~~ _.E'.. ~- <br /> <br />
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