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GENERAL51233
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GENERAL51233
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Entry Properties
Last modified
8/24/2016 8:37:38 PM
Creation date
11/23/2007 6:37:51 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
General Documents
Doc Date
9/6/2006
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Attachment to ACORD Certificate for Nat; ondl King Coal, LLC <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of [he <br />coverage afforded by the insurer(s). This attachment does no[ contain all terms, conditions, coverages or exclusions contained in the <br />policy. <br />MSURED <br />Natl Ondl K10(f COdI, LLC <br />4424 county Road 120 <br />Hesperus CO 81326 OBa <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to [he corresponding policy on the ACORD <br />certificate form for policy limits. <br />~~ INBRDI TYPE OF niSURANCE I PoLPoICY DESCMRIP'1'ION I PoEFFDCT~mI tVE I EXPntA~ONI L~~ <br />DESCRIPTION <br />ADDED BY <br />Re: OSM Permit co-0106; CDRMS Permit Co-1981-035. <br />Colorado Division of Reclamation, Mining & Safety is named as an additional insured as required by <br />-written--contract-but-'-invited-to~the-operations'of'tfie In"cured"under' Baia cdntracf,~and aiways subject to <br />the policy terms, conditions and exclusions. <br />Certificate No: 670019242072 <br />
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