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GENERAL51525
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GENERAL51525
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Last modified
8/24/2016 8:37:45 PM
Creation date
11/23/2007 6:53:24 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981053
IBM Index Class Name
General Documents
Doc Date
8/28/1987
Doc Name
Certificate of Insurance
From
BLUE FLAME COAL CO
To
MLRD
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />n. _ '3.r <br /> _ _ ~. ...• <br />. <br /> roDnr~ <br />Issu <br />®~ ® ~ • , <br />8 D27 ~87 <br />aw~rhh~~~r <br />:"-i"y' THIS CERTIFICATE IS BiSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />PRICE INSURANCE AGENCY EI(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />BOX 871 <br />P <br />O <br />. <br />. COMPANIES AFFORDING COVERAGE <br />PRICE, UTAH 84501 <br />801-637-3351 LETTERNY A ROYAL INSURANCE CO. <br /> COMPANY s <br /> LETTER <br />INSURED <br /> COMPANY <br />C <br />EON, INC. L~R <br />INTERWEST PRECISION EN TERPRISES, <br /> ANY p <br />P . O . BOX 21 LETTER <br />UT 84542 <br />WELLINGTON <br />, coMPaNr E <br /> LETTER <br />~ .. <br /> <br />THIS 19 70 CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TXIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POI.NYES DESCRIBED HEREIN t5 SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- <br />TIONS OF SUCH POLICIES. <br />CO <br />TYPE OF INSUR <br />E <br />Y NUMB PoLILY EFFECTNE POLICY E%PIRATIDN LIABILITY LIMITS IN THOUSANDS <br />LTR ANC POLIC <br />ER pATE IMMNDM'I DATE (MM~ODA'r) EACH <br /> <br />OCCURRE AGGREGATE <br /> G ENERAL LIABILffY <br />BODILY <br />INJURr <br />~ <br />$, <br /> x COMPREHENSNE FORM <br /> x PREMISESIOPERATIONS <br />UNDERGROUND <br />PYAG 9419 <br />7-13-87 <br />7-13-88 PROPERTY <br />DAMAGE <br />$ <br />$ <br /> E%PLOSION 8 COLLAPSE HAZARD <br />fl x PRODUCTSICOMPLETED OPERATIONS <br /> CONTRACTUAL COMB NED $ 1 , OOO $ I , OOO, <br /> x INDEPENDENT CONTRACTORS <br /> x BROAD FORM PROPERTY DAMAGE <br /> X PERSONAL INJURY PERSONAL INJURY $ <br /> A UTOMOBILE LIABILITY ~ BCBLr <br />°~ $ <br /> ANY AUfO Iv <br />En fER~ <br /> AIL OWNED AUTOS (PRIN. PASS.) BOGLr <br /> ALL OWNED AUTOS 16RHV RPTAH~ANI <br />// jpq ~ppm $ <br /> HIRED AIJFOS E $ <br /> NON-0WNED AUTOS _ <br />r' DAMAG <br /> GARAGE LIABILIiV ~ ~ ~ ~ ~~ '~ 91 6 PD <br /> $ <br /> COMBINED <br /> EXCESS LuBILfTY AU G 311981 <br /> UMBRELLA FORM BI a PD <br />COMBINED <br />$ <br />$ <br /> OTHER THAN UMBRELLA FORM INIIVtI] I e <br /> <br />WORKERS' COMPENSATION ECI.AMA~'iOIV aiViS!O, STATUTORY <br /> <br />AND ~ (EACH ACCIDENT) <br /> <br />EMPLOYERS' LIA (DISEASE~POLICY LIMft) <br /> BILITY $ (DISEASE~EACH EMPLOYEE( <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS <br />STATE OF COLORADO DEPT OF NAT. RES <br />MINED LAND RECLAMATION DIVISION <br />423 CENTENNIAL BLDG 1313 SHERMAN ST <br />DENVER, COLORADO X0203 <br />',SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br />PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70 <br />AU\IL~QDAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE <br />LEFT, BUT FARURE TO MAIL SUCH NOTICE IMPOSE NO BLI~ K)N OR LUUBRITY <br />OF ANY KIND UPON THE COMPANY, ITSTS OR RF,PR@SO ~TA~IVES. <br />ROY A. NIKA <br />
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