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GENERAL51534
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GENERAL51534
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Entry Properties
Last modified
8/24/2016 8:37:45 PM
Creation date
11/23/2007 6:53:37 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
1/20/1998
Doc Name
CERTIFICATE OF INSURANCE
From
HOLME ROBERTS & OWEN LLP
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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.. .. .. ... ...... ...'.'~~.~':':~'.:::'..:.".:.:..::..:..:.:.:..::.:::::.:..:::::~:.:'~: :..':.:: .:..: '.: :~ <br />A~~QRD ~ERTI~ICATE 0~ L1QBlL1T ~'~..: .: .. :.. .. .:.:. :::::::::'~~'~::.:::':~..::: ~:'~':.::: : ~::: ~::~:~.~.: DATE'.... .. ...... <br />IMM,DDmI <br />Y INSURANCE < <br /> : <br />:..' ::::...:::.::. ::.:.::.::..':: :. .:.:.:....:..~ , , ,999 <br />PRDDUCER 95459-2300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Alexander & Alexander Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aon Risk Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> <br />Fi <br />U <br />i <br />C <br />i <br />1200 <br />S ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />rst <br />n <br />on <br />enter, <br />u <br />te <br /> <br />200 E <br />B <br />d <br />l <br />d COMPANIES AFFORDING COVERAGE <br />est <br />rowar <br />Bou <br />evar <br />Ft. Lauderdale FL 33301 COMPANY <br />RE i A` FEDERAL INSURANCE CO <br />INSURED Oxbow Carbon & Minerela. Inc. <br />COMPANY <br />Oxbow Mining. Inc. ~A\1 ~ O B AMERICAN GUARANTEE & LIABILITY <br />~~~ <br />/11, <br />Attn: Brucs Clitharo GOMPANY <br />1601 Forum Place C <br />FL 33401 OIY1S(O~Of Minerals&Geobpy <br />W <br />t P <br />l <br />B <br />h <br />es <br />e <br />m <br />, <br />sec COMPANY <br /> D <br />~ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLCY NUMBER POLICY EFFECTNE POUCY EXPIMTION DMR6 <br />lTR DATE IMM/DD/YYI DATE IMMRID/YYI <br />A GEN ERAL llllBlllTY 98-371 D-42-BB 07/21 /1 997 07/21 /i 998 GENERAL AGGREGATE 1 Z, 000, 000 <br /> X COMMERCIAL GENERAL UABIUTY PRODUCTS ~ COMP/OP AGG 1 1, 000, 000 <br /> <br /> CIAIMS MADE ©OCCUR PERSONAL a AOV INJURY t 1, 000, 000 <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE 1 1, 000, 000 <br /> FIRE DAMAGE IAny one liral 1 1, 000, 000 <br /> MED EXP IAny one pereonl t 10, 000 <br />A AUT OMOBIIELIABIIfT'/ 98-7307-72-56 07/21/1997 07/21/1998 <br /> COMBINED SINGLE LIMIT / 1, 000, 000 <br /> X ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br />t <br /> SCHEDULED AUTOS IPer peraonl <br /> MIRED AUTOS <br />BODILY INJURY <br />t <br /> NON-OWNED AUTO$ IPer ecci0entl <br /> <br /> PROPERTY DAMAGE t <br /> GARAGE LLABILnY AUTO ONLY - EA ACCIDENT / <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT t <br /> AGGREGATE i <br />B EXCESS LIABILRY AU02393042 09/01 /1 997 09/01 /1 998 EACH OCCURRENCE 1 25, 000, 000 <br /> X UMBRELIA FORM AGGREGATE { 25,000,000 <br /> OTHER THAN UMBRELLA FORM 1 <br /> WC $TATU- OTH~ <br /> WOREER$ COMPENSATION AND RY IMI R ' <br /> EMPLOYEPS' LWBILLTY <br />EL EACH ACCIDENT <br />1 <br /> THE PROPRIETOR/ INCL EL DISEASE ~ POLICY LIMIT 1 <br /> PAPTNERS/EXECUTIVE <br /> OFFICERS ARE: EXCL EL DISEASE ~ EA EMPLOYEE t <br /> <br />DESCRIPTION OF OPERATIONSILOLATION6NEHICLES/6PECIAL REM6 <br />Re: Sanborn Creek Mins per Diviaicn of Minerals & Geology permit number INo. C-81.0221. <br />:::::::..:.............:::...:.::::.:::.:....:: ::.:::.:.:.::.:'.:'.::.::: <br />CERTIFICATE HOLDER ..:.:..:..:..::.~..:.:..:.::.:...: .:.:...:::.::.:..:::::: .: .:...:.:: .::.::...::....... :..CANCELLATION::.:.: ":.i .::.:::::..:...:.::.:.:,::..:.:::':.::::::.:::::!:!!.r:::.::;:::r':'i:::::::i'..'': :: <br />... ........ ..............................:... ............ ......................... ............ .......... <br /> SHOUID ANY OF THE ABOVE DESCRIBED POLICIE6 BE CANCELLED BEFORE THE <br />Division of Minerals & Geology ExPIMTIDN DATE THEREOF. THE IS6UING COMPANY WILL MaL <br />Attn: Bill Carter 3O DAYS WRRTEN NOTICE TO THE CEPTIFICATE HOIDEP NAMED TO THE LEFT. <br /> <br />1313 Sherman Street, Room 215 <br />CO 80203 24 <br />D <br />enver <br /> uTNOx~xE~ESFNr <br /> <br />I A <br />\~' <br />~• <br />, <br />.... .... ....:..:.:.....:......:.::.::..::.....:....::.:::.:...:.: ::....... ... <br />ACORD:25+S:38l95y~.;:;:::~?..:::~::::~:.;'.:~~~::;:~::::':::':".~"..'.;.:::..~::~~.:.::;:::..:~ ::::.::::::::::~: . <br />::.~~.;.',.`':~.~~~~~:'~:~~:~::."~:' .:.:~:...:::::~~~:.~".~~:~~:.::.~ A CO.tiPOiFIA`f10N~''t9eti <br />COR . <br />(ddsp126879 <br />
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