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GENERAL51566
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GENERAL51566
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Entry Properties
Last modified
8/24/2016 8:37:46 PM
Creation date
11/23/2007 6:55:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
General Documents
Doc Date
9/23/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIIIIII <br />y, <br />_ <br />AININtU -- _c. aNals GTi pA400/TYJ <br />_ : ~ ~ <br />`~ <br />. .. <br />~,,, <br />~ 9/18/94 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF UIFORMATION ONLY AND <br />Acord I • of Lex I ngton CONFERS NO RIGHTS UPON THE CEATIFICATE HOLDER THIS CERTFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />•xington Green TWO ,Suite 410 POIJgES BELOW. <br />_01 H I eho 1 uv i l l • Raad COMPANIES AFFORDWG COVERAGE <br />Lexington, KV 40603-3311 <br />808-273-6800 <br /> ~~ A <br /> Fedarsl Ineuranee Company <br /> coIrANY <br />MaUllm LLTiFTi B <br /> <br />Whits Oak Mining 8: Conet. Ca. cavANY ..~ ~~ <br />C <br />` <br />9 Grand Valley Coal Cempsny ~~ <br />`~F <br />~,~~ <br />P. O. Box 1409 ' <br />~ <br />P i k e v i l l e L>_TTFn <br />SF <br />KV 41601 ANY <br /> E l <br />M <br /> ~.I <br /> <br />TWS IS TO CERTFY THAT THE POLICIES OF WSURANCE LISTED B ELOW HAVE BEEN ISSUED TO THE WSURED NAM ABOVE FOR THE POLJCY PERIOD <br />WDICATED <br />NOTWTTHSTANDWG ANY REOUaiEMENi <br />TERM OR CO NDITION OF ANY CONTRACT OR OTHER DOCUMEM WITH RESPECT TO W WCH TWS <br />, <br />, <br />CERTFICATE MAY BE ISSUED OR MAY PFATAW, THE WSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREW K SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDET1ON5 OF SUCH POLICES. LYAIT6 SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />~ 7YM W NalalANOi POLICY NIeYG -OL.ICI ETiECTIYi -OLIGY E7RalATp Leelt <br />L DATE(I0A/00/YY7 GTE (Ia1/OD/YY) <br /> OEM GALLWa.IIY 6ENEflAL A66RE6ATE f 2000000 <br />A X CoMA~au GENERAL UASILIT7 3710-45-17 9/18/94 9/18/95 ppT10UCTS{LMP/OP A66. f 2000000 <br /> <br />.~.~ CWYS MADE a Or1T11L PERSONAL S AOY. INJUIIT f 2000000 <br /> Oa7ERS 6 rbRRACrOR'S PROT. EACN Otl7PWFNCE t 2000000 <br /> FIVE OAMA6E U orN Iln) f 100000 <br /> MED. E%PENSE IAn On. a f 1 OOOO <br /> AIJT OYgau LWIJIT rAMBINEO SIM61E <br />f <br /> X ANT Auro BAP7320-39-21 9/16/94 9/18/95 UMIT 2000000 <br /> <br /> Au owlsa Auras eaoar INIURr f <br /> 6'a puwN <br /> ernerE~m AUTOS <br /> X HIRED AUTOS BOOILI INJURY ! <br /> X Non-0aTan AUTOS ~e ~ccla.na <br /> <br /> GARAGE UABIUTT PROPERTY OAMA6E f <br /> <br /> EECafa LMaaJ77 EACH OCCURRENCE f <br /> INMRBIA FdW AGGREGATE f <br /> OTHER THAN UMBREUA FORM <br /> WOIIIOER7COIlO/aATNIN STAMOm UMITS <br /> EACN ACCIDENT f <br /> AND <br />f <br /> a15EA5E-POLICI LIMIT <br /> ovtorurLWLRT <br />mSEASE-EAa EMPLmEE <br />S <br /> oTNa <br />eEaCllPifON OP WGATNINLAGTNINt1YENK1EaAN+ECW. REIU <br />As respects: Mins No. 1, located •t McL ane Canyon on S. R. 139, 19 miles <br />north of Loma, Colorado: Mina No. 2, lo cated •t Munger Canyon on S. R. 139 <br />about 18 mila^ north of Loma, Colorado. REVISED TO INCLUDE EXPLOSIVE COV. <br /> <br />... ....a<«.a <br />~'a`°..>;:«:sle' .y x..^.wsCAkCES1A.c.~... .: «.wa:t::., s.:. <br />~. z.~.,.._..d.~' f.:3~yiw£bsa':Tmtiv:.x^:.,o...~........,...~.~........::~.a.:v:G:B::^u ~v'1«:o:w:.&3::~v~~"na~v ~.,.. .~,..c...,:"u.~ao$.'NS•.:&.:w`a:.:.~...,..#aeu~:`,~'i~o <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> %~^ EKPU7ATION DATE THEREOF, THE ISSUING COMPANY Wa1 ENDEAVOR TO <br /> %~ MAIL 30 DAYS WRITTENNOTICETO THECERTIFICATEHOLDERNAME:DTO THE <br />Division of Minerals and <br />I ~`°F <br />4i LEFT, BUT FAU.URE TO MAIL SUCH NOTICE SHALL GPOSE NO OBLIGATION OR <br />Gee logy fi3 AGENTS OR REPITESENTATIVES. <br />~;,f LIABILITY OF ANY KIND UPON THE COMPANY <br />1313 She rmsn Street, Rm.215 , <br />„? <br /> <br />Denver, CO 80203 A~oa® EsiNTAT1YE <br />069353000 <br />N ..:;. .. . &, . <br /> <br />:~~. _ ._._.._:m~Y. _.,~. _~.~~`.>..~.. .SY P~n,.~.Uwi: <br />~.. <br />yes' .rte ..~.~~~r:~:~ <br />'Se:'A.~.~,~.L~i".'Y1::c..,_.,...~~~`.. ._~E~.Y~. 3'V.^,^_avv~.,~~.. rc._..._ .~^{}W~:3~~Y~.. <br />
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