My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL51896
DRMS
>
Back File Migration
>
General Documents
>
GENERAL51896
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:37:58 PM
Creation date
11/23/2007 7:13:29 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
General Documents
Doc Date
12/31/2003
Doc Name
Certificate of Liability Insurance
From
J.E. Stovers & Associates
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
ACORD CERTIFICATE OF LIABILITY INSURANCE CSR TK DATE IMMIDDM/YY) <br />APPAL-4 12 30 03 <br />PRODUCER ~ ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Putnam Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. O. Box 991 DEC 3 i 2003 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ashland KY 41105 <br />Phone: 606-329-2200 Fax: 606-325-7787 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED ~ INSURER A: Federal Ins. Co. <br /> INSURER B: eevtuCky 6mPloyeYS Idu[ual xne <br />Bowie Resources, LLC INSURER C: <br />1500 NOrth Big Run ROad <br />Ashland KY 41102 INSURER D: <br /> <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREtN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEVMhVDD/VY DATE MM/UD/YY N LIMRS <br /> GENERAL LIABILITY EACH OCCURRENCE $ lOOOOOO <br />A X COMMERCIAL GENERALLIABILITV 37106327 05/15/03 05/15/04 PREMISES (Eaoccarence) $ 100000 <br /> CLAIMS MADE ~ OCCUR MED E%P (Any one person) $ lOOOO <br /> ' PERSONAL BADV INJURY $ lOOOOOO <br /> GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ lOOOOOO <br /> PQLICV PRO <br />JECT LOC Em Ben. 1000000 <br /> AUT OMOBILE LUIBILDY <br />COMBINED SINGLE LIMIT <br />$ 1000000 <br />A R ANV AUTO 73200465 OS/15 /03 05/15/04 (Ea accidenU <br /> ALL OW NED AUTOS <br />BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per cerspn) <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> <br />(Per accitlenU $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESS/UMBRELLA LIABILITY ~ EACH OCCURRENCE $lOOOOO00 <br />A X OGGUR ~ CLAIMSMAOE 79720965 05/15/03 05/15/04 AGGREGATE $ 10000000 <br /> <br /> DEDUCTIBLE $ <br /> X RETENTION $ O $ <br /> WORKERS COMPENSATION AND X TORY LIMITS ER <br />B EMPLOVERS'LIABILITY <br />ANY PROPRIETOR/PARTNERIE%ECUTIVE 315522 03/16/03 03/16/04 E.L. EACH ACCIDENT $lOOOOOO <br /> OFFICERIMEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $ lOOOOOO <br /> SPEC ALSPROVISIONS below E.L. DISEASE-POLICY LIMIT $ lO OOOOO <br /> OTHER <br />A Equipment Floater 37106327 05/15/03 05/15/04 $2500 Ded $6000000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT / SPECVIL PROVISIONS <br />Bowie No. 2 Mine (Permit #C-1996-083) - Township 13 South, Range 91 West, <br />6th P.M. <br />V GR r Ir1YI~ 1 C R V IYCR <br />STATE I3 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />GATE THEREOF, THEISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN <br />State of Colorado NOTICE iO THE CERTIFICATE MOLDER NAMED TDTME LEFT, BUT FAILURE TO DO SO SHALL <br />D1 V1810n of Minerals & Geology IMPOSE NO OBLIGATION OR LIABILD'V OF ANV KIND UPON THE INSURER, RS AGENTS OR <br />1313 Sherman Street, RM 215 <br />Denver, CG SO2O3 REPRESENTATNES. <br />er•ncn of ronnunRl <br />
The URL can be used to link to this page
Your browser does not support the video tag.