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GENERAL51911
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Entry Properties
Last modified
8/24/2016 8:37:59 PM
Creation date
11/23/2007 7:13:58 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
6/5/2006
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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[ DATE(MM/DD/VY) <br />ACORD,. I CERTIFICATE OF LIABILITY INSURANCE C oe/oi/o6 <br />ruoureEU <br />AOn Risk $erVlCeS, IDC Of FlOridd THIS CERTIFICATE IS ISSUED AS A DIATTER OF INFORAWTION ONLY <br />222 Lakeview Avenue AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />$ui to $10 CERTIFICATE DOES NOT A$fENU, EXTEND OR ALTER THE <br />West Palm eedCh FL 33401 USA RECEIVE OVER4GE AE'FORDED Ri'THE POLICIES BELOW. <br /> <br /> INSURERS AFFORbINC. COVERAGE <br />rxose~ 866 2837124 FAX 866 430-103$ <br />IsscRED~ JU~ ~ cJ ZO <br />~ 'suaeRn: Hartford Fire insurance fo. <br />Oxbow carbon <br />& Minerals LLC LRSURERB: Federal Insurance Company <br />1601 FOPUm P1 <br />Attn: Donna ]. Gul bransen <br />f kti <br />l <br />i <br />Di <br />i <br />& G <br />Rc <br />nera <br />s <br />v <br />on o <br />s <br />West Palm Beach FL 33401-8101 u$A <br /> <br /> l.VSCREft D: <br /> ISSCRER E: <br />COVE GES This Certificate is not intended to s cifi⢠all endonemenls. corers es, terms. conditions and exclusions of the licies shown. SIR May App y <br />THE POLICIES OF W SURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOV E WR THE POLICY PERIOD W DILATED .NOTWITHSTANDING <br />ANl' REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO N'HICH THIS CERTIFlCATE MAY BE ISSUED OR MAY <br />PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRLBED HEREIN IS SUBIECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LR4TS SHOM'N MAY HALE BEEN REDUCED BI' PAID CLARIS. <br />65R <br />LTR <br />TYPE OF ISSL'R{NCE <br />P(ILICI']0]IBER POLICY EFTECrI\' <br /> <br />' POLIO' EXPIIUTIOS <br /> <br />' <br />' <br />LDIITS <br /> DATFA.\IAfIDDO <br />V) DATEPIM\DUf1 <br />] <br />1 <br />B GENERAL LL\BILITI' 35663379 <br />i 06/01/06 06/01/07 EACH OCCURRENCE 51,000,000 <br /> General Liab <br />lity <br /> X CO\i)IERCIAL GENERAL LIABILITI' FlRE D.4\tAGE(MVnrc Crtel ~1, OBD, DDG <br /> CLAI)1591ADE ^X OCCUA ?IFD Ex-(An. me rrnon) 510,000 <br /> PERSONALS ADY LUCRI' 51,000,000 <br /> GENERAL AGGREGATE 52,000,000 <br /> <br /> GEC L AGGREGATE LI\IR APPLIES PER: <br /> PRODCCrS-CO\(P/OP AGG SZ, 000,000 <br /> PRO- <br />~ <br />~ <br /> POLICY <br />LOC <br />IECr <br />A <br />A ~ <br />1T0110tlILE LIABILTTI' 20UENZ06228 09/01/05 09/01/06 <br />COMBIKED SL\GLE LI\/R <br /> Business auiomobi le IE, acidcnn 51,000,000 <br /> X ASY ALTO <br /> ALL OU]'ED dCTOS BODIES ISNRY <br /> SCHEDCLED dLT05 I Per pcrwol <br /> HIRED dLTOs <br />BODILI'LCICRV <br /> (~ uacdem) <br /> NOS Ow:NED ALTOS <br /> PROPERTI'DA\IAGE <br /> (Per actlcnp <br /> <br /> GARAGE LUBILITI' ALTO ONLY - IiA ACCIDE?T <br /> ANl' AUTO OTHER THAN EA ACC <br /> AUTO ONLY: <br /> AGG <br /> ElCE55 LL16tLIT1' EACH OCCURRENCE <br /> OCCUR ~ CLANS MADE AGGREGATE <br /> - __ - - _ '~_ _ _ _ -_ <br /> DEDUCTIBLE <br /> RETENTION <br /> \\'ORKERB L'OpIPESSATION AND <br />' <br />' <br />' R'C STATU- OTH- <br />ORY IA11T5 ER <br /> EMPLO\ <br />ERS <br />LIABx.IT1 E.L EACH ACCIDExT <br /> E.L DISEASE-POLICY LI\IIT <br /> E.L. DISEASE-EA EMPLOYEE <br /> OTHER <br />DESCRIPI'IOS OF OPERATION540CATIONSNEHICLES!EXCLUSIONS ADDED Bl' ENDORSEMENTlSPECIAL PROVISIOSS <br />CERTTFIC TE AOLDER ~ CANCELLATION - - <br />Ml Ded Land Reclamation DIV. SHOULD ARI'OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TI{E EXPIRATION <br />1313 Sherman St, ROOM 215 DATE THEREOF. THE ISSUING COMPA91'wILL ENDER\'OR TO MAIL <br />Denver CO 80203 USA 311 DAYS w'RITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT. <br /> BUT FAILURE TO W SO SHALL IMPOSE NO OBWOATIOR OR LIABILITY <br /> OF ANY xIND UPON THE CO\1PA.NY-ITS AGE\TS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE -/,` <br />/ <br />/~J~ <br />,~,,.y__ <br />C` <br />Y <br />! <br /> , <br />-'_ <br />_ <br />! <br />. <br />A ORD 25-5 71 7 - AC R <br />ORPORATIDN 1988 <br />i <br />c: <br />J <br />S_ <br />L <br />r <br />N <br />Obi <br />0 <br />O <br />n <br />N <br />z' <br />.` <br />r <br />J <br /> <br />
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