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GENERAL52074
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GENERAL52074
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Entry Properties
Last modified
8/24/2016 8:38:04 PM
Creation date
11/23/2007 7:26:41 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
General Documents
Doc Date
9/3/1999
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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1111111111111111 <br />11111111911111111 ...........:... ...:..... <br /> <br />E <br />Lf <br />L :::: , ..:. .. <br />DATE (MM/DOM'1 <br />l <br />ERTLF.tCAT <br />:aF:: <br />AB:I <br />LT <br />~ ~ ~ Y. <br />.NS:U:RANCE::pa~e~:pF.. z.- 3-6EP-,999 <br />PRODUCER <br />124761 THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION <br />Willis Corroon Corp. of Birmingham ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE <br />600 Shades Creek Parkway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Suite 6000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PO Box 11587 (35202) COMPANIES AFFORDING COVERAGE <br />Birmingham AL 35209 <br />(205) 871-3871 I COMPANY National Union Fira Ins. Co. of Pittsburgh, PA <br />Lisa J. Birchfield, CIC, CISR A _ <br />------ <br />INSURED <br />COMPANY <br /> B <br />LORENCRO COAL COMPANY. LLC <br />C/O AL PERRY COMPANY <br /> C <br />9203 PETERSBURG ROAD <br /> <br />EVANSVILLE IN 477,1 COMPANY <br /> D <br />~ <br />TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED <br />INDICATED. NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />CO IYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LRA175 <br />LTR DATE (MM/DD/YY) DATE (NNIDD/VY) <br />A GE NERAL LIABILITY GL5440348RA 01JUL-,998 0,-NOV-,999 GENERAL AGGREGATE f 2.000,000 <br /> COMMERCIAL GENERAL LIABILITY PROOUCTSCOMP!OP AGO f 1.800,000 <br /> CLAIMS MADE [X] OCCUR PERSONALA ADVIWURV f 1.008.000 <br /> OWNER'SB COY(RACTOR'S PROM EACH OCCURRENCE f 1.000.000 <br /> __ FlRE DAMAGE IAny oneLro f 50.000 <br /> MED EXP An one arson 5.800 <br /> AUT OMOBILE LIABILITY <br /> ~ COMBINED SINGLE LIMIT f <br /> ANYAUTO <br /> ALL OWNED AUTOS BODILY INJURY f <br /> SCHEDULED AUTOS (Par person) <br /> H HIRED AUTOS BODILY INIURV <br />f <br /> NON-0WNEO AUTOS (PeraccEent) <br /> PROPERTY DAMAGE f <br /> <br /> GA gAGE LIABD7fY AUTOONLV -EA ACCIDENT S _ <br /> ANV AUTO OTHER THAN AUTO ONLY. <br /> EACH ACCIDENT S <br /> AGGREGATE <br /> EXCESS LU1BILffY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM <br /> WC STATU- OTH- <br /> WORK£ReCOMPENSATpNAND- - _ TORY LIMITS <br /> EMPLOYEgS' WBIUTY <br /> EL EACH ACCIDEM f <br /> THE PROPRIETOR/ <br /> PAgTNERS/E%ECIRIVE INCL EL DISEASE-POUCYUMIi f <br /> <br /> OFFICERS ARE. E%CL EL DISEASE{AEMPLOVEE <br /> OTHER <br />DESCRIPTION OF OPERATN)Nf/LOCATIONS(VENM;LES/SPECIAL ITEMS <br />SEE ATTACHED <br />:C.ERTIF1CAtE~HOLDBP~~:~:~.~:~:~~~~::-~~~;:~.:-~;~'.::::~::-:.:~:::::~::-..~::.-~:~.~::.:.~;:::;~::~~;~::~:':~ ~CA..NCELCATION~.:~:~:~fOdaY:eaneel~tl?n.:tor.iioPPBY:.:~:~~:~.~::~:~.~.:.:~.::..... ~::~::~::~.:: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%P N1ATgN OPTE THEREOF, THE ISSUING COMPANY WILL >ENODTryY/ORY XN MAIL <br /> 3O _ GAYS WRITTEN NOTME TO THE CERTIFlCATE HOLDER NAKED TO THE LEFT, <br />COLORADO DIVISION OF MINERALS AND GEOLOGY BIIx FANDiE7nrX 1MNN1611gNMOif~% NNMIBBl IICIISNXNiiIDN(rtacroltaNXTN1%X <br />7313 SHERMAN STREET NN%%NKNx%TNBfX %i0C(%A6NNM%Oil%TR~RBBBNrk>tNlBM(X% <br />DENVER CO 80203 AUTHOR ED PRESENTATIVE <br />~:ACORI)25'~S 1 S ~:i.: ~.: ~:.:~.::~; r.:~: :::: ~:~~~ ~:~';~~:::: ~: .... ~:~.Vg3U0US2~: ~.'.~~.: ~: ~:.'~~:: ~.'~ :'~: '...'i::'.:,~~:.':~.~: ~...':::::~..:.:.'.:: ~: ~.: ~:: ~:.':;~:::::: ~®~:A~ RO GORPORA`t,ON 1888:' <br />
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