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GENERAL53034
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GENERAL53034
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Last modified
8/24/2016 8:38:43 PM
Creation date
11/23/2007 8:15:48 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
7/26/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~',"'\" <br />III III 111111 IIII III ISSUE DATE (MMIDDIVV) <br />~ OC ~ <br />~~~~ <br />~ <br />• e <br />V <br />\ <br />W r l~V~ <br />~ <br />u <br />~„ <br />PRODUCER T <br />HIS <br />CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO D <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />: ~^ick J_m.•5 of T\'i [nC, POLICIES BELOW. <br />., f3 Y 1 13..-~ COMPANIES AFFORDING COVERAGE <br />, :Ip is. Tn 1"9 <br /> COMPANY <br />~!. ~ I C/ ~j ~ ~1 <br /> A <br />LETTER r'i <br /> r'E!a ari..l TRSUr-nCa ', O. <br /> COMPANY B <br />INSURED LETTER _ _, <br /> <br />~ <br />~ <br />! <br />~ <br />~ ~ <br />~~ ~• <br /> ~ <br />-• <br />~- <br />COMPANY <br />Y/ ~~ ? <br /> C <br />LETTER <br />~"~ <br />;`11=.:,m~ Pork Coma_ny <br />•. C. ~J% 1 ;~ COMPANYD <br />LETTER JUL 261991 <br />Lr ~1- C.'1 J1 ,~L,. <br /> COMPANY E <br /> LETTER NITEI] c~(IG <br />~¢venac Reclamation Ivlslon <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE (MM/DD/V V) DATE IMMIDDIVY) <br />GENERAL LIABILITY s?1~'JJ1:` ?~ ~•~~ `1 7~~ ]~~~ GENERAL AGGREGATE f )"111 .71]x', <br />COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP/OP AGG. S 111 (I1\ 17i <br />CLAIMS MADE x OCCUR. PERSONAL 8 ADV. INJURY S 1 ^ U <br />1 ~~ r` <br /> U <br />OWNER'SBCONTRACTOR'SPROT. EACH OCCURRENCE E 1~"iJ1Jp' <br /> FIRE DAMAGE (Any one lire) f 1 r' ~ (" J 1 <br /> MED E%PENSE IAny ono penan) f <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE <br /> <br />ANV AUTO f <br />LIMIT <br />ALL OWNED AUTOS ' <br />BOOILV INJURY <br /> <br />SCHEDULED AUTOS f <br />(Per person) <br />HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS f <br />(Per ecclEenl) <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE E <br />EXCESS LIABILITY EACH OCCURRENCE f <br />UMBRELLA FORM AGGREGATE S <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION STATUTORY LIMITS <br /> EACH ACCIDENT f <br />AND <br /> DISEASE-POLICY LIMIT f <br />EMPLOYERS' LIABILITY <br /> DISEASE-EACH EMPLOYEE S <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />CERTIFICATE MOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />.olor.~ ] Mina Lrnd R..lamrti.on MAIL~_OAVSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHE <br />.LV 1: i.On Attn: Tony 'r'a.ldro.i LEFT, BUT FAILURE 70 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />1 ?1) _,'- ~ r m ~ n S t r e . t LIAR OF ANV KI UPON THE PANY, ITS AG OR REPRESENTATIVES. <br />' 1 E n V~ r/ C O ~ ~ ~' ~ qU D REPRE TIV <br /> ~ ~ <br />AC9F~¢ 25•S i/9A) OACGR¢ CORP19Ry-710N f 99 <br />!- G't <br />
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