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GENERAL53215
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GENERAL53215
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Entry Properties
Last modified
8/24/2016 8:38:50 PM
Creation date
11/23/2007 8:26:29 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980004
IBM Index Class Name
General Documents
Doc Date
8/29/2002
Doc Name
Certificate of Insurance
From
Acordia of Kentucky
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACOR <br />D <br />'" CEItTIFIGATE t3F LIAB tiwoonr> <br />ILITY INSURANCE <br /> I <br />R 29 / <br /> PRODUCER ~ ~ ~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHT$ UPON THE CERTIFICATE <br /> Acordia of Kentucky-Lax HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Lexington Green Two, Suite 410 <br />RECEIVED ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. <br /> 220 Lexington Green Circle COMPANIES AFFORDING COVERAGE <br /> Lexington KY 40503-3317 RUG 2 9 2002 COMPANY <br /> (8591 273-6600 A Federal Insurance Company <br /> INSURED <br />d G80 0 ~OMPANY <br /> ~y~OD Of MIRBTeIS 60 <br />B <br />D <br />( <br />P <br /> osse <br />abtar <br />n <br />Lodestar Energy, Inc. <br /> Lodestar Holdings, Inc. Debtor in Possession COMPANY <br /> 251 TollaBe Creek Road C <br /> Pikeville, KY 41501 COMPANY <br /> D <br /> Cav~RAC~s ! `.. <br />.: <br /> __ <br />._ <br />THIS ISTO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED TO THE INSURED NAMED ABO VE FOR THE POLICY PERIOD <br /> NO7 W ITHSTANDINGANYREOUIREMEN7,TERMOR CONDITIONOF ANYCONTRACT OR O7HERD000MENT W ITHRESPECTTO W HICHTHIS <br />INDICATED <br /> , <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION <br />LIMRS <br /> LTR DATE (MMIDDIYY) DATE (MMR)DIYY) <br /> A GEN ERAL LIABLRY 37111001 8/31!02 8/31/03 GENERAL AGGREGATE t 2,000,000 <br /> X COMMERCIAL GENERAL LIABIL ITY PRODUCTS~COMP/OP AGG 4 2,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY 3 1,000,000 <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> FIRE DAMAGE (Any one fire) 4 500,000 <br /> MED E%P (Any one person) $ 50,000 <br /> A AUT OMOBO.E LIABILRY 73518090 8/31/02 8!31/03 COMBINED SINGLE LIMIT $ <br /> X ANV AuiO 1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY t <br /> (Per person) <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY q <br /> {pet accidenU <br /> % NON-OWNED AUTOS <br /> PROPERTY DAMAGE g <br /> <br /> GARAGE LIABD.RY AUTO ONLY ~ EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT 4 <br /> AGGREGATE Y <br /> E%CESS LMBRRY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE 4 <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION AND WC S ATU~ OTH- <br />T I R <br /> EMPLOYERS' LIABB.RT <br />EL EACH ACCIDENT <br />t <br /> THE PROPRIETOR/ INCL EL DISEASE~POLICY LIMIT $ <br /> PARTNERS/E%ECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EA EMPLOYEE <br />S <br /> OTHER <br /> DESCRIPTION OF OPER ATIONSA.OCATIO NSIVEHICLESISPECIAL1TEMS <br /> Yine #1 Looatad et Yetlans Canyon, Ylne #2 Loeatad at Yungar Canyon, Permit #C-80-004 and C-B1-02D. <br /> GERT3FICAFE HOLDER GANCELLATi(IN .. .. <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Colorado Division of Minerals EXPIRATION DATE THEREOF, THE ISSUING COMPANY WRl ENDEAVOR TO MAIL <br /> and Geology 30 DAYS WRRTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 1313 Sherman Street YYY76Y11(YRYIBtl(XYYI(k%XMYXYIB(BK)tl{YYYX1110Yd1YB)NtlDtltl(1lBXY1tHK)tlp(ILINBII(M70(X <br /> Room 215 0,~( 707KRX%YXMkXRX00(7CRINIPAR(Y(XXRXX700WtY'/W(XARX~L <br /> Denver, CO 60203 AUTN R RESFJtfAT17fB ~ <br />{ <br />~ <br />/ <br />// <br /> `~-~-' Philip B. Gihcon <br />fl <br />-j <br />l /V <br />`.v <br /> ACO!?D28~S 1~9$ ~SACORDCORPORATIpN#868s' <br /> CERTIFICATE: 001/001/ 00001 <br />
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