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GENERAL53522
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GENERAL53522
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Entry Properties
Last modified
8/24/2016 8:39:02 PM
Creation date
11/23/2007 8:41:19 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981029
IBM Index Class Name
General Documents
Doc Date
11/1/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ml mm~mmm~n~~ fll~ <br />:,(y~~.ryyy~. ,,e,, :. ~}Kt. <br />: <br />~ a/1//1t1/. <br />Tt:~ <br />~ <br />. <br />TE <br />:~ <br />~ <br />< .ILL rr{.L.I(y~-yMN ; III U <br />99B I..VE DATE LMM,DD,YY) <br />I <br />~~RA <br />: <br />V <br />~~ <br />: <br />l\ <br />I~ <br />1~: <br />:~ <br />:::: <br />: <br />~~ <br />: <br />-.:., .:,.., ...:.... ... . <br />~~ <br />~~ <br />~ l;t <br />. <br />;7:... <br />. .::~ <br />~. <br />... ...., ... ... .. ......:... .....,.. _....:: 10/29/93 <br />vliDOUCER ~ <br />~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />FLAT TOP INSURANCE AGENCY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />320 FEDERAL STREET POLICIES BELOW. <br />P. o. Box 1439 COMPANIES AFFORDING COVERAGE <br />BLUEFIELD, WV 24701 <br />304-327-3421 COMPANY <br />A <br /> LETTER <br />Lexin ton Insurance Com en <br /> COMPANY <br />INSURED LETTER B <br /> <br />SUN COAL COMPANY, INC. COMPANY <br />LETLER C <br />10,200 W. 44TH - SUITE 120 ~ <br />F1atTOp <br />WHEAT RIDGE ~ <br />~ <br />M <br />NY <br />Insurance <br /> ER <br />D <br />LE <br /> P. o. BOx 1439 <br />CD 80033 COMPANY BLUEFIELD, WV 247D1 <br /> LETTER E 304/327.1421 <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED B ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CO NDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH 7NIS <br />CER7IFICATE.MAY BE ISSUED OR MAY-PERTAIN, THE.INSURANCE .AFF.ORDED BY_THE POLICIES DESCRIBED HEREIN ISSUBJECT_7O ALL THE TERMS,. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />CO <br />L TYPE OF INEURANCfi POLICY NUMEER POLICY EFFECTIVfi POLICY EXPIRATION LIMRE <br /> GATE (MM/OD/YV) DATE (AIM/DD/YY) <br /> GEN ERAL LIABdRT GENERAL ACGflEGATE S 2000000 <br />A X COMMERCIAL GENERAL LIABILITY 930221 11/01/93 11/01/94 PRODUCTS-COMP/OP AGG. f 1000000 <br /> CLAIMS MADE ~X OCCUR. PEflSONAL 6 ADV. INJURT S 1000000 <br /> OWNER'S 6 CONTRACTOR'S PROT. EACH OCCURRENCE S 1000000 <br /> FIRE DAMAGE (Any ona Ilra) S 100OD00 <br /> <br /> MED. E%PENSE (An ona arson S <br /> AUT OMOEL.E LIAEO_RY <br />COMBINED SINGLE <br /> <br />ANY AUTO <br />LIMIT f <br /> AlL OWNED AUTOS BODILY INJURT <br />S <br /> SCHEDULED AUTOS (Par person) <br /> HIRED AUTOS BODILY INJURY S <br /> NON-OWNED AUTOS (Par ~cclJam) <br /> GARAGE LIABILITY PROPERTY <br />AMA f <br /> D <br />GE <br /> E%CEEB LIABRRY <br />EACN OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTNER THAN UMBRELLA FORM <br /> WORKER'S COMPENSATION STATUTORY LIMITS <br /> AND EACH ACCIDENT f <br /> - _ -~ ~~ <br />' - ~ ----- ~ --` - -- - - 'uISEASE-PDLICY-LIMIT-' S' - --- <br /> EMPLOYERS <br />LIASLRY <br />DISEASE-EACH EMPLOYEE <br />S <br /> OTHER <br />A Pollution 930221 11/01/93 11/01/94 E1 ,000 ,000 <br /> FG~i <br /> ~~r <br />DESCRIPTION OF OPERATIONSILOCATIONSIVENICLESISPECIAL REMS A/O <br /> ~ <br />r v ~ 1 Igg3 <br />MEADOWS MINE PERMIT NO. C-81-029 CII Y <br />l <br /> ` <br />~l)U/n7; <br /> nPr~,_ <br />G...TI:1C..A..T~:H~LD~N :..:::.::::...::...:....::...:.:.:.::::.:::::::.::::::::::::::::::::.::.:...:..:....... <br />............ ....CANGELCATIC7N.....:.:::.:::....:..:..::.::.::.::.::::.:..::::..::::..::.::.::.:::::.::..;.::.::.::.::..:::::;::.,~~.r' ::::::::; <br />........................... ... .. ...... ... ... . ................................................................... ..cfr) <br />.......... <br /> ~ <br />~: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> ~~ EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> <br />~ MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATEHOLDER NAMED TO THE <br />COLORADO MINED LAND RECLAMAT 1 O I:' LEFT, BU7 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />DIV/ATTN: MS. SUSAN MORRISON ~~~ LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. <br />>.; <br />ROOM 215, SENTENNIAL BLDG. ' ~~~~ <br />': <br />1313 SHERMAN STREET ::: AUTNO REtENTATIVE <br />-~~ i .~ jll~ 017433104 <br />DENVER, CO 80203 <br />{~I~M <br />I~{rr.~, `~~ - <br /> A ACONb.CliHNdNAT.HN1 1980 :: <br />,'~./ <br />
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