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GENERAL53734
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GENERAL53734
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Entry Properties
Last modified
8/24/2016 8:39:11 PM
Creation date
11/23/2007 8:53:12 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
General Documents
Doc Date
9/28/2001
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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...~~ ~ <br />OF tNSURA <br />RTIfIGATE <br />x1 <br />111 <br />11 <br />CE ~: DATE (MIVDD/YY) <br />hlCE ;: ` <br />® <br />,,, <br />. <br />. <br />. 10/22/1999. <br />mooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTFICATE <br />RledmaII Corporation HOLDER. THIS CERTFICATE DOES NOT AMEND, EXTEND OR <br />822 L1IICOln Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />. <br />CO 80487 <br />rin <br />Steamboat S <br />s COMPANIES AFFORDING COVERAGE <br />g <br />p <br />, <br />(970) 879-1363 COMPPNY <br />A OLD REPIIBLIC INSURA~N-yC,~rE~C-OMPANY <br />INSURED COMPANY <br />ENERGY FIIELS COAL INC., ENERGY a <br /> <br />FUELS CORP . ETAL n <br />COMPANY Q r, T / ~ 199g <br />h~ 1 <br />P.O. BOX 773457 c <br />STEAMBOAT SPRINGS CO 80477 cOMD y DivisionolMiner <br />l <br /> B <br />s8G601 <br />CO.. G.6..:. <br />., <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE l1STE0 BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 10 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR OF DISURANCE <br />r~ FOLN:Y NUMBER POLICY EFfECIIVE <br />DATE (MWDDR'Y) POLN:Y F1fPINATNIN <br />DATE (MNmD/S'Y) lJNifS <br /> GEN ERAL WBBITy GENERAL AGGREGATE fZ.OB8,000 <br />A COMMERCIAL GENEHPI LIA <br />BILRY ZY591T5 10/01/99 1O/O1/OO PRODUCTS-COMPrOP AGG 52.000,000 <br /> l <br />CWMS MADE CJ OCCUR PERSONAL 8 ADV INJURY 32x000,000 <br /> OWNERS 8 CONTMCTOR'S PROT EACH OCCURRENCE f2x000x000 <br /> FIRE DAMAGE (My one !ie) S 50x000 <br /> MED EXP (My one permnl S 18,000 <br /> AUT OSM)BLLE WBYJTY <br /> COMBINED SINGLE LIMIT S <br /> ANY AUTO <br /> ALL OVMED AUTOS <br />BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Per parmn) <br /> HIRED AUTOS BODILY INJURY f <br /> NON-OWNED AUTOS (Pei acctlenl) <br /> <br /> PROPERTY DAMAGE f <br /> GAR AGE OABIIT' AUTO ONLY - EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE S <br /> FJICE34 UABLLITY EACH OCCURRENCE S <br /> UMBRELU FORM AGGREGATE S <br /> OTHER THPN UMBRELLA FORM S <br /> WORNEIIS COMPENSATpM AND STANTORY LIMITS _ __ <br /> EMPLOYERS' WBDJT/ <br />EACH ACCIDENT <br />S <br /> THE PROPRIETOR/ INCL DISEASE ~ POLICY LIMIT S <br /> PARINERSENECUTIVE <br /> OFFICERS ARE: E%CL DISEASE -EACH EMPLOYEE S <br /> OTHER <br />DESCRIPTgfI OF OP6IATNNIShOCATgNSIYEHICIESISPEC1Al RE134 <br />All operations conducted by Insured at Kerr Mine - CDMG, <br />Jackson County, Colorado. Permit C-80-006 <br />.CERTIPICATE::'HOE:Dl~R;:~::::::.::::'~:::'.:::~:::::~: ~~':~:::::::~:.:.::::;.::. ~::::::::;:::::: ~.:::.::: :~~::~::::'::::::;.::::~:~:. 'CAN.CEI:LATN7N~:~: ~:.::::..;::.>:'::;::.~:.~:.:.:;;:'.>:.:::::~::~::::~::::::':::::::::::::'::::'::::::::::::.:~::.'..::::. <br /> SHOULD ANY OF 7ME ABOVE DESCRIBED POLN;IES BE CAN <br />CEL <br />L <br />E <br />D <br />BEFORE THE <br /> y <br />A <br />L, <br />~ <br />µ <br />EIfPV1ATgN DATE THEREOF, THE 199UWG COMPANY WILL rIYE'1Tri~ MAIL <br /> 30 <br /> DAYS WRffTEN NOTICE TO THE CFATIFlCATE HOLDER NAMED TO THE LEFT, <br />Colo. Dept. of Natural Resources ,~,~}6~~jk~T~~ <br />Division of Minerals & Geology ~ <br />1313 Sherman Street, Room 215 AUTNOR ESENTATIVE <br />Denver ICO 80203 (, <br />ACORD:ESS: <br /> <br />®.. O :CORPOR TIG!N 1993..: <br />AC R <br />
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