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GENERAL54482
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GENERAL54482
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Entry Properties
Last modified
8/24/2016 8:39:44 PM
Creation date
11/23/2007 9:32:08 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1983059
IBM Index Class Name
General Documents
Doc Date
6/25/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Attachment to ACORD Certificate for oxbow carbon & Mi neral s IIc <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the wverage <br />afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in [he policy. <br />INSURED <br />Oxbow Carbon & Minerals LLC <br />1601 Forum P1 <br />nttn: Oonna ~. Oulbransen <br />West Palm Beach FL 33401-8101 USa <br />ADDITIONAL POLICIES ff a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate fore for policy limits. <br />POLICY POLICY <br />INSR TYPE OF INSURANCE POLICY NUMBER EFFECI'fVE EXPnUT10N LII.frS <br />LTR POLICY DESCRD'rON DATE DATE <br />DESCRIPTION OF OPERATION520CATIONS/VEFUCLESIEXCLUSIONS ADDED BV ENDORSEMENT/SPECIAL PROVISIONS <br />cancellation vrovi Sion shown herein is sub7'ect to shorter or longer time periods depending on the <br />_ ~jur_i5diction_of,_and_reason_foc,_the_canceLlati on. --- - - <br />Certificate No : 570023233334 <br />
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