My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL54843
DRMS
>
Back File Migration
>
General Documents
>
GENERAL54843
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:39:59 PM
Creation date
11/23/2007 9:51:21 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
General Documents
Doc Date
9/22/1998
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
.. .:...... .... .... .. ... ...~ ... .. .: III IIIIIIIIIIIII III':::::::::.:'....DATE (AIMIDD/rYl ~'.. <br />ac~n:ir. CERTIFI~I4TE `' QF INSURANCE <br />999......... 9,22,98 <br />~PROOUeER ~ ~ ~~ ~~ ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Acordie of Kentucky-Lax ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lexington Green Two, Suite 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />220 Lexington Green Circle COMPANIES AFFORDING COVERAGE <br />Lexington, KV 40503-3311 COMPANY <br />606-273-6600 A Netl Union Fire Ins Co of PA <br />INSURED COMPANY <br />Grand Valley Coal Co. B Federal Insurance Company <br />P.O. Box 70 COMPANY <br />Loma, CO. 81524 C <br /> COMPANY <br /> D <br />couERa(~s::. <br />THIS IS 70CERTIFY THAT THEPOLICIESOFINSURANCELISTEDBELOW HAVE BEENISSUED TO THEINSURED NAMED ABOVEFOR THEPOLICY PERIOD <br />INDICATED,NOTW I7HSTANDINGANYREOUIREMEN7,TERMORCONDI710NOFANYCON7RACTOROTHERD000MENT WITHRESPECTTO WHICHTHIS <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 TYPE OF INBURANCB POLICY NUMBER POLICY EFFECTIYE POLICT EXPIRATION LIMITS <br />LTR DATE (MMIDDIYY) DATE (MMR)DIYY) <br /> GE NERAL LIASB.ITY GENERAL AGGREGATE f 2000000 <br />B X COMMERCIAL OENERALLIABILITY 3710-45-17 9/16,96 9/16/99 PRODUCTS~COMP/OPAGG f 2000000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY f 2000000 <br /> OWNER'S f CONTRACTOR'S PROs EACH OCCURRENCE f 2000000 <br /> FIRE DAMAGE (Any onP fire) f 1 QQQQO <br /> MED E%P (Any ono person) f 1 OOOO <br /> AU TOMOBILE LIASRITY <br />COMBINED SINGLE LIMIT <br />f <br />B X ANY AUTO BAP7320-38-21 9/16/98 9/16/99 2000OQO <br /> ALL OWNED AUTOS BODILY INJURY f <br /> SCHEDULED AUTOS (Per person) <br /> X MIRED AUTOS BODILY INJURY f <br /> X NON-OWNED AUTOS (Per acc~tlent) <br /> <br /> RECEI ED PROPERTY DAMAGE f <br /> <br /> <br /> GARAGE LIA90-TTY AUTO ONLY ~ EA ACCIDENT f <br /> ANY AUTO SEP 2 5 qq <br />,~,J <br />~ OTHER IMAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE S <br /> EXCESS LIABILRY DIV. OF MI ERALS EACH OCCURRENCE f <br /> UMBRELLA FORM & GEOL GY AGGREGATE f <br /> <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br />_A EMPLOrERB~uAaILRY -- WC565-43-99 6!01!98 6!01!99 EACH ACCIDENT s 1000000 <br /> THE PROPRIETOR/ <br />PARTNERS/E%ECUTIVE INCL DISEASE ~ POLICY LIMIT S 1000QQQ <br /> OFFICERS ARE: E%CL DISEASE EACH EMPLOYEE S 1000000 <br /> OTNFR <br />DESCRIPTIDN OF OPERATKINSAOCATIONa/YENICLEa/aPEG1AL ITEMa <br />As respects: Mine No. 1, located at McLane Canyon on S. R. 139, 19 miles <br />north of Loma, Colorado: Mine No. 2, located at Munger Canyon on S. R. 139 <br />about 16 miles north of Loma, Colorado. INCLUDES EXPLOSIVE COV. <br />CERTIFICATE HOLDER..::'::~ ::::::::::::::::::::..::::::.::~::.:::.::::'.::.;:::::: ~:' ::.:: ~:::': ~::': ~.: ~: ~ CANCEI:L'A7tON :::': ~ ::::':: ~~: ~'~:::: ~:::.::.:.. ' ;:::::' .:::.:::~:: ~~:'::'~~:'~.::~ ::.;' ,'.:'..::.:.::..:':.:. <br /> SE <br />F <br />OR <br />E THE <br />SXOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANC <br />EI <br />I <br />E <br />D <br /> v <br />~ <br />y <br />Vy <br />vy <br />Vy <br />v v~ <br />~ <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WDl bMDBAV4w~F>7 MAIL <br />^ I v l$ i Dn O f M i ne r B l s S n d 3O OAY9 WRITTEN NOTICE TO THE CEPTIFICATE HOLDER NAMED TO THE LEFT, <br />Geo I ogy Y3E£XYiIf~KX~]fXd(d[iFYll$iiA<` X3L~FlSdGfi~i~blG2SdG7faiJC$XXIXa`GXP~ <br />1313 Sherman St reef, Rm.215 X1[>~ <br />Denver, CG BQ2Q3 AUTNORIiED 6EN IV <br />~.~ 53000 <br /> SAWr~ <br />• <br />~~ ~'~'~ "~ ~~ <br />:'ACORD 26~S (3/93) ..'; __._.. _.... ::. ~.: ~.. ~'~ ':', <br />:~:®yiC ~CORPORAT'ION~t993~ <br />~ ~ --- ~~~ <br />
The URL can be used to link to this page
Your browser does not support the video tag.