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GENERAL54931
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Last modified
8/24/2016 8:40:03 PM
Creation date
11/23/2007 9:56:42 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1991078
IBM Index Class Name
General Documents
Doc Date
6/14/2001
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YY) <br />I <br />~ <br />LT <br />3 05/22/00 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Polk 6 Sullivan Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3401 West End Ave . Ste. 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Nashville TN 37203 <br />one:615-385-2860 Fax:615-385-8358 INSURERS AFFORDING COVERAGE <br />RED INSURER A. TraVelerS Indemnity Co.ofConn <br /> INSURER B <br />Honeywood Coal Company <br />Delta Coals <br />Ina. INSURERC <br />, <br />95 White Brld4e Aoad <br />ille TN 37205 <br />N <br />h INSURER D. <br />v <br />as <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. E%CLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY FFECTIVE <br />DATE MMIDD/YY POLICY E%PIRATION <br />GATE MMIDDlYY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE E 1 , OOO , OOO <br />A X COMMERCIAL GENERALLIABILNY 660-114P5718 06/01/00 06/01/01 FIREOAMAGEIAnyoneliral s 50,000 <br /> DLAIM$ MADE ~ OCCUR MED EXP (Any one person) S 5 , 000 <br /> A PE <br />RSONAL 8 ADV INJURY E 1 , 000, 000 <br /> GENERAL AGGREGATE 52,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS ~ COMP/OP AGG E Excluded <br /> POLICY }[ PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br />IEa arsitlenU S <br /> <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per perspN S <br /> ED <br /> HIRED AUTOS RECEIV BODILY INJURY <br /> NON-OWNED AUTOS IPer a¢itlenU E <br /> 000 <br />O PROPERTY DAMAGE <br /> ~ 2 <br />UG <br />(Per axi~ant) ; <br /> <br /> GARAGE LIABILITY W AUTOONLY-EA ACCIDENT S <br /> als 8 G <br />i ay <br />I,ryl - <br /> ANY AUTO ner <br />pNjSion of M EA ACC <br />OTMER THAN ._ g <br /> AUTO ONLY. AGG S <br /> E%CESS LIABILITY EACH OCCURRENCE 5 <br /> OCCUR ~ CLAIMS <br />ADE A <br /> M GATE E <br /> S <br /> DEDUCTIBLE S <br /> RETENTION S $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> E L EACH ACCIDENT g <br /> E L DISEASE - EA EMPLOYEE E <br /> EL DISEASE POLICY LIMIT S <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIE%CLUSIONS ADDSD BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: Hamilton Mine, Montross County, Colorado, DMG Permit No. C-91-07B <br />I.CRIIf•I~.NIC rtVLUCrt (~ ADOHIONALINSURED; INSURER LETIER: l.A1Vl.CLLAIIVPI <br />DIVIMIS SHOULD ANY OF THE ABOVE DEBCRIBED POLICIEB BE CANCELLED BEFORE THE E%PIRATIOI <br />' DATE THEREOF, THE ISSUING INBURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />D1V1910n of Minerals and NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 BO SHALL <br />GeOZOCJy IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Attn: H. Ranney <br />1313 Sherman St. , Room 215 REPRESENTATIVES. <br />Denver CO 80203 <br />I Stephen A. Henson ~~ ~"a`'' <br />7998 <br />
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