My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL56334
DRMS
>
Back File Migration
>
General Documents
>
GENERAL56334
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:41:13 PM
Creation date
11/23/2007 11:22:31 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
General Documents
Doc Date
8/31/1998
Doc Name
CERTIFICATE OF LIABILITY 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
.I..I..I~.... ^1~ .. .. .. .. <br />999 <br />ERTIFICATE: <br />OF LIABILITY LNSURANCE' <br />' <br />' <br />_ <br />. <br />- -~ -~ <br />PAcE.1.oF'.r. zrtAi,~- <br />;9 $ <br />~ <br />~ <br />waooucER <br />102641 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Willis Corroon Corporation of Birmingham ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1927 First Ave. North HOLDER. THIS CERTIFICATE DOES NOT AMEND, El(TEND OR <br />P.O. Box 11567 (35202) ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. <br />Birmingham AL 35203 COMPANIES AFFORDING COVERAGE <br />(205) 323-7000 <br />coMPANV National Union Fire {ns. Co. of Pittsburgh, PA <br />Betty Hollis A <br />INSURED <br />COMPANY <br /> B <br />LORENCITO COAL COMPANY, LLC <br />REGENCY PLAZA ONE COMPANY <br />SUITE 1270 C <br /> <br />4643 S0. ULSTER STREET COMPANY <br />ENVER CO 80237 D <br />:COVERAGES ~.'.~:~:. ~: ~: ~~. .. .:.:.::. .. ... .. .. .. ........ ... ..:. :~:.~': ~ ... ..... .. .. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />CO <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION <br />LIMIT"' <br />LTR DATE (MMIDD <br />/YY) <br />DATE (MM/DD/VY) <br />A GE NERAL LIABILITY 00015229 O1JUL-1996 01JUL-1999 GENERALAGGREOATE E 2.000,000 <br /> X COMMERCULGENERAL LIABILITY pRODUCTSCOMP/OP AGG S 1.000,000 <br /> <br /> CLAIMS MADE OCCUR PERSONALS ADV INJURY E 1.000.000 <br /> OW NER'SBCONTRACTOR'S PPOT EACH OCCURRENCE E 1.000.000 <br /> FIRE DAMAGE An ona hre E 50.000 <br /> MED EXP An one arson 5,000 <br /> AU TOMOBILE LIABILITY REC IVED <br />COMBINED SINGLE LIMIT <br />E <br /> ANV AUTO <br /> ALL OWNED AUT0.R BODILY INJURY <br /> SCHEDULED AUTOS (Per person) E <br /> AUG 1 1998 <br /> HIRED AUTOS BoDILVIwupY E <br /> NON-0WNED AUTOS (Pei acctlant) <br /> <br /> <br /> DIV. OF INERALS PROPERTY DAMAGE E <br /> GA RAGE LIABILTY AUTO ONLY-EA ACCIDENT E <br /> ANV AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT E <br /> AGGREGATE <br /> E%CESS LIABILOfV EACH OCCURRENCE E <br /> UMBRELLA FORM AGGREGATE E <br /> OTHER THAN UMBRELLA FORM <br /> WORKERS COMPENSATION AND WC STATU OTH- <br />TORV LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> _ _ _ _ _ _ _ _ <br />~ <br />- EL EACH ACCIDENT <br /> THE PROPRIETORI <br /> PARTNERS/EXECUTIVE INCL EL OISEASE~POLICV LIMIT E <br /> OFFICERS ARE E%CL EL DISEASE-EA EMPLOYEE <br /> OTNER <br />DESCRIPTION OF OPERATIONSILOCATIONS/VENICLES/SPECUIL ITEMS <br />RE: Permit No. C-96-084 Location: 2 miles West of Segundo, CO. on Highway 12 <br />.CERTIFICATE H.O.LDER ~.~~.:: ~::: ~. .~.:: .~: ~: ~. :::~~ ...... .~. ~.~ .... .. ... <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRpTION DATE THEREOF, THE ISSUING COMPANY WILL >EXAb1F1JFbTtx XD NAIL <br />COLORADO DIVISION OF MINERALS AND GEOLOGY 1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />7 313 SHERMAN STREET BOTDf EANImFX11T ANMIf 7611pK NOZx1DCaMec01%RJOID~ MCIOBxGL11fX1N(%tltI KOAB-IIxYI x x <br />ROOM 215 OWIXARtx%aNa%%M1fK %yp8% %TOM(%AaBM1~%TWx7TBNI14'fNIBBf%% <br />DENVER CO 80203 AUTH ZED REPRESENT VE,/ - <br />:ACOR025-5'195 ~~~~~~: ~ ~:.~~.::~: ~~~~.~~ ~: ~.~ VAf1tOUS2 ~~. ~: ~: ~:.~:.~~ ' ..~. ~:~~.~ ~~ ~ ... ~~©~ACORD CORPORATION~19aH ~. <br />
The URL can be used to link to this page
Your browser does not support the video tag.