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PERMFILE112958
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PERMFILE112958
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Entry Properties
Last modified
8/24/2016 10:09:12 PM
Creation date
11/24/2007 10:07:16 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981040
IBM Index Class Name
Permit File
Doc Date
2/17/1981
Section_Exhibit Name
APPLICATION THRU Rule 2.06
Media Type
D
Archive
No
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3 .. .. <br />y <br />;.:I <br />1 ~rn,~~-7 -- "~ <br />yp.~.v ..li iLUiA.~I Si. ','J"-_ .1.'lyl,. ._ui'..p' ,,l .i ]. ~ ~ 2_l'P.•l~i .IJ: :`.`~,: - ,, I'y el- .U~, <br />•1H. <br />NAM( ANII'411UH1 SS Uf Alll Nf,V •~+ <br /> COMPANIES AFFORDING COVERAGES <br />ahmer Insurane! Agency <br />~.0. Box 2179 COMPANr <br />A <br />Durango, Co. 81301 LETTER <br />Beliance <br /> COMPANY <br /> ICTTEA <br />NAME AND gDDHE55 Of INSURED /~ <br /> COMPANY ^ <br />Sun Belt Mining, InC• LEiiCR V <br />7100 Grape Vine Hwy <br /> COMPANY <br />~ <br />Ft. Worth, Texae 76118 ~ <br />LETTER <br /> COMPANY C 1 <br />I <br /> LETTER ` <br />I <br />TNR is to certlty Ihdl Dolicies of msuran<e listed below have been issuetl to the insured named above and are m loge at this Tine Nohvnh5ldntlme any reRurtemeni. term or condihon <br />of any contract or other tlocument with resdedt 1o which mis CerldlGele may o¢ issued or may pertain, the Insurance attordetl by the poLUes de5cr10etl herein rs sublect to all the <br />terms, eXdusions and conditions of such po6cres. <br /> POLI[v Limits of Liability in Thousands 1001 <br />coMPArvY <br />LETTER TYPCOf INSURANCE POLICYNUMBER EXPIRATION DATE EaGI <br />AGGRCGA*E <br /> OCCURRENCE <br /> GENERAL LIABILITY ! <br /> BODILY INJURY f S <br /> ^ COMPREHENSIVE EORM <br />1 <br /> PREMISES-OPCRATION$ PROPCRTY OAIAAGE S f <br /> E%PLOSIDN AND COLLAPSE f"iI. 3638384 2/6/82 <br /> HAZARD <br /> ^ UrvDERGROUND HAZAAD <br /> ^ PRODUCTS/COMPLETED 1 <br />000 QO O <br /> OPERATIONS HAZARD BODIIY INJURY AND . <br />a <br /> ^CONTRACTUAL INSURANCE PAOPERTVDAMAGE 3 ~OOO,OOO <br /> ^ BROAD FORM PROPEgiY COMBINED <br /> rJ DAMFGE <br />~9 1NOEPENDENL CONTRA[iORS <br /> ^ PERSONAL INJURY PERSONAL IN JURY f <br />~T <br />~ <br /> AU70MOBILE LIABILITY BODrLr INJUw f <br />~~ <br /> (EACH PE RSONI I <br /> ^ COMPREHENSVE fOHM BODILY INJURY S I <br /> ^OWNED (EACH ACC,DENT) ' <br /> ^ HIRED PROPERTY DAMAGE f <br /> BODILY IN1pP/ AND <br /> O <br />NON WNED PROPEPiv pAMAGE 5 <br /> ' iOMRIrv CD _ _ _ <br /> EXCESS LIABILITY <br /> BODILY INJURY AND <br /> ^ UMBRELLA fORrA PROPERiv pnMnGF f S <br /> ^ OTHERIHAN UMBRELLA COMBINED <br /> <br /> WORKERS'COMPENSATION SiA1VIORV <br /> and <br /> 5 <br /> EMPLOYERS'LIABILITY _ ~ j <br />,I:.-~. <br /> OTHER <br />DESCRIPTION Of OHLRAilON54UCAIIONSNEn ICLL$ <br />Coal mining <br />Peacock Mine, 3701 Co. Bd. 120, Hesperus, Co. 81326 <br />Cancellation: Should any of the above described pohaes be cancelled before the eapiraUOn date ihereol. the Issurng com~ <br />piny will endeavor tD mail -IO-- days written noUCe to the below named cerldlcate holtler, but failure to <br />°~ mad such notice shall impose no obhga UOn or liability of any kind upon the company. <br />{ <br />• <br />DATC ISSUCD2/9/BL <br />AUI NURIIID HL('1115 NIAIIVE <br />acnnn v s n' nn _ 17 _ <br />
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