My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
PERMFILE124770
DRMS
>
Back File Migration
>
Permit File
>
300000
>
PERMFILE124770
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 10:22:17 PM
Creation date
11/25/2007 12:59:59 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981029
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
2.03.9 PERSONAL INJURY & PROPERTY DAMAGE INSURANCE INFORMATION
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.
/
11
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
~~" AID//l.n. CERTIFICATE~OF <br />PROOUFeLAT TUP INSURANCE AGENCY <br />~ 320 FEDERAL STREET <br />I P. G. BOX 1439 <br />I BWF.FIELD <br />~:• b1V 2 47 01 0 00 0 <br />INSURED SUN COAL COMP APJYs INC. <br />P.Q. L'OX 2b <br />MILNER <br />CO 374770000 <br />;;,y..~.,y.,L.:'.,:. :.~;~.: ,_...... _, - .. .. ~ ~19SUE DATir( .~• D <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />COMPANIES AFFORDING COVERAGE <br />LETTER Y A <br />OLD R=PU3LIC INSURANCE COM?'.NY <br />COMPANY B <br />LETTER <br />COMPANY `. <br />LETTER <br />COMPANY D <br />LETTER <br />COMPANY ~. <br />LETTER <br />COV ERASES c'«;'=•::.f.iYy=<v+~:,.~'{f.~y`~M.c r~rne~~.Y,"7e.w~..~--__:_e.. tCS~`W.~Y+ti.,.F''r'~':. ..:;»n_~'=: ol.~'.~tG,K~yM`~-~.:.c. _ <br />THIS IS 70 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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 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 NAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OP INSURANCE POLICY NUYSER POLICY EFFECTIVE POLICY EXPIRATION ALL LIYIT9 IN THOUSANDS <br />LTR GATE IMM/DDIYY) DATE (MM/DD/YY) <br />.~ GENERAL LIABILITY <br />X COMMERCIALOENERALLIABILITY ML 14203 <br />CUfMS MADEX OCCUR. <br />OWNER'S 6 COMMCTOR'S PROT. <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />• ALL OWNED AUT09 <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />( NON-0WNED AUT09 <br />I OARAOE LIABILITY <br />I <br />I <br />EXCE59 LIABILITY <br />I~ OTHER TNAN UMBRELU FORM <br />- i --WORNER'B-GOMPENBATRNi- ' <br />AND <br />j EMPLOYEA9'UABIUTY <br />GENERAL AGGREGATE ~ ~ (1'J(1 Y <br />3/01/91 3/01/92 PRODUGTSCOMP/OPS AGGREGATE ~~~(~i^.Y <br />PERSONAL 6 AOVERTISINO INJURY ~ ~ ~1 QL+ ~ <br />EACH OCCURRENCE O f ~Dr Y <br />FIRE DAMAGE (My on. Ilnl s S IJ ~ <br />MEDICAL EXPENSE (Any on. penon) S <br />COMBINED <br />SINGLE f <br />DMIT <br />BODILY <br />INJURY f <br />(Prt O.nanl <br />BODILY <br />INJURY f <br />(P.r AteIE.nO <br />PROPERTY f <br />DAMAGE <br />EACH AGGREGATE <br />OCCURRENCE <br />i 3 <br />._____.~ _._ .__._ _ I _ _ _ STATUTORY .. .. ____ <br />_ ~ f -- - ~-~-~-(EACH ACCIDENT) <br />3 (DISEASE-POLICY LIMIT) <br />f (DISEASE-EACH EMPLOY EI <br />OTHER <br />A POLLUTION ZP134 <br />i <br />DESCRIPTION OF OPERATIONSILOCATION9/VENICLESISPECIAL ITEY9 <br />3/O1/~1 3/C 1/52 1 FI?DO ~ <br />CERTIFICATE HOLDER <br />i <br />CI-1LORACO ;1INED LAND RFCLANATION DIV <br />;.4TTN HS SUSAN J MONRYs 423 <br />IC~NTE"JNIAL BLDG 1313 SNER.MAN <br />~.r DENVE2 CO 802030000 <br />ACORD 25-S (17/89) ___________ ___ _-__~~_ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70 <br />MAIL 1 ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 70 THE <br />LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORREO REPRESENTATIVE FLAT TOP INSURANCE AGENC`( <br />_____ (]ACORD CORPORATION 198t <br />
The URL can be used to link to this page
Your browser does not support the video tag.