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PERMFILE125113
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PERMFILE125113
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Entry Properties
Last modified
8/24/2016 10:22:35 PM
Creation date
11/25/2007 1:29:31 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981040
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
EXHIBIT 1 THRU EXHIBIT 12
Media Type
D
Archive
No
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..i •I:' rdt .-.~1.r1~'/I/~I• I'/1/ il.•i~ -1:1 ~.ll i.r. .'.i'L'..~11. .~'i• <br />NaMF ANU AUUI/I SS UI RI:I NLY , <br />Dahme <br />r Insurance Agenry COMPANIES AFFORDING COVERAGES <br />r <br />BUX 2179 <br />0 <br />• COMPANY <br />Q <br />urango, Co. 81301 LETTER <br />Beliance <br />~ COMPanr <br />' LETT[R <br />NAME AND ADDAC 55 O< INSURED <br />COMPANY <br />SUn BCIt MiniIIg, Ine• IETTER I <br />~ 7100 Grape <br />ine Hvy <br />V COMPANY <br />D <br />w <br />. <br />Ft. Worth, TeX88 76118 LETTER <br />i <br /> COMPANY C <br /> LCTT[R L <br />This is to Certify that policies of Insurance listetl below have Deen Issued to the insured named shove an0 are in torte at this time. Notwllhstanding any repUlremenl, term or conp~NOn <br />of any contract or other tlocument wllh resptct to which This I:enllicate may De Issued or may penaln, the Insurance aHOrded by the polices descrlbetl herein If su6txl to all the <br />terms, exclusions antl contllnons of such pollees. <br /> P <br />Y limits of Liability in Thousands ( 0 1 <br />COMPANY <br />LETTER TYPO OF INSURANCC ~ POLICY NUMBER OLIC <br />fAPIRATION DATE (ACII AGGACGATE <br /> OCCURRENCE <br /> GENERAL LIABILITY ' <br /> BODILY IruURr 3 f <br /> COMPREHENSIVE FORM <br />^ <br /> t~ <br />t <br />Lg PREMISES-0PERATIONS PROPERTY DAMAGE f f <br /> ~E%P1O510N AND coLLAPSE GL 3638384 2/6/82 ' <br /> HAIa RD <br /> ^ UNDERGROUND HAZARD <br /> ^ PRODUCTS/COMPLETED 00 <br />1 <br />000 0 <br /> OPCRATIDNS HAZARD <br />^CONTRACTUAL INSURANCE BODILY INJURY AND <br />PigPERTYDAMAGE , <br />, <br />f <br />t,000,OOO <br /> ^ BROAD iORM PROPERTY COMBINED <br /> ~~aa DAMAGE <br />I~IHDEPENDFNT CONTRACTORS <br /> ^ PCR50NAL INJURY PERSONAL IN JURY S <br />- <br />~ <br /> AUTOMOBILE LIABILITY eoDILr INJUI:Y s I <br />' <br />• (EAC H PE RSON I <br /> ^ COMPREHENSI <br />RM <br />E F f <br /> V <br />O <br />^ OwNED BODILY INJURY <br />(EACH ACCIDEN77 <br /> ^ HIRED PROPERTY DAMAGC S ' <br /> BODILY INJURY AND <br /> HON-0YJNED PROPERTY DAMAGE f <br /> COLIDINED __ <br /> EXCESS LIABILITY <br /> BODILY INJURY aN0 <br /> ^ UMBPCLLA FORM PROPERTY DAMAGE S S <br /> ^ OTMCR THAN UMBRELLA COMBINCD <br /> FORM <br />1 WORKERS'COMPENSATION 5raiuroRY <br /> <br />+ <br />and _- ___-_~ __~` <br />{ f <br /> ERIPLOYERS' LIABILITY ~ ~rt..' <br />~_ _ <br /> <br />1 <br />1 OTHER <br />DESCRIPTION OF OPC RaiION$dOCAT10N5NCHICLCS <br />Coal mining <br />Peacock Mine, 3701 Co. Bd. 120, Hesperus, Co. 81326 <br />Cancetiation: Should any of the above descrrbed policies be cancefted before the expiration date [hereof. the issuing com- <br />pany will endeavor to marl ~~ days written notice to the below named certificate holder, bur lallure to <br />mail such no[ICe shall impose no obligation or liability of any kind upon the corrlpany. <br />r, <br />\I <br />AND ADUr+rss Or CEnnncAiE nor n[R~ <br />liinod Land Reclamation Board <br />423 Centennial Building <br />1313 Sherman <br />Denver, Co. 80203 <br />DATE IssufD~/9/8f <br />~t~2 :1,f.~L <br />AUIINRI/IU Ia 19/lS NIAIIVf <br />ACOAiI 75 I I-r91 <br />- -__ _.__ --__- _ ___. --_ s7 _.._ <br />
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