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PERMFILE129723
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PERMFILE129723
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Entry Properties
Last modified
8/24/2016 10:30:43 PM
Creation date
11/25/2007 8:05:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
EXHIBIT 03 INSURANCE CERTIFICATION
Media Type
D
Archive
No
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.. A /'-AnA •A'e"W!'!~'~f/h:A:`Tyr.:Y'S'L"'4~iL.'B•'L~1111.•.Y!Y!l'i:•eW ll4s•if'6L aus~r~.~- ..,... <br />~. nva/na.{ ;~sGi#i[;!~}LiU,lL•ryiJ~~:,>Ti~tfk:l~'4. ,.3~ 1~i`ik9'I17i~7,~iG'~sJ~Ei <br />O~vi~42~ 5 <br />1998 ~~ <br />~ <br />FEB <br />~ ~~ ~ ~ ~~~.- ~ ; <br />- <br />. <br />- <br />vROwcu 09182 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Willis Corroon Capwation d Birmingham ONLY AND CONFERS NO RIGHTS UPON THE CERTTFlCATE <br />192) Flrst Ave. North HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTEND OR <br />P O. Bax 11507 (362021 ALTER 7NE COVERAGE AFFORDED BY 7T1E POIJGIES BELOW. <br />ninghBm wL X320' OMIpANIFS •FL'Of1DIAIG COVERAGE ' <br />51323.7000 ~ <br /> tOYFANV NatianBl Union Fire Ins. Co. d Pittsburgh. PA <br />Honis <br />- A <br />--____ _ <br />wsOREo <br />_- <br />OOIµPAHY <br /> B <br />LORENCRO COAL COMPANY. LLC ~""v"T" Y <br />1311 BENTVVOOD DRIVE C' <br />~ <br /> <br />EVANSVILLE IN 47711 CCYPAHY <br /> D <br /> <br /> <br />.. , <br />!q ~: <br />~" , <br />. <br />~ .. . <br />. <br />:.... <br />.~. <br />' .. <br />~, <br />. <br />. <br />om '., <br />'. <br />' <br />~'' V <br />•'~ <br />r' <br />~ <br />• <br />. ... <br />. <br />. <br />. <br />. <br />.... . <br />:.n <br />~. , : <br />. <br />... ~ <br />Y. <br />. <br />...: <br />... . <br />. r~. :. <br />.: ~::~:~ <br />. ~.::.: : <br />., ~: <br />T1115 IS TO CERTIFY THAT THE POLICIES OF INSURANCE L6TE0 BELOW HAVE BEEN LSSUED TL7 THE INSURED NAMED ABOVE FOR THE POUL1' PERI00 <br />INDICATED, NOTWRHSTANDINO ANY REQUIREMENT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WrTH RESPECT TO WHICH THIS <br />CERTIFICATE NAY BE L.SUEO OR MAY P£flTARY. THE INSURANCE AFFORDED BY THE POLICIES OFSCRIBED HEREIN LS SUBJECT TO Al.l THE TERLLS, <br />EXCLU570NS AND GONDRIONS O <br />$UCH POLICIES. LIMITS S110WN MAY NAVE BEEN REDl1CED BV PAID CWMS <br />~ T <br />IYTE OF IR6UR1111C£ i01.CY RYrRER ~~ EFFFLf1VE ~ E%lawTDll -_ -- <br />LRIRS <br />L I B~D/rrl ~~» <br />A i]ENERAL LMBWrY L5652470RA 24JAN-1997 01.iut<1990 GENEflAL M1+REOATE 2.000,000 <br /> x COMNERCIAIGENERAI LIABILITY _ <br />RRq)CT9COM PAGG f S,BOB,000 <br /> CWIAS WIDE OCCUR I PEIOONALi AOV~NJURY S S,000,OOO i <br /> _ OwNER'SS CONIRACItlNS PROf EKHCCQIRPENCE = 1,000,000 <br /> i I I <br />I RRE DnMAGE or~R,a Sg. DODt <br /> _ NEOFIfP A ae S.ODB . <br /> ~ ~~~^ RECE VED I t <br /> ` <br />~ ~ CONdNEDSNOLEUNR f <br /> WrA1RC1 <br /> ALL OWNED AUTO6 rE8 11 <br />T f1l1 <br />~ <br />B BOORr INR11Y <br />P <br />•1 f -11 <br /> 9CHEWLEO AUros JJ l <br />«9.R~ <br /> <br />RIRED AUTO$ <br />BOOILr INJURY I <br /> <br />f <br /> I <br />NONIJWNEOAIJTR9 Division of Mine s & Geology (hriadnq i <br /> --~ ~ <br /> - <br />f r I+ <br />r <br />R <br />A II <br /> v <br />r OIW <br />O <br />ER <br />GE f <br /> w RACE LIAlWTr AUTUCfIIr ~EAACCIOFxr ~ <br />_ <br /> AHrAUTO I OTHER THAN AUTOONLr: '--- <br /> <br /> EKnACCIDENr f <br /> WGREWTE <br />EJ(CE+Gd LJAaYUTY i I EKHCCCURPENCE f <br />_ <br /> ` <br />__ <br />~~ UNBRELIA FURY ~ AOOREG!TE^-_^ f _____ <br />OTHER TIUw UMBREL'.A FORM <br /> <br />WOIgFAf COVEM9ATIOR ARD <br />~ YIT: STAN QM <br />T[AY R <br /> <br />-_ <br />ENPLOYEM' WRIL1Tr EL EALH KCIOEIlf <br />~'~-- <br />THE PRIpIIIETDRJ <br />vMTVER" IECIJnVE ~L EL OISEISEfOLICYUMiT f <br /> <br />OFFlCEES ARE' E%CL EI gSEASE{AEYPLOrEE <br />OTHER <br />DE9CRVr10R OF OFEJtAROrLSIIOfSITIa$L'EMILZfli9ECMl rrErO <br />RE: Permit No. C-96-084 Location: 2 miles West of Segundo, CO. on Highway 12 <br />yy~~rr~~ ..._,.,'y,. ~~~yy,,~r <br />.. <br />e <br />+,~~L <br />li <br />ii <br />I '' <br />IANR• <br />' <br />' <br />: <br />~ <br />nFrn. <br />..: .. <br />;; .,.. .. v <br />:......,. .. <br />: . <br />. <br />F. e <br />.. <br />.. <br />.. <br />.S <br />......:. .. .. .._ ... .. <br />, <br />~ <br />- <br /> A ~ <br />R <br />E <br />~ <br />D ETNE <br />UWCELLE BEFOR <br />LC <br />E9 <br />B <br />SROUlO MY O THE BO DESC RR:O -O <br />E%-WAT10M DATE THEREOF, THE 6SURq CONFANN Will. >•>I~n Wd <br />COLORJ100 OMSION OF MINERALS AND GEOLOGY 30 _ DAYS VRITTER ROTICE ro THE CERTRIGTE 1gLDER RAYED TO T11E LEFT, <br />1313 SMERMAN STREET BI11I%xlfiR%R%yIB!)•OpRMit~lff~[UmQ1pWOmlflPSl01[EwBBY%sr <br />ROOM 215 4%%Mrri71~•i%IRIIR%'as %1mBRW'P1mp%sYfl~tomlW~ <br />DENVER CO 80207 AUTNgREDRVRF3EM~BVE,/ _ _ n_ <br />
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