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2008-02-05_GENERAL DOCUMENTS - C1992080
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2008-02-05_GENERAL DOCUMENTS - C1992080
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Last modified
8/24/2016 3:22:08 PM
Creation date
2/5/2008 2:30:40 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992080
IBM Index Class Name
General Documents
Doc Date
2/5/2008
Doc Name
Insurance Certificate
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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OAKRENE-01 KELE <br />ACORD~, CERTIFICATE OF LIABILITY INSURANCE ° v27~i2ooim <br />PRODUCER (940) 723-0771 <br />Allred Thompson Mason Daugherty Ins <br />Box 1071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />hita Falls, TX 76307-1071 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Oakridge Energy Inc; Pueblo Mining Inc INSURER A: Mid-Continent CaSUalty CO. <br />4613 Jacksboro Highway INSURER B: Texas Mutual Insurance Co. <br />Wichita Falls, TX 76302- INSURER C: <br /> INSURER D: <br /> INSURER E: <br />i.~~ i~r~ w i+rc~ <br />vv~~w-ww <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY 04GL000697848 12/5/2007 12/5/2008 PREMISES Ea ocarence $ 100,00 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ EXCLUDE <br /> PERSONAL & ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2+000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,00 <br /> X POLICY PRO LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 <br />A X ANY AUTO <br />04CA002757212 <br />12/5/2007 <br />12/5/2008 <br />(~ acddent) <br /> ALL OWNED AUTOS BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-0WNED AUTOS (Per acddent) <br /> PROPERTY DAMAGE $ <br /> (Per aaident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ 1,000,00 <br />A X occuR ~ CLAIMS MADE 04XS152679 12/5/2007 12/5/2008 AGGREGATE $ 1,000,00 <br /> $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> <br />WORKERS COMPENSAT-ON AND WC STATU- OTH- <br />X T <br /> <br />g EMPLOYERS' LIABILITY <br />SBP0001027321 <br />7/14/2007 <br />7/14/2008 <br />E.L. EACH ACCIDENT 1,000,00 <br />$ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? - - <br />E.L. DISEASE - EA EMPLOYE 1 OOO,OO <br />$ ~ <br /> If describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT 1,000,00 <br />$ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />arbon Junction Coal Mine, Durango, Colorado Permit #C-92-080 <br />relur-F1 1 eTlnnl <br />liCRlll'IVAIG nvLUGrt ~ ---- - - <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />Colorado Division of Minerals & Geology ppTE THEREOF, THE ISSUING INSURER wlll~~~ MAIL 3O DAYS WRITTEN <br />1313 Sherman, Room 215 <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, LL <br />Denver, CO 80203- <br /> ]8~~ci~' 1~. <br /> AUTHORIZED REPRESENTATI `q. <br />e~~r~wr~~~t •nee <br />ACORD 25 (2001108) '.i' v „a.vnv ~.~..r .+...-....,.........~ <br />
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