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2008-06-02_GENERAL DOCUMENTS - C1981020
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2008-06-02_GENERAL DOCUMENTS - C1981020
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Last modified
8/24/2016 3:32:17 PM
Creation date
6/3/2008 11:12:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/2/2008
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
MPB
Media Type
D
Archive
No
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_,::.N,, , µ• DATE(MM/DD/YY) <br />ACORD. CERTIFICATE OF LIABILITY INSURANCE 05/29/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Aon Risk insurance services west, Inc. <br />fka Aon Risk services, Inc. of Cen CA AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />5260 North Palm Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Suite 400 <br />4 COVERAGE AFFORDED BY THE POLICIES BELOW. <br />USA <br />Fresno CA 9370 <br /> INSURERS AFFORDING COVERAGE <br />PHONE• 559 449-7200 FAX- 559 439-0863 <br />INSURED -'' - INSURER A: Federal Insurance company - <br />CAM.Mi.ni ng <br />,LLc dba central E® RERS <br />, <br />Mi <br />i <br />LLC <br />la <br />i : <br />INSU <br />n <br />ng <br />ch <br />a <br />Appa <br />P . O . "BOX 1169' "' INSURER C: <br />Pikevi 1.l e ,-KY,.r,41502 USA 2p0? <br />Uw\ 0,2 <br />INSURER D: _ .. _. . _ .. _" . . __ <br />J <br /> INSURER E: <br />COVERAGES This Certificate is not intende a " Ls, coverages, terms conditions and exclusions of the policies shown. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVOM4 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 MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LIMITS SHOWN ARE AS REQUESTED <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE(MM\DD\YY) POLICY EXPIRATION <br />DATE(MM\DDWY) <br />LIMITS <br />A GENERAL LIABILITY 37111019 06/01/08 06/01/09 EACH OCCURRENCE $1,000,000 <br /> n COMMERCIAL GENERAL LIABMITY - FIRE DA".IAGE(raty one tire) $1, 000 - OOQ <br /> CLAIMS MADE ?X OCCUR MED EXP (Any one person) $10,000 <br /> X Blasting PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG <br />$2,000,000 <br /> PRO- <br /> POLICY JECT X LOC <br /> <br />A AUTOMOBILE LIABILITY 73252298 06/01/08 06/01/09 COMBINED SINGLE LIMIT <br /> (Ea accident) ,000 <br />.$1,000 <br /> X ANY AUTO .. . <br /> <br /> ALL OWNED AUTOS •. - .. - BODILY INJURY <br /> ( <br />Per person) <br /> SCHEDULED AUTOS <br /> <br /> X HIED AUTOS _ BODILY INJURY <br /> <br />X - <br />NON OWNED AUTOS '" <br />(Per accident) <br /> <br /> PROPERTY DAMAGE <br /> H (Per accident) <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO OTHER THAN EA ACC <br /> AUTO ONLY <br /> AGG <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCCUR ? CLAIMS MADE AGG'REG'ATE <br /> <br /> DEDUCTIBLE -- <br /> RETENTION <br /> STATU <br />- <br />WC OTH- <br /> WORKERS COMPENSATION AND TORY <br />LIMITS ER. <br /> EMPLOYERS' LIABILITY - <br />E.L. EACH ACCIDENT <br /> E.L. DISEASE-POLICY LIMIT <br /> E.L. DISEASE-EA EMPLOYEE <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: Munger Canyon Permit #C-1981-020 <br />CERTIFICATE HOLDER C ?NCELLAIJON <br /> <br />Division of Reclamation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Mining and safety DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVORTO MAIL <br />1313 Sherman St., Room 215 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Denver co 80203 USA --- TIM COMPAI-PI, ITS AGRI99 OR RrP]RR9PNTAT-TVE& <br /> AUTHORIZED REPRESENTATIVE <br />CORD 25-S (7/97) ACORD.CORPORATION 1988! <br />V <br />W <br />W <br />ko <br />t0 <br />W <br />N <br />O <br />O <br />r` <br />E: <br />41-4 <br />K <br />r <br />M <br />K4 <br />M
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