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2008-06-06_GENERAL DOCUMENTS - C1996083
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2008-06-06_GENERAL DOCUMENTS - C1996083
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Last modified
8/24/2016 3:32:34 PM
Creation date
6/9/2008 9:06:22 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/6/2008
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JJD
Media Type
D
Archive
No
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<br /> <br /> <br />` <br /> <br /> <br />/? <br />AVORD :.;:.;:.;. r¦¦ ::: .::::::.:.;:.; M/DD <br />DATE M <br />... <br /> <br />L:.;:.;:.;>.; ::::::;:.;:6/03/08 <br /> ........................................................................................ <br />PRODUCER ................... <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO -RIGHTS UPON THE CERTIFICATE <br /> Wei Is Fargo Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> of WV, Inc. <br />GG c <br />? <br />® ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> pp?? <br />G <br />41 Eagles Road FyVG? COMPANIES AFFORDING COVERAGE <br /> <br /> Beckley WV 25801 COMPANY <br /> (304) 252-6375 2OO A Natl Union Fire Ins Co Pgh PA <br /> INSURED atlGi?l? <br />dam <br />_ , , COMPANY <br /> or Ke <br />Bow(e.Rescurces, LLC <br />?., <br />d Safefil <br /> <br />B <br /> ?nin9 ai <br />1500:Big-Run Road; M - _ _ _ - - - <br />COMPANY <br /> AshIand;6XYv 41102 C+ <br /> <br /> Vii'. COMPANY <br /> <br /> t # . <br />:::::::......:::::........................................................ ................................................................... ..................... .................... <br /> ......... ............ ........... <br /> :::::::::::: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> NOTWITHSTANDING ANY REQUIREMENT, TERMOR <br />INDICATED CONDITION OF ANY CONTRACTOR OTHER DOCUMENTWITHRESPECT TO WHICHTHIS <br /> , <br />CERTIFICATE MAY BE ISSUED OR MAY 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 HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE (MMIDDIYY) POLICY EXPIRATION <br />DATE (MMIDDIYY) LIMITS <br /> LTR <br /> A GENERAL LIABILITY 6464602 5/31/08 5/31/09 GENERAL AGGREGATE $ 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> CLAIMS MADE 7X OCCUR PERSONAL & ADV INJURY $ 1,000,000 <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> X Blasting & XCU FIRE DAMAGE (Any one fire) $ <br /> MED EXP (Any one person) $ 5,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> ANY AUTO <br /> ;ALL OWNED AUTOS <br />BODILY INJURY <br />q <br /> (Per person) <br /> '.SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> <br /> <br /> GARAGELIABILITY AUTO ONLY.- EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> _ <br /> WORKERS COMPENSATION AND TORY LIMITS R _- <br /> EMPLOYERS' LIABILITY EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL EL DISEASE•POLICY LIMIT $ <br /> PARTNERS/EXECUTIVE <br />EL DISEASE-EA EMPLOYEE <br />$ <br /> OFFICERS ARE: EXCL <br /> OTHER <br /> <br /> DE SCRIPTION OF OPERATIONSA.OCATIONS IVEHICLESISPECIAL ITEMS Evidence of Insurance as respects Bowie #2 Mine Permit # <br /> C-096-083. General Liability policy provides protection f or use of explosives. <br /> <br /> H7#IIC HtLtfi.;;:.;:.;:.; :.:::::.::.::::::::::::::::::::::::::.:::::::..................... <br />"' T .IN:'::'::>>>>`'``>< <'><: '»>':<><<z' >''r<f<` <br />.......................... <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> State of Colorado ! EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> Dept of Natural Resources - 10 "DAYrWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> Div. of Minerals & Geology - - BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> 1313 Sherman Street, Room 215 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> <br />Denver, co 80203 AUT R PRESENTATIVE <br />ARGOINSURANCE <br /> SERVICES.Zc0 Fleck. AAI, CPIW <br /> <br /> <br /> <br /> <br />X, <br />.: f: <br />T I..h# <br />: #ll?. .R11i ' 99 <br /> <br /> CERTIFICATE: 00610011 00009
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