My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2008-07-29_GENERAL DOCUMENTS - C1981025
DRMS
>
Day Forward
>
General Documents
>
Coal
>
C1981025
>
2008-07-29_GENERAL DOCUMENTS - C1981025
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 3:35:01 PM
Creation date
7/30/2008 3:10:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981025
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/29/2008
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
JRS
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
i -??nnra• ?v'<ivw <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE YY) <br />TM 07/24/zoos <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB SW Grand Junction ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2742 Crossroads Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.O. Box 60130 <br />Grand Junction, CO 81506 <br />I-A INSURERS AFFORDING COVERAGE NAIC # <br />INSURED ?4. INSURERA: EMC Insurance Companies 999999 <br />Minrec, InC. INSURER B: <br />S & B Holdings LLC t1. INSURER C: <br />2024 E 3/4 Road INSURER D: <br />Grand Junction, CO 815 INSURER E: <br />COVERAGES <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 MAY BE 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 <br />LTR DD <br />NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIYYVE <br />DATE MMIDD/ POLICY EXPIRATION <br />DATE MM/DD/YY LIMITS <br />A GENERAL LIABILITY 3X64904 09/01/07 09/01108 EACH OCCURRENCE $1000000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAMISES (Ea occurrence) GE TO RENTED $100 00o <br /> <br /> CLAIMS MADE a OCCUR MED EXP (Any one person) s5,000 <br /> PERSONAL & ADV INJURY $1,000 000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s210001000 <br /> POLICY JEO LOC <br />A AUT OMOBILE LIABILITY 3X64904 09/01/07 09/01/08 COMBINED SINGLE LIMIT <br /> E <br />id <br />nt) <br />c 000 <br />$1 <br />000 <br /> ANY AUTO a a <br />c <br />e <br />( , <br />, <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON-OWNED AUTOS <br /> <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> F ANY AUTO OTHER THAN FA ACC $ <br />I AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> I OCCUR EICLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND OR LIMIT " O R - "Y <br /> EMPLOYERS' LIABILITY <br /> <br />ANY PROPRIETOR/PARTNER/EXEC <br />TI E.L. EACH ACCIDENT $ <br /> U <br />VE <br />OFFICER/MEMBER EXCLUDED? <br /> <br />E.L. DISEASE - EA EMPLOYEE <br /> <br />$ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Re: North Thompson Creek Mines, DRMS Permit C-1981-025. State of <br />Colorado, Division of Reclamation Mining & Safety is included as an <br />Additional Insured. *Except 10 days notice due to non-payment of premium. <br />State of Colorado <br />Division of Reclamation Mining & Safety <br />1313 Sherman St, Rm #215 <br />Denver, CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILLjt%X)MKQ§t MAIL 'An* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,ZXXK9I X <br />A HORIZED EPRF /naE <br />. _ l <br />ACORD 25 (2001/08) 1 Of 2 #S43211/M2850 ACK © ACORD CORPORATION 1988
The URL can be used to link to this page
Your browser does not support the video tag.