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2008-07-10_GENERAL DOCUMENTS - C1991078
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2008-07-10_GENERAL DOCUMENTS - C1991078
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Last modified
8/24/2016 3:34:27 PM
Creation date
8/7/2008 2:44:32 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1991078
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/10/2008
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
MLT
Media Type
D
Archive
No
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DELTCOA-01 BETA' <br />ACORD,? CERTIFICATE OF LIABILITY INSURANCE <br />T <br /> <br />DATE lYYYY) <br />7/88/20/2008 <br />PRODUCER <br />First Horizon Insurance Group ?? <br /> <br />3401 West End Ave. Suite 600 ?? THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HOONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />LDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Nashville, TN 37203-1086 <br />`. <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED Delta Coals, Inc. INSURER A: The Travelers Ins Co <br />Honeywood Coal CompanyaoslIO 9aw>d <br />0 INSURER B: <br />95 White Bridge Road, Ste. 40d % INSURER C: <br />Nashville, TN 37205 INSURER 0: <br /> INSURER E: <br />CI'TVFRAGFS <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 />-LI& DD' <br />INSRC <br />TYPE OF INSURANCE POLICY NUMBER LICY EFFECTIVE <br />PODATE POLICY EXPIRATION <br />M11301M LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE <br />' E 1,000,00 <br />A X 1660114P5718TCT08 6/1/2008 6/112009 DAMAGE To RFNILD 100 <br />000 <br /> COMMERCIAL GENERAL LIABILITY PR <br />EMISES Ea occurence , <br />E <br /> CLAIMS MADE T OCCUR MED EXP (Any one person) $ 5,00 <br /> PERSONAL 6 ADV INJURY E 1,000,000 <br /> GENERAL AGGREGATE E 2,000,00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG E EXCIud <br /> POLICY X PJE,T 17 RO- LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />E <br /> ANY AUTO (Ea accident) <br /> ALL OW NED AUTOS BODILY INJURY <br /> SCHEDULEDAUTOS (Perperson) E <br /> HIRED AUTOS <br />BODILY INJURY <br />E <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> <br />(Per accident) E <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E <br /> ANY AUTO -° OTHER THAN EA ACC $ <br /> ' AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> / <br /> OCCUR F1 CLAIMS MADE AGGREGATE E <br /> S <br /> DEDUCTIBLE $ <br /> RETENTION $ I $ <br /> OTH <br /> WORKERS COMPENSATION AND <br /> <br />- TAY UMS E <br />R <br />_ <br /> -E6110COYERS' LLIABILITY _ " <br />-- <br /> E.L. EACH ACCIDENT E <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE E <br /> It yes describe under <br />SPEdIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />E <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Hamilton Mine, Permit No. C-91-078 <br />Division of Minerals and Geology <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203- <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE S <br />ACORD 25 (2001108)
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