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2008-10-02_GENERAL DOCUMENTS - C1982055
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2008-10-02_GENERAL DOCUMENTS - C1982055
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Last modified
8/24/2016 3:36:48 PM
Creation date
10/3/2008 10:53:52 AM
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Template:
DRMS Permit Index
Permit No
C1982055
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
10/2/2008
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
KAG
Media Type
D
Archive
No
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THE Pr]I ICIFC OF IAISI 10AI-M <br />- ---.-- <br />•• ?• •• ?? ?- 11- D=N IaautU I U I Ht 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 />LTR •INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD/YY POLICY EXPIRATION <br />DATE MM/DDlYY <br />LIMITS <br /> <br /> <br />A GENERAL LIABILITY <br /> <br />X <br />EACH OCCURRENCE <br />$ 1,000,000 <br /> COMMERCIAL GENERAL LIABILITY CSPKGO0243 10/01/08 10/01/09 PREMISES (Ea occurence) $ 100,000 <br /> CLAIMS MADE ? OCCUR MED EXP (Any one person) <br />00 <br />$ 5,6 <br /> PERSONAL <br /> & ADV INJURY $ 1,000,000 <br /> GENERAL <br />G <br /> <br />GE <br />' A <br />GREGATE $2,000,000 <br /> N <br />L AGGREGATE LIMIT APPLIES PER: <br />PRO- <br />X PRODUCTS - COMP/OPAGG $2,000,000 <br /> POLICY <br />JECT LOC <br /> AU TOMOBILE LIABILITY <br /> <br /> <br />ANY AUTO <br />®E^!! <br />QS `' <br />a a ?/E® <br />COMBINED SINGLE LIMIT <br />C(Ea O accident) <br /> <br />$ <br /> <br /> ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />OCT 01 <br />2008 <br />v <br />BODILY INJURY <br />(Per person) <br />$ <br /> <br /> HIRED AUTOS <br />NON-OWNEDAUTOS <br />Division or <br />eciamaUon, <br />BODILY INJURY <br />(per accident) <br /> <br />$ <br /> Mining nd Safety <br /> <br /> PROPERTY DAMAGE <br />(Per accident) $ <br /> GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY AGO $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ? CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE <br />I <br />s <br /> RETENTION $ <br /> <br />-- WORKERS COMPENSATION AND <br />EMPLOYERS'LIABILITY "' "-"-' <br />-- - <br />-- -?---- <br />--- ---- <br />TORYI=WlTS---- - ER <br />- <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ <br /> If yes, describe under E.L. DISEASE - EA EMPLOYEE $ <br /> SPECIAL PROVISIONS below <br />OTHER <br />- E.L. DISEASE - POLICY LIMIT $ <br />7 <br />OF <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Reference: Raton Creek Mine: Permit #C-82-055; Kerr Mine: Permit #C-80-006 <br />and Southfield Mine - Permit #C-81-014. <br />Southfield Mine - Permit #C-81-014 <br />CERTIFICATE HOLDER CANCELLATION <br />CNATURA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />Colorado Department of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Natural Resources <br />Division of Minerals & Geology IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />1313 Sherman Street, Rm 215 REPRESENTATIVES. <br />Denver CO 80203 RUTH R} DREPRESENTATIVE <br />ACORD 25 (2001/08) © ACORD CORPORATION 1988
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