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2009-06-03_GENERAL DOCUMENTS - C1981038
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2009-06-03_GENERAL DOCUMENTS - C1981038
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Last modified
8/24/2016 3:47:13 PM
Creation date
6/4/2009 12:53:45 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981038
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/3/2009
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
MLT
Media Type
D
Archive
No
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A'CORD,M <br />Wells Fargo Insurance Services <br />of WV, Inc. <br />41 Eagles Road D <br />Beckley WV 25801 G?,vE <br />(304) 252-6375w <br />INSURED U 3 200 <br />Bowie Resources, LLC ??.5? at1On <br />1500 Big Run Road ®,NISNf'G` $aety <br />Ashland, KY 41102 M1ning and <br />DATE (MMIDDIYY) <br />I 1 .... 5/29/09 <br />.. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.- <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A Natl Union Fire Ins Co Pgh'PA' <br />COMPANY <br />B <br />COMPANY <br />C <br />COMPANY <br />D <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 />INDICATED,NOT WITHSTANDING ANY REQUIREMENT, TERMORCONDITION OFANYCONTRACTOR OTHER DOCUMENT WITHRESPECTTO WHICHTHIS <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 POLICY EFFECTIVE POLICY EXPIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MM/DDIYY) LIMITS <br />A GENERAL LIABILITY 6464602 5/31/09 5/31/10 GENERAL AGGREGATE $ 2,000,000 <br />X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000 <br />CLAIMS MADE[ X7 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 /> AU TOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> R PROPERTY DAMAGE $ <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> - OTHER THAN-UMBRELLA-FORM $ <br /> WORKERS COMPENSATION AND <br />' WC STATU- OTH-TS I <br />TOY IMI R <br /> EMPLOYERS <br />LIABILITY EL EACH ACCID IDENT $ <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ <br /> OTHER <br />UCSGMIYIIUIY OF UYCMAIIUwi/LYIiAIIUIYSrYCMIl.1C5r5YCNAL IICMS Evidence of Insurance as respects Bowie #1 Mine Permit # <br />C-81-038...General Liability Policy provides protection for use of explosives. <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 DAYS WRITTEN 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 St. Room 215 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />Denver, CO 80203 AUTHORIZED REPRESENTATIVE <br />Janice C Whitlock, AAI, CPIW <br />CERTIFICATE: 00610011 00008
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