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2009-06-03_GENERAL DOCUMENTS - C1996083 (2)
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2009-06-03_GENERAL DOCUMENTS - C1996083 (2)
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Last modified
8/24/2016 3:47:13 PM
Creation date
6/4/2009 12:54:15 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/3/2009
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
JJD
Media Type
D
Archive
No
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Wells Fargo Insurance Services <br />AN U 2009 <br />of WV, Inc. 12T?at10n <br />41 Eagles Road tOt?ul"eC$2 <br />Beckley WV 25801 Oiv(Min?ng and fety <br />(304) 252-6375 <br />Bowie Resources, LLC <br />1500 Big Run Road <br />Ashland, KY 41102 <br /> <br />...,...,.:.......:.. . <br />DATE (MMIDDIYY) <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 />COMPANY <br />D <br />THIS IS TO CERTIFY THAT THEPOLICIESOF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTWITH RESPECT TO 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 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MM/DDIYY) DATE (MM/DDIYY) <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 ?X OCCUR PERSONAL & ADV INJURY $ 1,000,000 <br />OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br />X Blasting FIRE DAMAGE (Any one fire) $ <br />MED EXP (Any one person) $ 5,000 <br /> AUT OMOBILE 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 /> 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 - - 3 "- - <br /> WORKERS COMPENSATION AND <br />' WC STATU- OTH- <br />TORY LIMITS ER <br /> EMPLOYERS <br />LIABILITY EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE <br />INCL <br />EL DISEASE-POLICY LIMIT <br />$ <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ <br /> OTHER <br />Bowie #2 Mine Permit #C-96-083. 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 EP000IW )WAAAIL <br />D i v i s i o n of Reclamation, ,30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Mining and Safety MAN(1(MN1EX00(XMiMK?OtlFXXI00D(d(K?(ifdOlXMIOI(0(1fKXdtX7tlN(XdIXXWN(X)q(KMPtlIKNX9(X <br />1313 Sherman Street, Room 215 O*XX4NXXXXMXXWANXXAXtEX)MkIFAMWXXMXX)MWM)(g(RX RKDO X)WW4 <br />Denver, CO 80203 AUTHORIZED REPRESENTATIVE <br />Janice C. Whitlock, AAI, CPIW <br />CERTIFICATE: 01010011 00045
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