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2008-01-10_REVISION - C1983059
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2008-01-10_REVISION - C1983059
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Entry Properties
Last modified
8/24/2016 3:20:50 PM
Creation date
1/29/2010 1:36:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1983059
IBM Index Class Name
REVISION
Doc Date
1/10/2008
Doc Name
Letter Application and Public Notice
From
Oxbow Mining, LLC
To
DRMS
Type & Sequence
RN5
Media Type
D
Archive
No
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ACORD. : CERTIFICATE OF LIABILITY INSURANCE DA07/25/07Y) <br />PRODUCER <br />Aon Risk services, inc of Florida THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />222 Lakeview Avenue AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />Suite 510 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />West Palm Beach FL 33401 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br />PHONE-(866) 283-7122 FAX- 847 953-5390 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Pacific Indemnity Co <br />oxbow carbon & Minerals LLC INSURER B: Westchester Fire Insurance Co <br />1601 Forum P1 <br />Attn: Donna J. Gulbransen INSURER C: Hartford Fire Insurance Co. <br />West Palm Beach FL 33401-8101 USA <br /> <br /> INSURER D: <br /> INSURER E: <br />COVERAGES This Certificate is not intended to specify all endorsements coverages, terms conditions and exclusions of the policies shown. SIR May App y <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 MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI N IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br /> DATE(MM\DD\YY) DATE(MM\DD\YY) <br />A GENERAL LIABILITY 35863379 <br />General Li <br />bilit 06/01/07 06/01/08 EACH OCCURRENCE $1,000,000 <br /> <br />X <br />COMMERCIAL GENERAL LIABILITY a <br />y <br />FIRE DAMAGE(Any one fire) <br />$1,000,000 <br /> CLAIMS MADE MX OCCUR MED EXP (Any one person) $10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2 <br />000 <br />000 <br /> ' , <br />, <br /> GEN <br />L AGGREGATE LIMIT APPLIES PER- <br />PRO- <br />POLICY [:] <br />M LOC <br />PRODUCTS - COMP/OP AGO <br />$2,000,000 <br /> JECT <br />P <br />c AUTOMOBILE LIABILITY 20UENL04180 06/01/07 06/01/08 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $1,000,000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS ( Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br /> NON OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> H P <br />id <br /> ( <br />er acc <br />ent) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO <br />OTHER THAN EA ACC <br /> AUTO ONLY <br /> AGO <br />B EXCESS LIABILITY G21979673003 <br />umbrella Liabilit 06/01/07 06/01/08 EACH OCCURRENCE $25,000,000 <br /> X <br />- y <br /> OCCUR r <br />1 CLAIMS MADE AGGREGATE $25,000,000 <br /> <br /> DEDUCTIBLE <br /> <br /> X RETENTION $10,000 <br /> WORKERS COMPENSATION AND WC STATU- 7H- <br /> EMPLOYERS' LIABILITY TORY [MIT ER <br /> E.L. EACH ACCIDENT <br /> E.L. DISEASE-POLICY LIMIT <br /> E.L. DISEASE-EA EMPLOYEE <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: Terror Creek Company. C-1983-059. Division of Reclamation, Mining & Safety is named as an Additional insured <br />excluding workers' Compensation and Employers' Liabili ty as required by written contract but limited to the <br />operations of the insured under said contract, and always subject to the policy terms, conditions and exclusions. <br />CERTIFICATE HOLDER CANCELLATION <br />Division of Reclamation, Mining & Safety SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />1313 Sherman street, Room 215 DATE THEREOF, THE ISSUING COMPANY WILL R;DFAVOR-FB MAIL <br />Denver CO 80203 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />RUT FAILURE TO DO 90 SIIAWIMPOSE NO 013L4GATION OR L[ABILITY <br /> AUTHORIZED REPRESENTATIVE <br />ACORD 25-S 7/97 ACORD CORPORATION 1988 <br />r-i <br />r4 <br />N <br />7 <br />N <br />O <br />O <br />n <br />uf <br />X!i
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