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2010-04-01_GENERAL DOCUMENTS - C1981013
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2010-04-01_GENERAL DOCUMENTS - C1981013
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Last modified
8/24/2016 4:03:02 PM
Creation date
4/6/2010 9:57:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981013
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
4/1/2010
Doc Name
Revised Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
KAG
Media Type
D
Archive
No
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R? CERTIFICATE OF LIABILITY INSURANCE OP ID MW DATE(MWDDfnM <br />r1EW311-2 04/01/10 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Putnam Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PO Box 991 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ashland KY 41105 <br />Phonet 606-329-2200 Fax:606-325-7787 INSURERS AFFORDING COVERAGE NAIC0 <br />INSURED INSURER A: Federal Ins. Co. 20281 <br /> <br />N <br />Elk C <br />l INSURER B: <br />ew <br />oa <br />Co. LLC <br />Barb <br />INSURER C: <br />P. O. Box 626 <br />Gloodland KS 97735 INSURER D: <br /> <br /> INSURER E: <br />a.vvrrwvea <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 />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMID DATE (WOM LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1000000 <br />A X COMMERCIAL GENERAL LIABILITY 37111456 02/08/10 02/08/11 PREMISES(EaowuZence) $1000000 <br /> CLAIMS MADE ® OCCUR MED EXP (Any one person) $ 10000 <br /> PERSONAL t1ADVINJURY $1000000 <br /> GENERALAGGREGATE s2000000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $1000000 <br /> POLICY M-- LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> S <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per acodent) $ <br /> H PROPERTY DAMAGE <br /> S <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY- EA ACCIDENT S <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGO $ <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE S <br /> OCCUR EICLAIMS MADE AGGREGATE S <br /> s <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS LIABILITY Y TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNEPJEXECUTNI <br />OFFICER/MEMBER EXCLUDED? IN <br />L] E.L. EACH ACCIDENT $ <br /> (Mandatory In NH) E.L. DISEASE - EA EMPLOYE S <br /> I describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />New Elk Mine Permit # C-81-012 <br />Lorencito Canyon Mine Permit # C-96-084 <br />Golden Eagle Mine Permit # C-81-013 <br />CERTIFICATE HOLDER CANCELLATION <br />Colorado Division of <br />Reclamation Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver CO 80203 <br />ACORD 25(2009101) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />COLOR- 2 DATE THEREOF, THE ISSUING INSURER WILL MWWXM= MAIL 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />m 1988 2009 <br />All dahts reserved, <br />The ACORD name and logo are registered marks of ACORD
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