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2010-06-01_GENERAL DOCUMENTS - C1996083 (3)
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2010-06-01_GENERAL DOCUMENTS - C1996083 (3)
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Last modified
8/24/2016 4:12:33 PM
Creation date
6/2/2010 9:45:17 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/1/2010
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
JRS
SB1
Media Type
D
Archive
No
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ACORU, <br />Wells Fargo Insurance Services <br />of WV, Inc. <br />41 Eagles Road <br />Beckley WV 25801 <br />(304) 252-6375 <br />Bowie Resources, LLC <br />455 South Fourth Street <br />Suite 1534 <br />Louisville, KY 40202 <br />ONT7 `• <br />a? <br />COMPANY <br />A Natl Union Fire Ins Co Pgh PA <br />COMPANY <br />COMPANY <br />B <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, NOTWITHSTANDING ANY REOUIREMENT, TERMOR 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(MMIDDIYY) <br />A GENERAL LIABILITY 6464602 5/31/10 5/31/11 GENERAL AGGREGATE $ <br />X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ <br />CLAIMS MADE ? OCCUR PERSONAL & ADV INJURY $ <br />OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ <br />Ix Blasting & XCU FIRE DAMAGE (Any one fire) $ <br />MED EXP (Any one person) $ <br />AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br />(Per <br />erson) $ <br /> SCHEDULED AUTOS p <br /> HIRED AUTOS BODILY INJURY <br />id <br />t) <br />P $ <br /> NON-OWNED AUTOS er acc <br />en <br />( <br /> PROPERTY DAMAGE $ <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 /> OTH. <br />WC STATU- <br /> WORKERS COMPENSATION AND ER <br />E <br />- EMPLOYERS' LIABILITY _ <br />EL EACH ACCIDENT a $ <br /> THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EA EMPLOYEE <br />$ <br /> OTHER <br />DESCRIPTION OF0PERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS As respects Bowie Permit #C-1996-083. General Liability Policy <br />provides protection for use of explosives. Ten Days cancellation notice for non-payment of premium. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />State of Colorado EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENf)HNOOIX)MM01AIL <br />Division of Reclamation 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Mining and Safety YYDtl84NKdNifXDtl(XNAOKl6?UDtYXEf)m(1EK16(I<Al1LXMlm(?11K)Ntl(XiHIXdLXXWN(XMKKNOfdIKNXfXX <br />1313 Sherman Street, Room 215 O)EXXDKXX)AW(14XX)HOOXXA)(UFa0t9CQNOl'1N MXXXXXI)MM (XARXX P?H?WMFIWBOX)M . <br />Denver, CO 80203 AUTHORIZED REPRESENTATIVE <br />Adam Rohrig <br />GhHIIrIGAIh; UU01UU1I UUU12
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