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2010-06-01_GENERAL DOCUMENTS - C1981038 (2)
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2010-06-01_GENERAL DOCUMENTS - C1981038 (2)
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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
C1981038
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/1/2010
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
JJD
SB1
Media Type
D
Archive
No
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i i:i:i:<.; : .. T! :::<,:::;.::;::;?;'.:.,,:< .:5i>:::::::.::i.;.:i: .::: <br /> <br />? . <br />ACORD ::.:::.: :::•: »:.?.::.:....Yiici ': :: .' ?i% .:.... .?`"..:.G.<..<,o::.: iii:.::::i: • DATEMM/DDIYY <:> <br />:::: <br />?I/f <br />- <br /> TMi'C:ii' ..., <br />;,. <br />. 5/26/10 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Wells Fargo Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> of WV, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 41 Eagles Road COMPANIES AFFORDING COVERAGE <br /> Beckley WV 25801 COMPANY <br /> @ <br /> (304) 252-6375 ,v A Natl Union Fire Ins Cc Pgh PA <br /> INSURED COMPANY <br /> Bowie Resources, LLC IN? B <br /> <br /> 455 South Fourth Street COMPANY <br /> Suite 1534 J Ci <br /> <br /> Louisvi I le, KY 40202 COMPANY <br /> D <br /> .: <br />IEfjEAla£$ <br />.............. ..................... .... ............................................................. .. ............................... ..... .... ................. ................. <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 REQUIREMENT, TERM OR CONDITION OF ANYCONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS <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 GE NERAL LIABILITY 6464602 5/31/10 5/31/11 GENERAL AGGREGATE S <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ <br /> CLAIMS MADE FX] OCCUR PERSONAL & ADV INJURY $ <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ <br /> X 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 /> 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 $ <br /> <br />-- WORKERS COMPENSATION AND <br /> <br />' <br />"" <br /> <br />'-- <br />- --- <br />? - <br />" WC STATU- OTH. <br />TORY IMITS R <br /> EMPLOYERS <br />LIABILITY - <br />- <br />' <br />_-- ------?_ <br />EL EACH ACCIDENT' - <br />1- <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ <br /> OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ <br /> OTHER <br /> DESCRIPTION OF OPERATION SILO CATION SIVEHICLESISPECIAL ITEMS Evidence of Insurance as respects Bowie #1 Mine Permit # <br /> C-81-038...General Liability Policy provides protection for use of explosives. <br /> .......-- ................... .......................... ...... <br />:: NF .. :` ........ :. ::i:ii3i`i `i>:i ." ' >. 6AT . .: i;i i<;?<iii`ii?:?;:?'ii':i8"ii `i`i : :'. "..:::.:::.;;>;>;:::':......... <br />.................... ......:............................._ _....:.... ..:. ........ <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 UTHORIZED REPRESENTATIVE <br /> Adam Rohrig <br /> <br />CERTIFICATE: 006/001/ 00008
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