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2010-07-30_GENERAL DOCUMENTS - C2008086
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2010-07-30_GENERAL DOCUMENTS - C2008086
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Last modified
8/24/2016 4:17:07 PM
Creation date
8/2/2010 8:26:24 AM
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DRMS Permit Index
Permit No
C2008086
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/30/2010
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
MPB
SB1
Media Type
D
Archive
No
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DATE(MM/DD/YYW) <br />CERTIFICATE OF LIABILITY INSURANCE 07/27/2010 <br />PRODUCER <br />Aon Risk Insurance Services West, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Fresno CA Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />5260 North Palm Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Suite 400 COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Fresno CA 93704 USA <br />INSURED <br />CAM-COlorado LLC-. <br />P.O. Box 1169 <br />Pikeville KY 41502 USA <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <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 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED <br />INSR <br />LTR DD' <br />INS <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />LIMITS <br /> ATE MM/DD DATE(MM/DD/YYYY) <br />A ERAL LIABILITY GL0936045 05/31/2009 12/01/2010 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1,000,000 <br /> PREMISES (Ea occurrence) <br />' <br /> CLAIMS MADE X? OCCUR MED EXP (Any one person) $10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 <br /> <br /> ? POLICY JECT LOC <br />A AUTOMOBILE LIABILITY cA093S830 05/31/2009 12/01/2010 COMBINED SINGLE LIMIT <br /> (Ea accident) $1,000,000 <br /> X ANY AUTO - <br /> ALL OWNED AUTOS _ BODILY INJURY .. .. <br /> SCHEDULED AUTOS (Per person) <br /> J( HIRED AUTOS BODILY INJURY <br /> X NON OWNED AUTOS - (Per accident) --? <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO OTHER THAN EA ACC <br /> R AUTO ONLY: <br /> AGG <br /> EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE <br /> ? OCCUR ? CLAIMS MADE AGGREG'ATE <br /> <br /> <br /> DEDUCTIBLE -- - - - --- - - - -- - - - - - - - - - --.._ ?..._ ...? <br /> RETENTION <br /> C = OTH- <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />DISEASE-EA EMPLOYEE <br />E <br />L <br /> OFFICER/AJUMBER EXCLUDED? . <br />. <br /> (Mandatory in NH) <br />E.L. DISEASE-POLICY LIMIT <br /> If es, describe under SPECIAL PROVISIONS below <br /> <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: unit Train Loadout <br />state of Colorado, Division of Reclamation mining & safety is included as Additional insured. <br />*Except 10 days notice for non-payment of premium. <br />d <br />w- <br />C <br />^o <br />rr <br />L <br />7 <br />O <br />x <br />T <br />O <br />r-1 <br />n <br />O <br />n <br />m <br />O <br />O <br />O <br />z <br />O <br />t <br />U <br />W <br />v <br />CERTIFICATE HOLDER LA1Vl LLLA 11V1V AEEX-P11R-ATT11ONN_1 <br />state of Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Division of Reclamation Mining & safety DATE THEREOF, THE ISSUING INSURER WILL `^'DE? "'OR TO MAIL <br />1313 5 he rman St . Rm #215 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />Denver Co 80203 USA 113 INSUREP, ITS AGE? <br />AUTHORIZED REPRESENTATIVEACORD 25 (2009/01) 01988-2009 ACORD CORPORATION. All rights reserved= <br />The ACORD name and logo are registered marks of ACORD <br />--(5S9) 439-0863 INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: National union Fire Ins Co of 5
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