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2008-02-05_REVISION - C1992080
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2008-02-05_REVISION - C1992080
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Entry Properties
Last modified
8/24/2016 3:22:16 PM
Creation date
3/3/2011 11:07:39 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992080
IBM Index Class Name
REVISION
Doc Date
2/5/2008
Doc Name
Letter & Application and Public Notice
From
Savage and Savage
To
DRMS
Type & Sequence
RN3
Media Type
D
Archive
No
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OAKRENE-01 KELE <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE DATE /27/ <br />0 <br />7 <br />. 2 <br />0 <br />PRODUCER (940) 723-0771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Allred Thompson Mason Daugherty Ins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Box 1071 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />hita Falls, TX 76307-1071 <br /> INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Oakridge Energy Inc; Pueblo Mining Inc INSURER A: Mid-Continent Casualty Co. <br />4613 Jacksboro Highway INSURER B: Texas Mutual Insurance Co. <br />Wichita Falls, TX 76302- <br /> INSURER C: <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <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 />INSR DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />PODATE JMMIDOM LICY EXPIRATION <br />OMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1+000+00 <br />A X COMMERCIAL GENERAL LIABILITY 04GL000697848 12/5/2007 12/5/2008 pREAMAGE <br />MiSES Ea occurence <br />$ 100+00 <br /> CLAIMS MADE FKOCCUR MED EXP (Any one person) $ EXCLUDE <br /> PERSONAL & ADV INJURY $ 1+000+00 <br /> GENERAL AGGREGATE $ 2+000+00 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2+000+00 <br /> <br />LIJECT 17 PRO LOC <br />X POLICY <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT 1 <br />000 <br />00 <br />A X ANY AUTO 04CA002757212 12/512007 12/512008 (Ea accident) $ <br />, <br />, <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 1+000,00 <br />A X OCCUR CLAIMS MADE 04XS152679 1215/2007 12/512008 AGGREGATE $ 1,000,00 <br /> $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION AND X WTORY E LIMIT OTH- <br /> <br />B EMPLOYERS' LIABILITY <br /> <br />ECUrIVE <br />P <br />SBP0001027321 <br />7/14/2007 <br />7/1412008 <br />E.1 EACH ACCIDENT <br />$ 1,000,00 <br /> ?ICERIMEMBER <br />EXCLUDED? <br />E.L. DISEASE - EA EMPLOYE i 000 OO <br />$ + + <br /> If yes describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT 1,000,00C <br />E <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Carbon Junction Coal Mine, Durango, Colorado Permit #C-92-080 <br />Colorado Division of Minerals & Geology <br />1313 Sherman, Room 215 <br />Denver, CO 80203- <br />ACORD 25 (20011081 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI' <br />DATE THEREOF, THE ISSUING INSURER WILIJ'WAWJ(YJ% MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, LL <br />AUTHORIZED <br /> <br />0 ACORD CORPORATION 1989
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