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2008-02-05_REVISION - C1992080 (2)
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2008-02-05_REVISION - C1992080 (2)
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Entry Properties
Last modified
8/24/2016 3:22:16 PM
Creation date
3/3/2011 11:07:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992080
IBM Index Class Name
REVISION
Doc Date
2/5/2008
Doc Name
Application & Public Notice
From
Oakridge Energy, Inc
To
DRMS
Type & Sequence
RN3
Media Type
D
Archive
No
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nAKRFNF-01 KF1 F <br />CORDCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDN <br />YYY) <br /> 7 <br />UCER (940) 723-0771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Thompson Mason Daugherty Ins <br />;Alred 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 />ita 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 />nnVFRAnPq <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' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE <br />-- $ 1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY 04GL000697848 1215/2007 12/512008 <br />AMAGE TO RENTED <br />M SES Ea occurence <br />PRE <br />$ 100,00 <br /> CLAIMS MADE FKOCCUR MED EXP (Any one person) $ EXCLUDE <br /> PERSONAL & ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,0011 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 <br /> X POLICY PRO- LOC <br /> <br />A AUT <br />X OMOBILE LIABILITY <br />ANY AUTO <br />04CA002757212 <br />12/5/2007 <br />1215/2008 COMBINED SINGLE LIMIT <br />(Ea accident) $ 1,000,00 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS BODILY INJURY <br /> NON-OWNED AUTOS (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 0 CLAIMS MADE 04XS152679 12/512007 12/512008 AGGREGATE $ 1,000,00 <br /> $ <br /> DEDUCTIBLE $ <br /> X RETENTION $ 10,000 $ <br /> WORKERS COMPENSATION AND <br />C STATU- OTH- <br />X WTORY LIMITS I <br />B EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />SBP0001027321 <br />7/14/2007 <br />7/14/2008 <br />E.L. EACH ACCIDENT <br />1,000,00 <br />$ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ 1,000,00 <br /> If yes describe under <br />SPECIAL PROVISIONS below <br />E.L DISEASE - POLICY LIMIT <br />$ 1,000,00 <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 />CFRTIFICATF FIni nFR cAN('_F1 I ATInN <br /> <br />Colorado Division of Minerals & Geology SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> <br />1313 Sherman, Room 215 DATE THEREOF, THE ISSUING INSURER WILLy6YJX*)fiYJ% MAIL 30 DAYS WRITTEN <br />Denver, CO 80203- NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, LL <br /> <br /> AUTHORIZED REPRESENTATI <br />lv lTi?? lam" <br />AGUKU 25 (-1UU11U3) 11 ./ © ACORD CORPORATION 1988
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