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2011-08-04_REVISION - C1996083 (2)
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2011-08-04_REVISION - C1996083 (2)
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Entry Properties
Last modified
8/24/2016 4:36:33 PM
Creation date
8/4/2011 2:46:31 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
REVISION
Doc Date
8/4/2011
Doc Name
Letter & Application and Public Notice
From
J.E. Stover & Associates, Inc
To
DRMS
Type & Sequence
RN3
Email Name
JJD
SB1
Media Type
D
Archive
No
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN I OUeIJ I w I nE n.avr.ry , w-... , ._.. —.....— , —• • • • •— . _ _._ — - <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />AWL <br />INRR <br />SUBR <br />D <br />MID <br />POLICY NUMBER <br />6464602 <br />POLICY EFF <br />IMMIDD/YYYY) <br />5/31/11 <br />POLICY EXP <br />IMMIDDIYYYY) <br />5/31/12 <br />LIMITS LIMITS <br />EACH OCCURRENCE <br />$ 2,000.000 <br />A <br />GENERALUABILITY <br />X <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) <br />$ 1,000,000 <br />MED EXP (My one person) <br />$ 10,000 <br />CLAIMS -MADE I X l OCCUR <br />PERSONAL 8 ADV INJURY <br />$ 2,000,000 <br />X <br />Blasting 8 XCU <br />GENERAL AGGREGATE <br />$ 3,000,000 <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X I POLICY [1 ri LOC <br />$ <br />,,„T <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />i <br />$ <br />AUTOMOBILE <br />— <br />_ <br />_ <br />LIABILITY <br />BODILY INJURY (Per person) <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />— <br />SCHEDULED <br />AUTOS <br />NON -OWNED <br />AUTOS <br />BODILY INJURY (Par accident) <br />$ <br />PPReOPPEER,� accident) <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS UAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />5 <br />$ <br />I I RETENTION $ <br />WORKERS <br />DED <br />COMPENSATION <br />N / A <br />I TORY LIMITS I I ER <br />AND EMPLOYERS' UABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION <br />Bowie <br />OF OPERATIONS / LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />#2 Mine Permit #C- 96.083. General Uab lity Policy provides protection for use of explosives. <br />AC D <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER Commercial Lines - (304) 252 -6375 <br />Wells Fargo Insurance Services of West Virginia Inc. <br />41 Eagles Road <br />Beckley, WV 25801 -3643 <br />INSURED Bowie Resources, LLC <br />PO Box 5057 <br />Ashland, KY 41105 <br />CONTACT <br />NAME <br />PHONE <br />INC No. Est): <br />FAX No): <br />EMAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />INSURER A: National Union Fire Ins. Co. of Pittsburgh, PA <br />INSURER B <br />INSURER C : <br />INSURER D : <br />INSURER E <br />INSURER F : <br />DATE (MMIDD!YYYY) <br />5/27/2011 <br />NAIC <br />19445 <br />COVERAGES <br />166513001 <br />CERTIFICATE NUMBER: 2801299 REVISION NUMBER: See below <br />CERTIFICATE HOLDER <br />ACORD 25 (2010/05) <br />State of Colorado Division of Reclamation <br />Mining and Safety <br />1313 Sherman Street Room 215 <br />Denver, CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />The ACORD name and logo are registered marks of ACORD <br />0 1988 -2010 ACORD CORPORATION. All rights reserved. <br />
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