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APPCOR11589
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APPCOR11589
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Entry Properties
Last modified
8/24/2016 6:31:55 PM
Creation date
11/19/2007 2:21:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
Application Correspondence
Doc Date
9/9/1996
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Media Type
D
Archive
No
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- ---lllllllllllllllllll <br />• ` oA~ P~Ta'Yl <br />n~.VHO 9/09/96 <br />PR1aRPa THIS CERTIFICATE IS ISSUm 0.S A NATTER OF INFORMATION <br /> ONLY A!D CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Jan C . M e 1 t o n HOLDER. THIS CERTIFICATE GOES NOT AMEID, E)(TER) OR <br />S e d g N i c k James o f T M, Inc . R 7H~ COVEIIAGE AFFORDED BY THE POLICIES B~LON. _ <br />P. 0. Box 1 9 8 1 0 CCMAPANIES AI-FOfiDING COVEMIGE <br />Knoxville, TN 37939-2810 mawANr <br /> A National Union Fire Ins. Co. <br />NSIf® COMPANY <br /> _D AMERICAN HOME ASSURANCE <br />BOH1E RESOURCES LIMITED <br />1500 NORTH BIG RUN RD coMPaNr RF_~~1i.'I-I t <br />ASHLAND KY 41102 C <br /> COMPANY -- 19y~ <br /> D <br />THIS 1S 7D CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TI V OR 'HE POLICY PERIOD <br />INDICATED, NOTMITHSTRNOING ANY REQUIREMENT, TERM OR CONDITI ON OF ANY CONTMCT OR OTHER DOCUMENT KITH RESPECT TO RHICH THIS <br />CERTIFICATE MAY BE ISSUED OR HAY PERTAIN. THE INSURANCE AFF ORDED BY THE POLICIES DESCRIBED HEREIN [S SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHORN Y H V B M DUCED OY PAID CLAMS. ____ <br />CD TYPEOF lLArtiANCE POIx.Y NI1BFJa ~'~'EFr{CnVE PaILY ExPMIIDN <br />LPfIS <br />LTR dnE(M4OCWY) MTE(1YkTILV1'Y) <br />- <br />A <br />GEN ---- <br />ERAL UABRnY <br />G L 5 4 1 1 1 1 3 R A ------- <br />6 1 0 1 1 9 6 -- <br />8/ 0 1/ 9 7 ---- <br />GENERAL AGGREGATE <br />s__2 O O O O O O___ <br /> X COMMEfiC1AL GENERAL UABILRV OMPpP AOG <br />PPAOUCTSL { <br /> -- __ CWMB r~ BUR <br />MADE In ~ _ <br />PERSONALaA-VINJURY S n n n O__ <br /> OWNER'S a COM PROT EACH OCCURRENCE S I O O O O O O <br /> FIRE DAMAGE(Myone Orel _ <br /> MED EYP (My ane persan~ S 5 D O D <br />A w1O~E gym" CA5917714RA 8/01/96 8/01/97 <br /> X qNY AUTO COMBINED SINGLE LIMIT <br />_-____ f I O O D O O O <br />_-_______ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDUIJ<D AUTOS (Per penar) S <br /> X HIRED AUTOS BODILY INJURY <br /> <br />NON-0WNED AUFO <br />(Per accltlen4 s <br /> G S <br /> --- PfiOPERTV DAMA <br />E <br /> i <br />i <br /> GAF <br />MaC-IY~U <br />Y AUTO ONLY~EA ACCIDENT 5 <br /> t___- <br /> _ ANY AUTO OTHER THAN AUTO ONLY: <br /> <br />__ <br />______-_-__ -__--_-_ <br />EACH ACCIDENT <br />s <br />---- <br /> ------ AGGREGATE S <br />8 ExCESS Loam 9 3 2 1 3 6 9 8 1 0 1/ 9 6 8/ O I/ 9 1 s 5 0 0 0 0 0 0 <br /> EACH OCCURRENCE <br /> UMBRELLA FORM AGGREGATE S S O O O O O O <br /> OTHER THAN UMBRELLA FORM <br /> worawANS~san+Arao we sraTU~ ~onJ ~~ = <br />~ <br />~ <br />=fi <br />' <br />' <br /> aaLrnsas uAeuir TGRr MRS R I. _ <br />: <br />.r <br />t. <br /> <br /> EL EACH ACCIDENT s <br /> THE PROPRIETOR/ <br />INCL ~--------- <br />POLICY UMR <br />EL DISEASE ---- <br /> P <br />Hi <br />R5 - 6 <br /> A <br />NE <br />1F%ECU1riE <br />EL DISE45E EA EMPLOYEE ____ <br /> OFFICERS ARE: El<CL t <br /> OI1Hi - - ---- -___- <br />]iPItON OF IXBLATgfLRAD4aT10lIS/VENRxES~QAL ffFJl9 <br />E: BOH1E fZ MINE PERMIT e'C-96-083 <br /> .r <br />..fY - h~ ., d :Tti :} ~3~~f"1uYYpa~g~~> <br /> I <br /> SHGVID ANY OF THE ABOVE OESLTiBED PQJCES ff CANCIIIID B60{E 1HE <br />~~ i T A T E O F C O L O R A D O oanATJON DATE n~oT. TME~ssxNCCa@ANV'NU-L~r. ura <br />i 1EPT. OF NATURAL RESOURCES 30 oAYSwPmaNOacEron¢cP.RmacwTEHamaNAALEOroTHEU~r <br />)IV. OF MINERALS 8 GEOLOGY <br />I <br />313 SHERNAN ST. ROOK 2L5 <br />i ENVER CO 80203 <br /> <br />___ <br />AURIai~ ATNE - _ - <br />!i .`.~~ ,.-.~ 'A.EC ,+r,~ws~~#y' x' 'tea,`' -,xys -.L,3FN;" ,r~-, «:-n <br />
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