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GENERAL37411
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GENERAL37411
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Entry Properties
Last modified
8/24/2016 7:57:33 PM
Creation date
11/23/2007 9:09:35 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
8/10/1998
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ACORD„ ..CERT.IFICATE OF,LIABILI TY INSURANCE.:'::::.: ; III IIIIIIIIIIIII III <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A ggg N <br /> ONLY AND CONFERS NO RIGHTS Urn IMG L:tnIIrICA ~E <br />Aon Risk Services of Florida HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. BOx 019012 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Miami, FL 33101-9012 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />305-372-9950 A FEDERAL INSURANCE COMPANY <br />INSURED <br />COMPANY <br />OXBOW CARBON & MINHRALS, INC. B AMERICAN GURANTEE 6. LIABILITY <br />ATTN: BRUC$ CLITHERO COMPANY <br />1601 FORUM PLACE C <br />WHST PALM B$ACH, FL 33401 COMPANY <br /> D <br />COVERAGES ~. ~~: :~. ~ ..... ... ... . ...... ...... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLI CY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITG <br />LTA DATE IMMIDD/YYI DATE IMMIDD/YYI <br /> GEN ERAL LIABILITY GENERAL AGGREGATE 5 2,000,000 <br />A X COMMERCIAL GENERAL LIABILITY 37104268 7/21/98 7/21/99 PRODUCTS. COMPIOP AGG S Zs OODs DQQ <br /> CLAIMS MADE ~ OCCUR PERSONAL 6 ADV INJURY 5 1, OOO s OOO <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE S 1, OOO s OOO <br /> FIRE DAMAGE IAnv one Lrel 5 1 s OOO s OOO <br /> MED E%P IAnv one pelspnl S lO s DQD <br /> AUT OMOBILE LIABILRY <br />A X ANY AUro 73077258 7/21/98 7/21/99 COMBINED SINGLE LIMIT S Zs OOOs OOO <br /> ALL OWNED AUTOS <br />SCHEDULED AUTO$ <br />HIRED AUTOS <br />NON~O WNED AUTOS <br />GARAGE LIABILITY <br />ANV AUTO <br />EIV <br />RE <br />C D <br />,,y^^ <br />S <br />~'/V 1 0 <br />DIV. OF MINER LS <br />8 GEOLOG <br /> BODILY INJURY 5 <br /> IPer person) <br /> BODILY INJURY 5 <br /> IPer accieenD <br /> PROPERTY DAMAGE S <br /> AUTO ONLY-EA ACCIDENT 3 <br /> OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE 5 <br /> E%L ESS LIABILRY EACH OCCURRENCE S Z S s OOO s OOO <br />$ X UMBPFLLAFORM AII02393042 9/01/97 9/01/98 AGGREGATE 5 2Ss000sOOO <br /> OTHER THAN UMBRELLA FORM 5 <br /> WORIIEfl9 COMPENSATION AND - - - -- - - - - _ - ~ WC STATU~ OTH- <br />gTCIM EH _ <br /> EMPLOYERS' LIABILITY <br /> EL EACH ACCIDENT S <br /> THE PROPRIETOR/ INCL EL DISEASE -POLICY LIMIT S <br /> PARTNFRSIE%ECUTIVE <br /> OFFICERS ARE: E%CL EL OISEASE~EA EMPLOYEE 5 <br /> OTHER <br />DESCRIPTION OF OPEflATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS <br />RE: SANBORN CRHEK MINE PER DIVISION OF MINERALS S. GHOLOGY PERMIT NDMBHR <br />(NO. C-81-022). <br />COMMHRCIAL GENERAL LIABILITY COVERAGE INCLUDES UNSH OP EXPLOSIVES. <br />CERTIFtCATE~HDLDER~~~~::~ ~ ~ .:~: ~~. ~~: ~: ~: ~ .: :. ~: ~. ~:~:.: ~ ~~ : ~:: ~... ~~.. ~: ~:: CANCELLATION::.. ~ .. .. ~ .. . . <br /> SHOULD ANY OF THE ABOVE DESCflIBED POLICIES BE CANCELLED BEFORE THE <br />DiVieiLln Of Minerals Se GE5010 JY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />ATTN: BILL CARTER 3O DAYS WROTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 Sherman Streets ROOM 21S BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Denvers CQ BO203 OF ANY %IND U N THE COMPANY, RS AGENTS OR flEPBESENTATIVES. <br /> 013587001 <br />. .. .. .. ... I.. ... ... ...... ... .. .. .. <br />ACORb 25-5 ~it/951~ ~: ~: ~.: ~ . ~ : ~ ~ ...::: ~ ~ ~: ~:~: ~ ~ ~ .:.: ~~ ~~ ~ ~~ ~ ~ ~ ~ .'.9ICCORD~CORPORATI0N.T988 <br /> <br />
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