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GENERAL38039
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GENERAL38039
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Entry Properties
Last modified
8/24/2016 7:57:57 PM
Creation date
11/23/2007 9:26:41 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981029
IBM Index Class Name
General Documents
Doc Date
10/28/1996
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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a~.~~~~n. ~~~~~~M~;~~~ ~ <br />a p tY ~~~#/i II IIIIIIIIIIIII III DAT61MAdoD/YY) <br />u <br />:: ::: -:::: <br />. <br />999 . '; ::. 10/22/96 <br />:: <br />::: ::: <br />PAOOUCER .. THIS CERTIFICATE IJ IsSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Flat T° Insurance A ene <br />P 9 Y HOLDEfl. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />320 Federal Street ALTEfl THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P . O. Box 1439 COMPANIES AFFORDING COVERAGE <br />Bluefield , WV 2470 1 coMPANr <br />304-327-3421 A Lexin ton Insur <br />INSURED <br />COMPANY <br />Sun Coal Company, Ina. B <br />10,200 W. 44th - Suite 120 COMPANY <br />Wheat Ridge, CO 80033 C <br /> COMPANY <br /> p DIYIfi0.tr1 dr mintlralD o L7Dmrlgq <br />CO .EN: G.: 5 .:....:..:..:..::.::.........:. ..........:.:....................... ............ ........................................................................ <br />,. ... ... <br />THISIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HAVE BEENISSUED TO THE INSURED NAMED ABO V EFOR THE POLICY PERIOD <br />INDICATED,NOT W ITHSTANDINGANY REOUIREMENT,TERMOR CONDITIONOF ANYCONTRACTOR OTHERDOCUMENT W ITHRESPECT TO W HICHTHI9 <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIE9 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 INFURANCB POLICY NUMBER POLICY EFFECTIVE <br />- POLICY EXPIRATION <br />' _ ~ LIMRS- --- --- <br />` - . <br />L111 - _ _ _ _ _ _ - _ _ - __ DALE (MMA1Dn9) OATi (MMR1DlY1') <br /> GE NERAL LIABdRY pENERAL AGGREGATE S '2000000 <br />/~ X COMMERCIAL GENERAL LIABILITY 95-0432 11/01/98 11/01/97 PROOUCrs~coMP/oP A00 s 1000000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY f 1000000 <br /> OWNER'S6 CONTRACTOR'S PROS EACH OCCURRENCE f 1000000 <br /> FIRE DAMAGE (Any one Ilre) f <br /> MED E%P (Any one person) f <br /> AVT OMOBSJi LIASS.RY <br /> COMBINED SINGLE LIMIT f <br /> ANY Auro <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) f <br /> HIRED AUTOS BODILY INJURY <br />f <br /> NON~OWNED AUTOS (Per ecclOenl) <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LIABD.RY AUTO ONLY ~ EA ACCIDENT f <br /> ANY AUTO OTHER 7HAN AUTO ONLY: ' <br /> EACH ACCIDENT f <br /> AGGREGATE S <br /> EXCESS LIASS.nY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM S <br /> WOREERS COMPENSATION AND <br />-- STATUTORY LIMITS - <br />_ <br /> EMPLOTEIIS'LIASS.TTY - ' - <br /> EACH ACCIDENT f <br /> THE PROPRIETOR/ INCL DISEASE ~ POLICY LIMIT f <br /> PARTNERS/E%ECUiIVE <br /> OFFICERS ARE: E%CL DISEASE ~ EACH EMPLOYEE f <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESnIPEC1AL RFMS <br />Meadows Mine Permit No. C-81-029 <br />CEIi`I IFICAT~ kIOLp~t1 . , .. CA#IC~LLATION . <br /> SXOIRD ANY OP 7NE ASOYE DESCpIBEO POLICIES BF CANCF <br />I <br />I <br />ED <br />B <br />E <br />F <br />O <br />R <br />E <br />T <br />H <br />E <br /> t <br />f <br />1~ <br />~~ <br />IYV <br />~OI <br />IYV <br />~IIYV <br />I <br />V~ <br />m~ I <br />~~I <br />IYV~~ <br />EXPIRATION DATE THEREOF, 7HE ISSUING COMPANY WLL~IIFIMWDN*ie NIMR~ <br />CoIOrSdD Mined Land 1O DAYSwenTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHELEFT, <br />Rec I •mat i on -Room 215 LAIOIAIARI~RNINilFW9kWlABC1~~11-1~18~18iR151®~r <br />Sentenn i e l Building l lA @f~7G0Ail0~AWl1~i~B~J~~®~OfAR~ <br />1313 Sherman Street "~Gx NTAnvE `~ ~ ;w 017433104 <br />Denver, CO 80203 ~~' <br />ACORb z1ieS' X143 .'':';:';..':':'':: ':e :':'>'.' :"' " ."::::::.::• :::::.: ::::.:::.:::::::'::: :: >:: e:-:::..:::::: ::::::'::::;':;:":;:;;";;::.:';.:':;':;,.::.;:::;::'i:'..'::'.'':.'::':'..'ACOTiIl:COgpORA'CIGIN'.19N9': <br />
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