My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL44538
DRMS
>
Back File Migration
>
General Documents
>
GENERAL44538
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:13:17 PM
Creation date
11/23/2007 1:08:07 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
7/24/1996
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
~d>ken,,o~~ <br /> w u i <br />I II I II IIII'll <br /> III I II <br />~ <br />~ ~ <br />PRODUCER <br />SedgWlC k James Of Ga.. InC. THIS CERTIFICATE IS ISSUED AS A N ggg <br /> ONLY AND CONFERS NO RIGHTS Arun Inc f.cnllrn.IRle <br />Suite 500, South Tower HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3333 Peachtree Rd. ME ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Atlanta, Georgia 3032fa-1043 COMPANIESAFFOgDINGCOVERAGE <br /> <br /> COMPANY <br /> A <br /> LZaIl <br />INSURED <br />COMPANY <br />Oxbow Carbon & Minerals Inc. B <br />& Pacific Basin Resources COMPANY R <br />1601 Forum Place ~ <br />West Palm Beach FL 33401 COMPANY . • ~ <br /> D <br />s <br />e <br />:7t. <br />` <br />: a+ <br />: <br />'f <br />: <br />t <br />: <br />~ <br />sX ` : L ~ r~ t. <br />t. : <br />r <br />~ <br />. <br />.b° <br />f <br />. <br />_ <br />. <br />, <br />.. : <br />., <br />. <br />. <br />. <br />e <br />, <br />. <br />.. <br />, w <br />., <br />. <br />, <br />. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREBNIh THE POLI V PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV 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 MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIPATION LIMBS <br /> DATE (MM/DDrYY) DATE IMAVDDrYYI <br />A GEN ERAL LIABILTY 37104269 7/21/95 7/21/96 GENERAL AGGREGATE E <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS ~ COMP/OP AGG E <br /> <br /> CUIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY E <br /> OWNERSe CONTRACTOR'S PROT EACH OCCURRENCE S ~9OQ <br /> FIRE DAMAGE (Any one Lre) S <br /> MED EXP (Any one person) S <br />A AUT OMOBILE LIABILITY BAP73077258 7/21/95 7/21/96 <br /> COMBINED SINGLE LIMIT S <br /> X ANV AUTO <br /> X ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) E <br /> X HIRED AUTOS <br />BODILY INJURY <br />f <br /> X NON~OWNED AUTOS (Per accitlenl) <br /> <br /> PROPERTY DAMAGE $ <br /> GARAGE LIABILITY AUTO ONLY EA ACCIDENT S <br /> ANV AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT $ <br /> AGGREGATE E <br />A E%CE55 LIABILITY 79093901 7/21/95 7/21/96 EACH OCCURRENCE E <br /> X UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM E <br />/~ WORKERS COMPENSATION AND 71634637 7/21/95 7/21/96 STATUTORY LIMITS <br /> EMPLOYERS' LIABILITY <br /> EACH ACCIDENT E <br /> THE PROPRIETOR/ <br />PARTNERSIEXECUTIVE INCL DISEASE ~ POLICY LIMIT E <br /> OFFICERS ARE. X EXCL DISEASE EACH EMPLOYEE E <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESSPECIAL REMS <br />, <br /> <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />111 V 1 5 i On O f P'li n era l s & Geology E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />At to : Tony Wa 1 d r on ~_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />1313 9h erman Street, Room 2I S BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Denver, CO 90203 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORI D EPRESENTATIVE <br /> <br />. <br />. <br />' ~ <br />~„ ' "' o..a <br />' <br />_1 <br />3 <br />43 2 ;;: <br />`}';J~vg, <br />.l . _~ ... - <br />
The URL can be used to link to this page
Your browser does not support the video tag.