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GENERAL44821
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GENERAL44821
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Last modified
8/24/2016 8:13:32 PM
Creation date
11/23/2007 1:19:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
General Documents
Doc Date
8/31/1998
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIII-i~uiiu m <br /> <br />~ERTI>~ICATE QF <br />a~%~~~~~~ <br />INS _. nl ^It~11~I~~~~~~~~ >~..o~htrwvuoirvj:...,. <br />URANCE 999 <br />• <br />~ ~~~~ ~ . .:... ..:..:. ".[ 8/27/98 <br />~vRODUCEIi ~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aeordia of Kentucky-Lax HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lexington Green Two, Suite 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />220 Lexington Green Circle COMPANIES AFFORDING COVERAGE <br />Lexington, KV 405 03-3 3 1 1 COMPANY <br />606-273-6600 A Federal Insurance Company <br />INtURED <br />COMPANY <br />White Oak Mining a I:Dntt. ~ ~ Natl Union Fire Ins Co of PA <br />Grand Val ley GOBI Company REC EIVE COMPANY <br />P.O. Box 60 C <br />Helper, UT. 64526 C PANY <br /> AUG 3 11998 p <br />,...... . <br />THISIS TO CERTIFY THATTHEPOLIGIES OF SURA ENIS UEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICVPERIOD <br />INDICATED,NOTWITHSTANDINGANYREO REMENT, FANYC TRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PER AIN THE INS ~ RDED BY THE OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH _ BEE N REDUCED BV PAID CLAIMS. <br /> TYPE OF INtURAMCE POLICY NUMBER I <br />P LIMRt <br />LTR DATE (MMIDDIYY) DA <br />TE (MMn)DRY) <br /> GE NERAL LIABLRY GENERAL AGGREGATE f 2000000 <br />A X COMMERCIAL GENERAL LIABILITY 3710-45-17 9/16/97 9/16/96 PRODUCTS~COMP/OP AGG f 2000000 <br /> CLAIMS MADE O OCCUR PERSONAL E ADV INJURY f 2000000 <br /> OWNER'SE CONTRACTOR'S PROS EACH OCCURRENCE f 2000000 <br /> FIRE DAMAGE (Any one fire) f 1 OOOOO <br /> MED E%P (Any one person) f 1 OOOO <br /> AIl rOMOBLE LIAaLRY COMBINED SINGLE LIMIT f <br />A X ANY AUTO BAP7320-36-21 9/16!97 9/16/98 2000000 <br /> ALL OWNED AUTOS BODILY INJURY f <br /> (Per person) <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY f <br /> X NON-OWNED AUTOS (Per accltlenl) <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LIABLRY AUfO ONLY ~ EA ACCIDENT f <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE f <br /> E%CEBBLIABLnY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM 3 <br /> WORKERt COMPENSATION AND STATUTORY LIMITS _ _ _ <br />~ <br />B EMPLOYERt'LIABLRY WC565-43-99 6/01/98 6/01/99 EACH ACCIDENT s <br />1000000 <br /> THE PROPRIETOR/ INCL DISEASE ~ POLICY LIMIT S 1000000 <br /> PARTNERS/E%ECUi1VE <br />OFFICERS ARE: <br />E%CL <br />DISEASE ~ EACH EMPLOYEE <br />f 1 OOOOOO <br /> OTHER <br />DEtCXIPTX)N OF OPERATIOXELOCATIOMBRENKAfit18PEC1Al ITEM9 <br />As respects: Mine No. 1, located at McLane Canyon on S. R. 139, 19 miles <br />north of Loma, Colorado: Mina No. 2, located at Munger Canyon on S. R. 139 <br />about 18 miles north of Loma, Colorado . INCLUDES EXPLOSIVE COY. <br />.;CEf ITi.FICATE..H..pt,.DER :..:..:...:..:....::.::.::: ~ :..:..... ~.....:.:.:::....:.: .:..:....... .. . C .....C..ELL....10 ....:....., ............. . <br /> tNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRATIOM GATE TNEREOF, THE ISSUING COMPANY WLL}BfpptTWlIXf(pQAAL <br />D i v i$ I D n O f M 7 nB r B l t B n d 3O DAYt WIIfTTEN NOTICE TO TXE CERTIFICATE XOLDER NAMED TO 7NE LEFT, <br />Ge D I D g y ]®ExtRiMSemB%Yi7Nataw~,ECwfEMYMRtISeTmcaaLtaxetotemlOLTtaECa'K <br />1313 Sherman Street, Rm.215 )P.Fx RhrxTJdlt TI§TN!§6c <br />DenvBr, CO 80203 AvrNO RE rArrve ~~~ 935300 <br /> b. . w~ "/ <br />ACORD 25 S t3t93i. ....... DCORPORATIOH T993 <br />
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