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GENERAL45110
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GENERAL45110
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Entry Properties
Last modified
8/24/2016 8:13:50 PM
Creation date
11/23/2007 1:32:51 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
General Documents
Doc Date
8/12/1999
Doc Name
CERTIFICATE OF LIABILITY INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ACORD, . CERTIFICATE. OF LIABILI TY 'INSURANCE... .. III ~~~~~~~~~~~~~ ~~~ <br /> <br />PROpucER ,- <br />THIS CERTIFICATE IS ISSUED AS A yyy N <br />Aon Risk Services of Florida ONLY AND CONFERS NO RIGHTS urvlN Ins ~~,.,,, ~.,,, fE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />1001 Brickell Bay Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 1100 COMPANIES AFFORDING COVERAGE <br />Miami, FL 33131 COMPANY <br />305-372-9950 A FHDERAL INSURANCH COMPANY <br />INSURED <br />COMPANY <br />OXBOW CARBON E MINERALS, INC. B AMERICAN GUARANTY Fs LIAB.INS. <br />ATTN: BRUCE CLITHERO coMPANV CEIVED <br />1601 FORUM PLACE C <br />WEST PALM BEACH, FL 33401 CpNI <br />PANY AUG ~ <br /> D <br />~ ~~ <br />: ~.: ~.....:....:.~. <br />COVERAGES ~ <br />:: ~ <br />~ ~~~ ::~ <br />~ <br />~ <br />' .... ..... ....... ... ... <br />.... ~'~~ ..~ <br />. <br />. <br />. <br />.. <br />.. <br />. ~7~,~ <br />D <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED #B~IRU I V PERIO <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT ~JfiIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIflATION LIMITS <br />LTR DATE IMMIDD/YYI DATE IMMIDD/YYI <br /> GEN ERAL LIABILITY GENERAL AGGREGATE 5 ZOOOOOO <br />A X COMMERCIAL GENERAL LIABILITY 37104268 9/01/99 9~01~00 PRODUCTS COMPIOP AGG 5 SOOOOOO <br /> CLAIMS MADE OCCUR PERSONAL6ADV WJUHY 5 lOOOOOOO <br /> OWNEP'S GCONTPACTOWS PPOT EACH OCCURRENCE 5 lOOOOOO <br /> ~ FIRE DAMAGE IAny one M1rel 5 1 D U O D D <br /> MED E%P IAny one Personl 5 1DDD <br /> AUT OMOBILE LIABILITY <br />A X ANY AUTO 73077258 9/01/99 9~01~00 COMBINED SINGLE LIMIT 5 1000DDD <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />IPer Personl 5 <br /> MIRED AUTOS <br />BODILY INJURY <br />5 <br /> NON OWNED AUTOS IPe~ a¢itlenU <br /> <br /> PROPERTY DAMAGE 5 <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT 5 <br /> 4NY AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT 5 <br /> AGGREGATE 5 <br /> E%CESS LIABILITY EACH OCCURRENCE S 2S000OOO <br />B X UMBRELLA FORM AU02393042 9/01/99 9/01/00 AGGREGATE ! 25000000 <br /> OTHER THAN UMBRELLA FORM _ _ _ _ _ _ _ ____ __ __ S__ ____ <br /> WOR%EPS COMPENSATION AND WC STATU~ OTH <br />TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> EL EACH 4CCIp ENT S <br /> THE PROPRIETORI INCL EL DISEASE ~ POLICY LIMIT S <br /> PAPTNFRS/F%ECUTIVE <br /> OFFICE PS ARE E%CL EL DISEASE E4 EMPLOYEE 5 <br /> OTHER <br />DESCRIPTION OF OPEflAT10N5/LOCATIONS/VEHICLESISPECIAL ITEMS <br />Re: Sunborn Creek Mine per Division of Mineals & Geology Permit No. C-81-022. <br />Commercial General Liability Coverag e includes use of explosives. <br />CERTIFICATE HOLDER.~:~~~::.:.. ~... ..~.~:~: ~:~:~:: ~.: :~:~: ~: :::::: CANCELLATION ~. .~ .. ....:... .... .. .. .. .. <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOflE THE <br />D1Y1610n Of Mlne rdla & Geology E%PIPATION DATE THEREOF. THE ISSUING COMPANY Wlll ENDEAVOR TO MAIL <br />ATTN: BILL CARTER 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 Sherman Street, Room 21S BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />Denver, CO BO2O3 OF ANY RI D UPO THE LO NY. RS AGENTS OR REPRESENTATIVES. ~' <br /> AUTHORIZ RESENT E U135B70Q1 <br />ACORn25-S(11951~~..~: ~~~.: ~.:.~.~.~.... ...: ~.:.: : ~. :: ~.~~.~. ::: ~ .~ ~ ~..DA ORDCORPO ....88. <br />r. <br />
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