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GENERAL50081
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GENERAL50081
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Entry Properties
Last modified
8/24/2016 8:30:13 PM
Creation date
11/23/2007 5:39:11 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981012
IBM Index Class Name
General Documents
Doc Date
1/3/2000
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iiiiiiiininmiii <br />RR9 <br />-- <br />....:.:...:..::.:: . <br />e Ificate M <br />CERTtF1C/lt1'E:QF1NSl1.R.ANCE .:. : .: : .::.:::::::.:::::::: . <br />c <br />aE <br />PRODU CER~ <br />^!la <br />U THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />~ 0 ~ <br />I L CERTIFICATE MOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES HOT AMEND, <br />Marsh USA lno. y ~ep10 <br />& XTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICES LISTED BELOW. <br />P O Box t9B10 <br />119 COMPANIES AFFORDING COVERAGE <br />1 <br />Knozvllle. TN 3 7 939 281 0 O1N51p(I O1µ COMPANY <br />A <br />865-58a.910t ZURICH AMERICAN INSURANCE COMPANY <br />LETTER <br />INSURED COMPANY <br /> B <br /> LETTER <br />PiCKETWIRE PROCESSING COMPANY, LLC COMPANY <br /> C <br />Uo AL PERRY LETTER <br />9203 PETERSBURG ROAD COMPANY <br /> O <br />EVANSVILLE. IN 47711 LETTER <br />COVERAGES:~:~~ ::::.:.: ...........:....:... ... ...... ~ ~ ~~~ ~ ~ .. .. ... <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MA <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND E%CLUSIONS OF SUCH POLICIES, LIMITS SHOWN <br />MAY NAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTR DATE MM/DDi DATE MMIDOi <br />A GE NERAL LIABILITY GL09298J1J~00 1/01/00 1/01/01 GENERAL AGGREGATE $ 2,000,000 <br /> X COMMERCIAL GENERAL LIABiUTY PRODUCTS~COMP/OP AGG $ 1,000,000 <br /> CLAIMS MADE OCCUR PERSONALh ADV INJURY $ 1,000,000 <br /> OWNER'S CONTgAC'OR'9 RROT EACH OCCURRENCE $ 1,000.000 <br /> FIRE DAMAGE An one tirt $ $0.000 <br /> MED E%P An one rson $ 5 000 <br /> AU TOMOBILE LIABILITY <br />COMBINED SINGLE LIMB <br />$ - <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS Per rson <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> NON~OWNED AUTOS Per acutlenl <br /> PROPERTY DAMAGE $ - <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN AUTO ONLY: <br />~ <br /> EALM ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY <br /> EACH occuRRENLE $ . <br /> UMBRELLA FDRM <br /> OTHEq rHgN UMBRELLA FORM AGGREGATE $ <br /> WORKMAN'S COMPENSATION STATUTORY LIMBS <br /> 4ND EMPLOYERS LIABILITY EACH ACCIDENT $ <br /> rHE RRORRIETOR INCL DISEASE ~ POLICY LIMB $ <br /> RAgiNERS: EYECUnVE <br /> OFFICERS ARE E%CL DISEASE ~ EA EMPLOYEE $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS !LOCATIONS /VEHICLES /SPECIAL ITEMS <br />OPERATIOON OF THE NEW ELK COAL PROCESSING FACILITY PERMIT NO C~81~012. 12 MILES WEST OF WESTON, COLORADO ON HIGHWAY 12 <br />$5,000 ~~ PROPERTY DAMAGE DEDUCTIBLE IS APPLICABLE. <br />CERTIFICATE NOIUEA' ~ :: ~..:..:.:":::::':.:::':".'• :' "..'.:"' '.'.~' '.:: ' . ~:':: ~ ' CANCEi3.ATWN : .:.::...................... <br /> E THE E%RiRAT10N <br />6HOULD ANV OF THE ROUGES LUTED HEREIN BE CANCELED <br />F <br />R <br />B <br />E <br />O <br /> ~ <br />I <br />. <br />S <br />~ <br />'n <br />DATE THEREOF iHEirvSURER 4FFOROWG COVERAGE WILL IUrw.yglLDG MAIL <br />COLORADO DI VI SIGN OF MINERALS AND GEOLOGY 30 OAVS wRIrrErv rvorlcE ro rHE CERTIFICArE HOLDER NAMED HEREIN b1#941RLIpE <br />13t3 SHERMAN STREET R~(BGp9e,a4N# p1TjmQ~Q7QyQg <br />DENVER. CO 80203 p(gSgf)[A(~99d3QQ(c,)~/~g6pq(iyJi(+py~ysq~p~jpTj(ry~'pq»¢pcLS~(y~Fp~ <br /> <br /> MARSH USA, INL <br /> e/ <br /> MMIT ew YALID AS OF: ~ ~. ~ ~ ::. ~::~': ~~ ~ 12130199 .. . <br />d,. , ~ ~ ~ ~ i Wil.llj~ .I <br />
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