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GENERAL50900
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GENERAL50900
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Entry Properties
Last modified
8/24/2016 8:37:23 PM
Creation date
11/23/2007 6:20:29 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1991078
IBM Index Class Name
General Documents
Doc Date
6/4/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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/~C~RD CERTIFICATE OF LIABILITY INSURANCE OpID DATE IMM/DDIYYYY) <br />` <br />~ `~--° D8LTC01 06 O1 07 <br />.~ <br />PROf/UCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />First Horizon Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3401 west End Ave. Ste. 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Nashville TN 37203 <br />Phone: 615-385-2860 Fax: 615-385-8358 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER q'. xravelara I¢dvmity Co. of Cr <br />- INSURER B'. <br />~HOneywood'Coal Company INSURER C. <br />95 White Bridge Road <br />Nashville TN 37205 INSURER q: <br /> <br /> INSURER E. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REpUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV DE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFE TIVE <br />DATE MM/DD/YV P P 1 N <br />GATE MM/DDIYY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ /000000 <br />A X COMMERCIAL GENERAL LIABILITY Z-660-114P5718-TCT- 0706/01/07 06/01/08 PREMISESIEeocc¢rence) $ 100000 <br /> CLAIMS MADE ~ OCCUR MED EXP (Any ona person) $ SDDD <br /> PERSONALSADV INJURY SIOOOOOO <br /> GENERAL AGGREGATE 8 2000000 <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $Excluded <br /> POLICY g PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea accidenq <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> MIRED AUTOS <br />BODILY INJURY <br />$ <br />- <br /> NON-OWNED AUTOS (Per accident) <br /> ____~ PROPERTY DAMAGE $ <br /> IPer accitlenU ' <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> fANV AUTO ~- - EA ACC 3 <br /> 1 AUTO ONLY <br />AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMB MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE 8 <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> ANV PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br />' OPFICERRAEIv18ER EXCLUOF09 - ~ - - - - - EL DIDEASE-'cA EtdPLOVEE a - <br /> If yes, tlesoibe antler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / E%CLUSIONB ADDED BY ENDORSEMENT I SPECIAL PR <br />Re: Hamilton Mine, Permit No. C-91-078 JUIV <br />Vf7 041001 <br />Oivison or Recl <br />amation, <br />Mining and Safet <br />y <br />CERTIFICATE HOLDER CANCELLATION <br />DZVIMII SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOt <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 D DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 0050 SHALL <br />Di V191 On Of Minerals and IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Geology <br />1313 Sherman Bt. , ROOM 218 REPRESENTATIVES. <br />0 RED RE ESENTATI <br />Denver Co 80203 __ ~ <br />©ACORD <br />
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