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GENERAL56276
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GENERAL56276
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Last modified
8/24/2016 8:41:10 PM
Creation date
11/23/2007 11:18:12 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
General Documents
Doc Date
11/19/1996
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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:::~~/14~~~'~.::::::DERV"1FI~A' <br />: <br />: <br />~~~: <br />T~ <br />~F ~UR~aE~:~ III IIIIIIIII VIII I:::. ~~.:`..:.:.. DATE IYMIDORYI '. <br />1NS <br />: <br />. <br />:: <br />: <br />. . <br />~ <br />': <br />/ <br /> <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />AeordiE of Lexington ONLY AHD CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lexington Green Two, Suite 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />3201 N i cho I •sv i l l e Road COMPANIES AFFORDING COVERAGE <br />Lexington, KY 40503-3311 COMPANY <br />808-273-6800 A FedsrEl Insuranee Company <br />INSURED i . • ~~ <br />COMPANY <br />Grand Valley Coal Company g <br />Kinvset, InD. NOV 19 1996 COMPANY <br />P.O. Box 1409 C <br />Pikevi I le, KV 41501 COMPANY <br />DIVISIOfI U. ~•iiflel3l$ h UGU~Jyy p <br />:: 'r~ <br />. ..F~ .,..... .... .. .. .. ..,. .. .. . <br />. ..,. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELO W HA VE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED,NOT W ITHSTANDINOANYREOUIREMENT, TERMOR CONDITIONOF ANYCONTRACT OROTHERDOCUMENT W ITHRESPECT TO W HICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANC E 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 />~ TYPE OFINEURANCi POLICY NUMFFR POLICY EFFECTIVE POLICt EKPIRATION LIMRE <br />LTR DATE (MMIDD/YY) OATC (MMmDyYY) <br /> GE NERAL LIAELRY GENERAL AGGREGATE f 2000000 <br />A X COMMERCIAL GENERAL LIABILITY 3710-46-17 9/18/98 9/18/97 PRODUCTS-COMP/OP A00 S 2000000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY S 2000000 <br /> OWNER'SA CONTRACTOR'S PROT EACH OCCURRENCE S 2000000 <br /> FIRE DAMAGE (Any one Ilre) f 1 OOOOO <br /> MED EKP (Any one Person) f 1 OOOO <br /> AIR OMOEaJ! LIAELRY <br /> COMBINED SINGLE LIMIT S <br />A X ANY AUTO BAP7320-38-21 9/16/96 9/16/97 2000000 <br /> ALL OWNED AUTOS BODILY INJURY f <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br />f <br /> X NON~OWNED AUTOS (Par accltlent) <br /> PROPERTY DAMAGE f <br /> <br /> OARAO! LIAELRY AUTO ONLY ~ EA ACCIDENT S <br /> ANY AUTO OTHER THAN AUTO ONLY: <br />~ <br /> EACH ACCIDENT S <br /> AOBREOATE f <br /> FKCEaa LIAELRY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERa COMPENaAT10N AND - <br />EYPLOYCRa' LIAELRY ~-_ _ STATUTORY LIMITS <br /> EACH ACCIDENT f <br /> THE PROPRIETOR/ <br />PARTNERS/E%ECUfIVE INCL DISEASE ~ PoLICY LIMIT S <br /> OFFICERS ARE: E%CL DISEASE ~ EACH EMPLOYEE f <br /> oTNER <br />DlagIPTION OF OPlRATIONaAACATIONEMNIOLEElaPEC1AL rteMa <br />As respects: Mine No. 1, located et McLE ne Canyon on S. R. 139, 19 miles <br />north of Loma, COlor Edo; Mine No. 2, loc ated ^t Munger Canyon on S. R. 139 <br />Ebout 18 miles north Df LDmE, Colorado, INCLUDES EXPLOSIVE COY. <br /> <br /> SHOVED ANY OF TNi AEOM DfaC11MED POLICIFE EF CANCFIIED a[FORE 7HE <br /> EEPIRATION OAIF THEREOF, THE IatUINO COMPANY WLL NribY3fddli7tifi MAL <br />D i v i E I D n o f Minerals • n d 3O DAY N NOTICE TO 7NE TIFICA7F XOLDER NAMED TO 7NE LEFT, <br />ceDlDgy x <br />1313 Sherman Street, Rm.215 <br />DOnVaT, CO BO203 AUn10R EPREFEN TIYF 69 OOO <br /> <br />':'ACb '' <br />~ l <br />QN.1943 <br />V <br />
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