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2008-09-12_GENERAL DOCUMENTS - C1981020
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2008-09-12_GENERAL DOCUMENTS - C1981020
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Last modified
8/24/2016 3:36:13 PM
Creation date
9/15/2008 2:24:01 PM
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Template:
DRMS Permit Index
Permit No
C1981020
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
9/12/2008
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
MPB
Media Type
D
Archive
No
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DATE(MM/DD/YY) <br />A CORDTM CERTIFICATE OF LIABILITY INSURANCE 09/08/08 <br />PRODUCER <br />Inc. <br />Aon Risk Insurance services West, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />. <br />fka Aon Risk Services, Inc. of Cen CA AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />5260 North Palm Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Suite 400 <br />Fresno CA 93704 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> <br /> INSURERS AFFORDING COVERAGE . <br />PHONE• 559 449-7200 FAX-(559) 439-0863 <br />INSURED INSURER A: Federal Insurance company <br />MCCI ane Canyon Mining LLC <br /> <br />P <br />o <br />Box 1169 INSURER B: <br />. <br />. <br />Pikeville KY 41502 USA INSURER C: <br /> INSURER D: <br /> INSURER E: <br />COVERAGES This Certificate is not intended to specif y all endorsements cover ages, terms. conditions and exclusions ofthe- policies shown. <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM$ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LIMITS SHOWN ARE AS REQUESTED <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br /> DATE(MM\DD\YY) DATE(MM\DD\YY) <br />A GENERAL LIABILITY 37111019 06/01/08 06/01/09 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anv one fire) $1,000,000 <br /> CLAIMS MADE X? OCCUR MED EXP (Anv one person) $10,000 <br /> PERSONAL & ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS -COMP/OP AGG <br />$2,000,000 <br /> PRO <br />? <br />F <br /> LOC <br />POLICY <br />JECT <br />A AUTOMOBILE LIABILITY 73252298 06/01/08 06/01/09 COMBINED SINGLE LIMIT <br /> (Ea accident) $1,000,000 <br /> X ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> ( Per person) <br /> SCHEDULED AUTOS <br /> X HIRED AUTOS BODILY INJURY <br /> (Per accident) <br /> X NON OWNED AUTOS <br /> D <br /> ECOV PROPERTY DAMAGE <br /> R R (Per accident) <br /> <br /> GARAGE LIABILITY tt11 <br />SEP ((?? <br />?U AUTO ONLY - EA ACCIDENT <br /> ANY AUTO ?IQ?• OTHER THAN EA ACC <br /> visiun 01 <br />? AUTO ONLY : <br /> +, <br />0l <br />,tea AGG <br /> EXCESS LIABILITY ' EACH OCCURRENCE <br /> OCCUR ? CLAIMS MADE AGGREGATE <br /> <br /> DEDUCTIBLE <br />- <br />- <br />-- - - - <br />- -- <br />- - - - <br />- - - - - <br />---- - <br /> RETENTION - - -- - <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT <br /> E.L. DISEASE-POLICY LIMIT <br /> E.L. DISEASE-EA EMPLOYEE <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Permit NO. C-81-020 <br />CERTIFICATE HOLDER CANCELLATION <br /> <br />Division Of Reclamation, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Mining and safety DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br />1313 Sherman St., Room 215 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Denver 80203 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br />// <br />ACORD 25--S 7 - <br />D CORPORATI <br />O <br />r <br />J <br />_ W
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