MINE RESCUE TEAM TRAINING AGREEMENT 2021Rescue Team Training Agreement • October 22nd, 2020
Please type the name of the company on Page 1 of each agreement EXACTLY as it appears on the corporate seal. DO NOT DATE THE AGREEMENTS. Identify the liaison with DEP on Page 4 of each agreement, include a name and business address. Please note: All correspondence and contacts will be with the person named here. Have your company’s secretary, treasurer, or secretary/treasurer sign the last page of the agreements. BE SURE TO INDICATE THE TITLE OF THE PERSON SIGNING. Signature sign the last page of the agreements. Corporation: company’s president or vice-president Limited Liability Company: member or manager Limited Partnership: General Partner Sole Proprietorship: Owner BE SURE TO INDICATE THE TITLE OF THE PERSON SIGNING. Return the completed Agreements, Statement of Insurance, and the Emergency Notification and Operations Information form to the Bureau of Mine Safety, PO Box 133, New Stanton, PA 15672 Please return promptly ✓ PLEASE CHECK THAT ALL ITEMS ARE
ANTHRACITE UNDERGROUND RESCUE, INC. (AUGR) ANTHRACITE MINE RESCUE TEAM TRAINING AGREEMENTRescue Team Training Agreement • October 26th, 2017
This AGREEMENT entered into by and between the Commonwealth of Pennsylvania, Department of Environmental Protection, Bureau of Mine Safety (hereinafter "DEP or Department"), and Anthracite Underground Rescue, Inc. (hereinafter "AUGR"), on this _ day of _ , consists of the following:
MINE RESCUE TEAM TRAINING AGREEMENT 2019Rescue Team Training Agreement • May 2nd, 2019
Please type the name of the company on Page 1 of each agreement EXACTLY as it appears on the corporate seal. DO NOT DATE THE AGREEMENTS. Identify the liaison with DEP on Page 4 of each agreement, include a name and business address. Please note: All correspondence and contacts will be with the person named here. Have your company’s secretary, treasurer, or secretary/treasurer sign the last page of the agreements. BE SURE TO INDICATE THE TITLE OF THE PERSON SIGNING. Have your company’s president or vice-president sign the last page of the agreements. BE SURE TO INDICATE THE TITLE OF THE PERSON SIGNING. Return the completed Agreements, Statement of Insurance, and the Emergency Notification and Operations Information form to the Bureau of Mine Safety, PO Box 133, 131 Broadview Road, New Stanton, PA 15672 Please return promptly ✓ PLEASE CHECK THAT ALL ITEMS ARE COMPLETED OR THE AGREEMENT MAY BE RETURNED TO YOU DELAYING THE FINAL ROUTING FOR SIGNATURE.
