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2017-06-26_REVISION - C1981041
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2017-06-26_REVISION - C1981041
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Entry Properties
Last modified
6/27/2017 9:00:21 AM
Creation date
6/27/2017 8:23:06 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981041
IBM Index Class Name
Revision
Doc Date
6/26/2017
Doc Name
Application
From
J.E. Stover & Associates, Inc
To
DRMS
Type & Sequence
RN7
Email Name
JHB
JRS
Media Type
D
Archive
No
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,a` oizo® CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYYY) <br />06/29/2015 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />�,TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />_OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />MCGRIFF, SEIBELS & WILLIAMS, INC. <br />P.O. Box 10265 <br />CONTACT <br />NAME: <br />A No Ext): 800-476-2211 FAX <br />No): <br />Birmingham, AL 35202 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A :Federal Insurance Company 20281 <br />07/01/2015 <br />INSURED <br />American Electric Power Company, Inc. and all Subsidiaries <br />INSURER B: <br />INSURER C: <br />1 Riverside Plaza <br />Columbus, OH 43215 <br />INSURER D <br />INSURER E: <br />INSURER F: <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 1,000,000 <br />COVERAGES CERTIFICATE NUMBER:KGDHUVQC REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />3710-63-20 <br />07/01/2015 <br />07/01/2018 <br />EACH OCCURRENCE $ 1,000,000 <br />X CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 1,000,000 <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 2,000,000 <br />POLICY PRO F-12,000,000 <br />X ❑ JECT LOC <br />PRODUCTS - COMP/OP AGG $ <br />OTHER: <br />A <br />AUTOMOBILE <br />LIABILITY <br />7320-04-61 <br />07/01/2015 <br />07/01/2018 <br />COMBINED SINGLE LIMIT 1,000,000 <br />Ea accident $ <br />BODILY INJURY (Per person) $ <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) $ <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />I PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />N / A <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Named insured includes Snowcap Coal Company,lnc. Covers all operations in the State of Colorado, X, C, U included. <br />Endorsement Cancellation Notice: <br />In the event we cancel this policy, we agree to mail prior written notice of cancellation to the name and address shown in the schedule below. The number of days of <br />advance notice of cancellation sent to the names shown in the schedule shall be equal to or greater than the statutory requirement and can never be less than the <br />mandated period. <br />Schedule <br />continued next page) <br />CEKIII-IGAIE t1ULUEK CANCELLATIUN <br />Colorado Department of Natural Resources <br />Division of Reclamation, Mining and Safety <br />1313 Sherman Street - Room 215 <br />Denver, CO 80203 <br />United States <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Page 1 of 2 ©1988-2014 ACORD CORPORATION. All rights reserved. <br />Af`ADn 7r: I'M4 AM41 'rk— Af`ACr%---- . 4 1...... .,... —1— —f Af`f%Or% <br />
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