Laserfiche WebLink
~, c I v <br />.r l ~ T <br />J. <br />u AuuFE55 OE AGENCY <br />"~ <br />~ COMPANIES AFFORDING COVERAGES <br />prank B. Hall & Company of Mass <br />Inc <br />., <br />. <br />89 Broad Street A <br />i <br />° <br />M <br />Nr /1 I <br />C <br />' ;# <br />~ <br />Boston, Mass. 02110 rER <br />e <br />T <br />nsurance <br />o an of North America <br />~ y <br /> <br /> COMPANY pp <br />LETTER p P <br />if <br />E <br /> ac <br />ic <br />mployers <br />~ NAME AND ADDRESS Of INSURED COMPANY <br />C <br /> Powderhorn Coal Company <br />LErrER <br />Old Republic Insurance Company <br /> <br />,; East of Grand Junction, Colorado COMPANY D <br /> LETTER <br />S~ COMPANr <br />IETTER <br /> <br /> This is to certiy that Dolicies of insu2nce listed below have been issued to the insured named above and are in force at this time. Notwithstandingsny requirement, term or condition <br /> 01 any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies desvibetl herein is subject to all the <br />~. terms, exclusions and conditions of such policies. ~~ <br /> n <br />P Poucr Limits of Lia_bili in Thousan ds ) <br /> GcM <br />a <br />r <br />LETTER TYPE Of WSURANCE POLICY NUMBER EAPIHpiION DATE EAGI <br />AGGREGATE <br /> OCCURRENCE <br /> GENERAL LIABILITY <br /> <br />; <br />A <br />~ COMPREHENSIVE FORM 6/1/83 BODILY INJURY S S <br />~ <br />" ISL 209168 <br />^ ^PREIAISES-OPERATIONS PROPERTY DAh1AGE S f <br /> ^ ExPLOS10N AND COLLAPE <br /> HAZa RD <br /> ^ UNDERGROUND HAZARD <br /> ^ PRODUCTS/COMPLETED <br /> <br />OPEHAr10N5 HAZARD <br />^CONTRACTUAL INSURANCE <br />BODILY INJUR'l AND <br />PROPERTY DAMAGE <br /> <br />f 1,000 , <br /> <br />f l,000 , <br /> ^ BROAD FORM PROPERTY COMBINED <br /> DAMAGE <br />^ INDEPFNUENi CONTRACTORS <br /> ^ PERSONAL INJURY PERSONAL IN JURY f <br /> AUTOMOBILE LIABILITY BoDILr InJURV f <br /> <br />• <br />A <br />x^ <br />6/1/83 (EACH PERSON) <br /> COMPREHENSIVE FORM BODILY INIURY f <br />+ ^OWNED CAL Z}OQQ38 (EACH ACCIOENTI <br /> ^ HIRED PROPERTY DAMAGE b i~ <br /> ^ NON-0YR+ED BODILY INJURY AND <br />PROPERTY DAMAGE S <br />l,000 <br /> COMBINED <br />t E%CESS LIABILITY <br /> B X^ UMBRELLA FORIA TO BE DETERMINED 6/1/83 BODILY INJURY AND <br />PROPFRTY DAMAGE <br />000 <br />fS <br />000 <br />f 5 <br /> ^ OTHER TdAN UMBRELLA , , <br /> COMBINED <br /> FORM <br /> WORXERS' COMPENSATION sraruroaV <br /> C and TO BE DETERMIN® 7/1/83 <br /> EMPLOYERS' LIABILITY s lOO ,r,~,,.cuc[•: <br /> OTHER <br /> OESCRIPiION OF OPERATIONS/LOCATIONSNEHICLEG <br /> Cancellation: Should any of the above described policies be cancelleq uefomre the ezp,la~lonhE~Tf-iereof, the issuing com- <br /> pany will tXmail ~_ days written notice to the below named certificate holdeG,7d7pt7~ohR7pttip <br />V NAME ANU ADUREGS OF CERiIF1CATF HOLDER <br /> Colorado Department of Natural Resources DATE ISSUED' T~1~rTP ~ 19R~ <br /> <br />>' Mined Reclamation Board F.B. Hall & Co. of Mass., Inc. <br /> MinEd Land Reclamation Development ~ ~i <br /> 1313 Sherman Stre <br />t By: t"~ ~~ _ ~'`^^-~ <br /> e <br />Denver, Colorado 80203 AurffoRlzE REPRESEHT`• <br />/ <br />PCOHU !] (3 ]91 ~' i <br />-. ~_ ~ "C <br />