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2001-12-11_PERMIT FILE - C1982056A
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2001-12-11_PERMIT FILE - C1982056A
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Last modified
9/17/2018 8:15:45 AM
Creation date
11/20/2007 1:14:26 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056A
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
EXHIBIT 03 CERTIFICATE OF INSURANCE
Media Type
D
Archive
Yes
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Q ~ '. ~:. '=.::nnLr~.trl:ih::w•y:ru aji'':I"~ti3t~~ ~~'-7.~ <br />PRODUCER <br />Fred. S. James b Co. of Colo., Inc <br />Crump/Warren 6 Sommer, Inc. <br />720 So. Colorado Blvd., 111100 <br />Denver, Co. 80222-1910 <br />Cyprus Yampa Valley Coal Corporation <br />7200 So. Alton Way <br />P.O. Box 3299 <br />Englewood, Co. 80155 <br />~ 7`115 CERTIFICATE IS ISSUED AS A `.lATTER OF INFOPRIATION ONLY ANO CONFERS <br />Np P CHTS U?O`l TFIE CE nTIFICATE NOLOEA. i'HIS CERTIFICATE DOES NOT AMEND, <br />EXT=AO CR ALTER TF!. COVERAGE AFFORDED BY THE POLICIES BELOW. I <br />CO"APaNIES AF=FORDING OVERAGE <br />'r~,pANV <br />I~e~== •~ Old Republic Insurance Co. <br />', co:•=-DIY ~~ International Business and <br />c---a <br />j - J•Jercantile~nsuranc.e Co. <br />"C?.iPANV L ' <br />LEER <br />CU~o~•:V wJ <br />Le: _~ <br />CCI; Par+V <br />LETTER ~ <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, l <br />NOTWITHSTANDING ANY REQUIREMENT, TERlA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Y/NIGH THIS CERTIFICATE MAY Y <br />BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIEI IS SUBJECT TO ALL THE TERMS, E%CLUSIONS, AND CONDI• ~• <br />TIONS OF SUCH POLICIES. <br /> CO <br />LTR TYPE OF INSURANCE <br />POLICY NUEJBER =p:IGY "FEf.. ;E <br />.:=.E •:•c'~eG'rn PCL'CV p'(FlogilDB <br />CAiE ~': :^DD%rvl <br />ALL LLMITS IN THOUSANDS <br /> <br /> , GENERAL LIABILITY D 7-O1~ J;---~7-OI=HS '~,EaRL .:GGD'i.:rE $ a <br /> A xz CpL1MERCIAI GEr1ERAL LIABILITY <br />I ==7n1_Cr5 C7AIR CPS AGGREGATE $ , <br /> LXXXX ~ L61M$ AIFDE ^7CNRREr;tF -E'iG'.AL S ApVERFi~AG I'tNRV $ f <br /> XX! ' .:::ER S 3 COViRACiORS Wi; [.Cir.'E I . <br />i j . '~: ^C[:RFSrCE $ , <br /> I I I ~-- pFIIApE ~-%Y C:: `!PP <br /> <br /> .~JT <br />-- <br />. iXX OMOBILE LIABILITY <br /> <br />A`lY AUTO <br />TB13033 ~ <br />107-01-87 <br />I ~ <br />07-01-88 <br />~. 2,000 __ '"- <br />`' <br />~ :ii.ni':, ~' <br />p <br />E <br /> lL 0::":EE 4Ui05 j <br />~ <br />~ f ~ <br /> <br />~ XX SCHCCULEO AUTOS .- .: °. i ~ ! <br />' .ti, <br />' <br />~ XX aIREO AUTOS <br />I [~ <br />"~ XX :AY.O',YNEO AUTOS <br />_ ~ <br />k <br />~ ~ <br />+ <br /> GE UASr!; <br />, <br />CAR <br /> E%CESS LIABILITY I i -•~:~ .ccaEC+*E . <br /> SCb~~EKE <br /> ~~ <br />' IS S <br /> OTHER Th AV Ut'2°E::n °;R:' j <br />1 ' <br />$ WORKERS' COMPENSATION BC7S214 <br />AN7 <br />EMPLOYERS' LI+:dILiTY <br />V Tn[H <br />Workers Compensation MX5031 <br />07-01-87 07-01-88 "-_~ xx - •; E; <br />' j 100 :1- ~r'Ce~.rl <br />~1-500 .iFdSE~ROLLV u:•~n <br />- - --- -.Excess Coverag-- a o3- <br />07-01-87 07-01-88 Self-Insured Primary <br />Retention <br />7ESC-.-. .__--- ...~...-cs._ _es ~ ,~.,, -_... <br />Permit ITC-82-056 <br />Mine: Twentymile Coal Company, Foidel Creek Mine <br />}!.~_w.e-i-w <br />w <br />~~r:±^T-_`;t.o~..~~:!!wav_~:~..q •.,rl^.~..,_.¢•,-. ..,.evsw•.n- .-. ....m;.,~~~•--•e,~-... y-~. <br />~ <br />~ <br />~ <br />~ ~ t <br />:AL"~.~_~•K6'Yi.LaZ~ {~u...r '':aJ.. J11+1 •n,.l~ .L. .. '~1.. `1}..II '!'<i`. .x.~ 4 <br />iLJ.n. ~.Y~.+ ..~•./,.,1:..J <br />State of Colorado ! -.• ;;I, ,y <br />- ': r" •',-.-°~^!11 :?J -:C$'rE CANCELLED UEFORE THE E% <br /> <br />Mined Land Reclamation Dept ~ - <br />?a '~ d :.-. - ".G-.:~=..,'~aNY ':;ILL cN7EAVOR TO <br />. <br />1313 Sherman Street <br />A,~ 30 _ y` - <br />iTlF b: zTE r.OLD'cR t:AMEO TO THE <br />423 Centennial Bldg. L'' " ` <br />~ ''I-'' ^- "~ ;')r c ~+AL- .SPCSE ~U OBLIGATION OR . <br /> <br />Denver, Co. 80203 .. I'9t'~"' ~ <br />:- - if.i lL+'_.'aS i,R REPRESENTATIVES. <br />r•'= _'~,- - -'--- --- - <br /> <br /> <br />
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