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GENERAL30434
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GENERAL30434
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Entry Properties
Last modified
8/24/2016 7:47:59 PM
Creation date
11/22/2007 10:13:33 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981016
IBM Index Class Name
General Documents
Doc Date
4/26/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
RECLAMATION PROJECTS
Media Type
D
Archive
No
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':p]y,~'.,ea~a,. neCOIEH~gcrpetl u,GONSee MPw ro l~~:J.. <br />p,ebcl Me en Aenme~l. <br />CERTIFICATE OF INSURANCE <br />III IIIIIIIIIIIII III <br />sss <br />ALLSTATE INSURANCE COMPANY ^ ALLStATE INDEMNItY COMPANY ^ ALLSTATE TEXA5 LLOYD'S <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE r~ERTIFICATE HOLDER. THIS CERTIFI- <br />CATE bOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 0Y THE POLICIES BELOW. <br />CERTIFICATE HOLDER NAMED INSURED <br />_ _ <br />-Name and Address of Party to Wham thle Cerlillcate Is Issued Name and Address of Insured <br /> <br />Ptountain Coal Company Miners Inc. <br />PO Box 591 9137 E Mineral Cir <br />Somerset, CO 81434 Englewood, CO 8011Y-3421 <br />This Is td cerUty that poNctes of Insurence listed below have been Issued to the Insured named abcva subject to the expiration date Indicated below, <br />notwilhstandtng any requirement, term or contlltion of any contract or other document with respect to which this certificate may be issued ar may <br />pertain. The Insurance afforded by the policies described herein is sub)ec! to aft the terms, exclusions, and contlitlons of such pollcles. ' <br />TYPE OF INSURANCE AND LIMITS <br />COMMERCIAL GENERALLIABILtTY Policy Eflectlve <br />Number Date Explratlon ' <br />Dete <br />Limll Amount _ <br />_ _ <br />_ <br />GENERAL AGGREGATE LIMIT Other than Protlucts - Completed OPeralions)_.__ <br />~ . E .- <br />GREGAT_E LIMIT <br />PRODUCTS-COMPLETED OPERATIONS AG E <br />_ <br />_ <br />I_T__ _ <br />PERSONAL AND ADVERTISING INJURY LIM <br />_ <br />_ <br />~ _ <br />S <br />_ <br />_ _ <br />__ <br />- <br />EACH OCCURRENCE LIMIT ` S <br />PHYSICAL DAMAGE LIMIt __ E _ ANYONE LOSS <br />MEpICALEXPENSELIMI7 + S ANY ONE PERSON <br />WORKERS'COMPENSATtON6 Policy Eflectlve Explratlon <br />EMPLOYERS' LIABILITY Number _ _ Dale Date_ <br />Corer~e Clmite <br />WORKERS' COMPENSATION STATUTORY.- appilBS Only In the following sf ales; <br /> <br />' BODILY INJURY BY ACCIDENT E _ EACH ACCIbENT <br />EMPLOYERS BODILY INJUFlY DY DISEASE E EACH EMPLOYEE <br />LIABILITY <br /> 80DILY INJURY BY DISEASE S POLICY LIMIT <br />AUTOMOOILELIABILITY Pnllcy 050690895 Effective <br />-Number Date 03/01/93 Expiration <br />Date 03/01/95 <br />_ Corsrege Bests Limits <br />QANY AUTO GOWNED AUTOS fX7 HIRED AUTOS Combined Sin le limit o) Llablllt~ <br /> <br />SODILY INJURYBFROPERTY DPM <br />AGE E <br />nnn <br />onfT ~ <br />1 EACH ACCIDENT <br />f3FFEGIFlEDAUTDS ^NON-OWNEDA.UtO; _ <br />r. <br />. <br />splitLlabllltyLlmlts _ <br /> 9ad11 In er _ loo ert Brfm>t t ~ Eacll ~ _ <br />~DWrJED PRIVATE PAS jENGER AUTOS £ _ ~~'.``~ :•~ ~,~~-;,':~~~'.: ~i Fi.%~. ~. PERSON ' <br />[}OWNED AUTOS DTHEfl THAN PRIVATE PASSENGER S S ACCIDENT <br />UMBRELLA LIABILITY Policy Ellecllve <br />Number pate Explratlon <br />Dale <br />EACH OCCURRENCE GENERAL AGGREGATE <br />. PRODUCTS-COMPLETEDOPERA710NS AGGREGATE <br />__ ._ <br />S _ - S . S <br />OTHER (Show Policy Eflectlve Explratlon <br />typevlPOlfr,y) Number Date Date <br /> <br /> <br />DESCRIPTION OF OPEFlATlONS/LOCATIONSNEHICLES/RESTRICTIONStSPECIAL ITEMS <br />CANCELLATION ~ <br />Number of days notice -30 Days _ t ~ _ CL~ <br />_ ~ 7 7 <br />AVNa~red RlD,Bee~litlr! Oa i <br />Should any of the aba•~e described pollcles b2 cancelled before the explratlon date, the issUhrg com, any •x111 ende avor to mall within the number of <br />days entered above, written notice to Ihs cerfilirals holder Hamad abo•,e. But failure to mail such notice shall Impose noobligatlon or (lability of any <br />71 nrt nrnn 1hr r:rnmnanv 11s ananl4 0! ren(P.S!`nf 9tlYec. <br />
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