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GENERAL30447
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GENERAL30447
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Entry Properties
Last modified
8/24/2016 7:47:59 PM
Creation date
11/22/2007 10:13:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/23/1996
Doc Name
CERTIFICATE OF INSURANCE
From
MARSH & MCLENNAN INC
To
DNR
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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A1I:111:11. CER'TIFI'CATE OF IN SURANCE <br />' ~°B 2ii6 6' <br />xe °96 a <br /> ~ezt~ <br />~s~ <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A ATTER OF INFORMATION ONLY AND <br />Marsh 6 McLennan, Incorporated CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />Three Embarcadero Center 'EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLIC ES BOW. <br />P. O. Box 193880 ~~ <br />San Francisco, CA 94119-3880 C MPANIES AFFORDING COVERAGE <br /> <br />Eva M. Machado .. RFC <br /> ER A INDEMNITY INS CO OF N. AMERICA <br />FEB <br /> <br /> COMPANY <br />WSUREO LETTER B <br /> <br />The Pittsburg 6 Midway <br />Division of mine aleol~gy <br />coal Mining Co. <br /> <br />6400 S. Fiddlers Green Circle <br />Englewood, CO 80111 CIFffER~ D <br /> COMPANY E <br /> IETTER <br /> <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, I:OTWITHST:J:DINGRNY flEOUIREMENT, TERP.1 OR f,ONDI TION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />LTR TYPE OF WSURANCE POLICY NUMBER POLICY EFFECTNE <br />DATE IMM/DD/YYI Pm1LY EIPIRATION <br />DATE IMM/DD/YY) IDATS <br />A ~~E fi01 UnaDrrY DCG1731198-0 3/01/96 3/01/97 GENERAL AGGREGATE S 1000000 <br /> X COMMERCIAL GENERAL 114BI1M IL 1, <br />M <br />lti-St <br />t <br />P <br />l <br />i PRODUCTS~COMP/OP AGG. E 1000000 <br /> <br />~:"~ <br />X CLAIMS MADEOCCUR. u <br />a <br />e <br />o <br />Retr <br />active D <br />t cy <br />i <br />PERSONALSADV.IWURY <br />E <br />looooo0 <br /> % OWNER'S 8 CONTRACTOR'S PROT. o <br />a <br />e <br />r CII 1 <br />MR <br />1986 5 EACH OCCURRENCE E 1000000 <br /> , <br />. FIRE DAMAGE IAny one lre) E <br /> MED. EXPENSE IAny one per.ml E <br /> AUTO MOBSE UABWTY <br />COMBINED SINGE <br /> ANV AUTO LIMIT E <br /> qLL OWNED AUTOS BODILY It~LIURY <br />E <br /> SCHEDULED AUTOS IPer person) <br /> HIRED AUTOS BODILY INJURY <br />E <br /> NON~OWNED AUTOS (Per e<cidenll <br /> GARAGE LNBILRY <br />PROPERTY DAMAGE <br />E <br /> <br />A Exce55UAewn CEG1731199-2 3/01/96 3/01/97 EACH OCCURRENCE a lsooooo <br /> UMBREIlA FORM AGGREGATE S 6500000 <br /> ][ OTHER THAN UMBREIIA FORM :. ............:.:~.:~:: ~:::. <br />~~~ :....:::.:~ :: .. . <br />~~ <br /> STATUTORY LIMITS """"' <br />......... .. .. <br /> WOR![ERS COMPENSATION <br /> EACH ACCIDENT E <br /> AND <br />DISE45E~POLICY LIMIT <br />E <br /> EMPLOYERS'UABSITY <br />DISEASE-EACH EMPLOYEE <br />E <br /> OTHER <br />DESLR~Tb/ OF OPEMl10NS/lOGT10NS/VEHICLES/SPECBL ITEMS <br />(SEE REVERSE AND/OR ATTACHED) <br />.CERTIFICATE HOLDER :'' .:~:~ .:: ~::~:: 'CANCELLATION ~~ ~~ ~ ~~~~~ ~~~~~~ <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DlV1Si0II Of Minerals & Geology ~~~' EXPIRATION DATE THEREOF, THE ISSUING COMPANYWILI~G~C~KXFX <br />CO Dept. of NaLnral Re SOU rCeS ~ MAIL ~_O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />Attention: Reat Gorham LEFT•ffi]IXffiIx0E70-[YAG767QCEfE~76H17~0[~DIF7l~-777767CXXXXX <br />1313 Sherman Street, Room 215 X~X'~XxrSC~LlU1E1C3~XrXXCCXdF]44616itaE1NE9E]Iffi34~lEXXXXX <br />Denver, CO BO2O3-2273 ~ ~' AUTHORED REPRESENTATNE /~ <br />~ <br /> gy; ^Y/_~~~b, <br />Vlce President <br />~11~~~ <br />" <br />.................................::::..:.:::::::::::~:~::~::::::.:..: .. ....... ..:.... .. .... .. .......... <br />'A;CORD:25-.5'.....eU':;;~.~~:::~::.>::>::.:.:~~.;:::~.:< :::::::.::::::::.:.::::~:,::~:::~:.~~ ~ GE~:~.:~~:: ... ..: .. ......... <br />:.. <br />:.::~1:~~.:OF:~~~~~:~:2 : ~: ;. .~::::.: ~:.:,::~.:..~..;:::.:.::~:~:ACORD~.CORPORaTION.i»0: <br />
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