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GENERAL30576
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Entry Properties
Last modified
8/24/2016 7:48:05 PM
Creation date
11/23/2007 6:45:15 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
7/6/1999
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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rf III IIIIIIIIIIIII~II <br />~ertitic~te o~ ~1iY~ur~iYCe <br />Tp; Division of Minerals & Geology Rg; Attachment <br />Department of Natural Resources Fax to: <br />1313 Sherman St. Rm. 216 Tracey at Twenlymile <br />Denver, CO 80203 970-070-2753 <br />Assured: RAG American Coal Holding Inc. <br />1520 Kanawha Boulevard East <br />Charleston, WV 25311 <br /> <br />Jlll. O ii ig~y <br />. L1n iB4ih 3 i+20i0/)' <br />This is fo cartily Ihaf the policies o! insurance listed below have been issued to the Insured named ahove !or the po4cy panod indi: algid. nom nh;lan.lmg any <br />requirement, term, or condition o! nny conlrec( or other documen! with respect fo which This cartdicala niay ba Issued nr may panain. Tna msuran,-a arr,uuea ^I <br />fhe po,nxes desrnbad herein is subject fo ell lha (arms. exclusions end condilrens of such polr;Ies. Limi!s s.huu a ux3y have Pero rrJucad hy~ /tI W .'!.LVni <br />Type of <br />Insurance Policy Policy <br />No. Period Policy <br />LitnitsNalues <br />Commercial General Liability 6122944 06-30-99/00 $ 6,000,000 General Aggrer~ate <br /> $ 6,000,000 Products/Completed <br /> Operations Aggregate <br /> $ 1,000,000 Personal and Advertising <br /> Injury <br /> $ 1,000,000 Eacll Occurrence <br /> $ 1,000,000 Fire Damage (Any One <br /> Fire) <br /> $ 10,000 Medical Expense (Any <br /> One Person) <br />Insurance Company(ies) American Home Assurance <br />Auto Liability 5347309 06-30-99/00 $ 1,000,000 CSL Each Occurrence <br />Insurance Company(ies) American Home Assurance <br />Workers' Compensation 00017049-02 06-30-99/00 WC: Statutory <br />Employers' Liability EL: $1,000,000 Eacl1 Accident <br />$1,000,000 Disease - Policy Limit <br />$1,000,000 Disease - Eacll <br />Employee <br />Insurance Company(ies) Old Republic Insurance Co. <br />Excess Workers' <br />Compensation <br />EX360 06-30-99/00 Statutory Excess of a Selt Insured <br />Retention: $1,000,000 any one <br />occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscribing insurers' obligarions under contmcls o! insurance Ie which !hey subscnbe era several and not Inml and era Lmnad solely m fhe a~t.•m nl !hair <br />individual subscriptions. The subscribing insurers are not responsible rot Iha subschption o! any cosubscnbmg insurer who !or any reason d, as not sarisry all or <br />part o! its obligarions. <br />This cedificate Is issued as a matter of inlormallon only antl coolers no d9hls upon the cedibcale holder. Thls cedilicate tloes not amend, extend or abet the <br />coverage allortled by the policy(ies) shown hereon. Should any el the above descnbed policies be canceled belore the expiration dale Iherenl. IIIis agency, an <br />behall of the issuing company(ies), will letmarm0oamail 60 tlays written notice In the ahove named cenilmate holder.xbw~latlurwlamrxM wolnxuuaxvdall <br />IgwwmDmmmmmaetiax^Idiatuti>{~dt.llr~duaim,mawae.•aooaw,axa~lels>mgmcyx <br />Aon Risk Services of Texas, Inc. <br />Date: June 29, 1999 By: `Q`~ce, S~ ~l~ j~-.,...,.-,-~ <br />rl nrr ICrr4: .Crmirn r~7F.im, /re'. <br />?(If10 Ile ring nrivc, Suite 900 • l luusum, Texas 770571790 • Irh (71 ,) ~I ill ((11111 • hix~ (71 it ~i ill (,5111 <br />F:\CLIENTSWOn\RAG~policies\06~30~90~001aasel(3~9 DivOlMmGeo.dg.doc~1 <br />
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