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GENERAL30690
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Last modified
8/24/2016 7:48:10 PM
Creation date
11/23/2007 6:47:15 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
11/29/1996
Doc Name
Certficate of Insurance
From
PEABODY HOLDING CO INC
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ACORD,~ CERTIFICATE OF LIABILITY INSURANCE DATE(YY,DDMO <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />SEDGWICK JAMES OF NJ <br />INC. <br />, <br />G-04B <br />3 BECKER FARM ROAD COMPANIES AFFORDING COVERAGE <br />ROSELAND, NJ 07068 COMPANY <br />A F N. AMERICA <br />INSURED ~° a""" RECEIVED <br />' <br /> . <br />SENECA COAL COMPANY COMPANY <br />1300 SOUTH YALE ~ <br /> <br />FLAGSTAFF, AZ 86001 COMPANY <br /> D <br />COVERAGES ~ ~ ~, .. ~• IiuBINIU $ G@010Qy <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 7HE INSURED NAMED ABOVE FOR TFTE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE <br />LTP POLICY NUMBER POLLCY EFFECTIVE <br />DATE (NM/OD/YY) POLICY IXPIRATON <br />DATE (YM/DDMT LIYITS <br />A GE NERAL LIABILITY GENERAL AGGREGATE f <br /> COMMERCIAL GENERAL LIABILITY HDO G1 896537-9 1 D~D1 X96 101 X97 PRODUCTS-COMP/OP AGG f <br /> CLAIMS MADE ®OCCUR PERSONALSADV INJURY S 1 OOO 000 <br /> OWNER'SB CONTRACTOR'S PROT EACH OCCURRENCE f 1 000 000 <br /> BROAD FORM VEN DORS COVERAGE INCLU DED FNTEDAMAGE(Myoneflre) f 50 000 <br /> <br /> MED EXP (Any one Person) f <br /> AUTOMOBILE LIABILITY <br />coMBINEOSIHGLEUMIr <br />s <br />A ANYAUTO ISA HO 712926-9 10/01/96 10/1/97 1 000 000 <br /> ALL OWNED AUTOS BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Per pereo") <br /> HIRED AUTOS <br />BODILY INJURY <br />f <br /> NON-OWNED AUTOS (Pet eccltl°nU <br /> <br /> <br /> PROPERTY DAMAGE S <br /> OARAOE LIABILITY AUTO ONLY~EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT S <br /> AGGREGATE S <br /> EXCESS OABILITY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FOPM S <br />WORKERB COMPENSATION AND TORY LIMITS ER <br />EMPLOYERB' LIABIDTY <br />EL EACH ACCIDENT <br />S <br />THE PROPRIETOW <br />PARTNERSS/IXECUPVE INGL EL DISEASE-POLICY OMIT f <br /> <br />OFFICERS ARE: IXCL EL DISEASE-EA EMPLOYEE S <br /> OTHER <br />DESCRIPTION OF OPERATIONB/LOCATIONBNEHICLEB/SPECIAL ITEMB COVERS OPERATIONS AT SENECA II-W MINE <br />INCLUDING DAMAGE FROM SURFACE COAL MINE OPERATIONS, THE USE OF EXPLOSIVES AND <br />DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br />COLORADO DEPT. OF NATURAL RESOURCES fHOULD ANY OF THE ABOVE DESCRIBED POLLCIEB BE CANCELLED BEFORE THE <br />DIY, OF MINERALS & GEOLOGY ExPIRATIDx DATE THEREOF, THE IssU1N0 COYPAMY WILLXEII~iAV~tiO MIXR <br />1 31 3 SHERMAN STREET , ROOM 21 5 yyL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE IJ`Fr, <br />DENVER, CO 80203-2273 ~,~T~xk+ . Rfl9!`~Fk`7C~CR~f~C9t"R'l~1CR9tk7P7P~`lPl~T1Pf~R7FkXIfw77)"cX <br /> I P V <br /> <br />ACORD 25-5 (1/95) ~ ®ACORD CORPORATION 1988 <br />CERTSS_1 <br />
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