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GENERAL30973
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Entry Properties
Last modified
8/24/2016 7:48:23 PM
Creation date
11/23/2007 6:51:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
5/14/2004
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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MARSH CERTIFICATE OF INSURANCE `ER""°ATE"°MBER <br />.. _.-_-__ ._..i CHI-001139271-OB <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />MafSh USA 1nC. NO RIGHl3 UPON TXE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN TXE <br />600 Market Street, Suite 2600 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER TXE COVERAGE <br />St. Louts, MO 63101-2500 AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />COMPAN{ES AFFORDING COVERAGE <br />RECEIVED COMPANY <br />16862--GL/AL-03!04 GT2 A ACE AMERICAN INSURANCE COMPANY <br />INSURED <br />Twenty Mile Coal Company MAY 14 2004 COMPANY <br />B <br />701 M <br />k <br />t St <br />t <br />S <br />it <br />700 <br />ar <br />e <br />ree <br />, <br />u <br />e - <br />St. Louis, MO 63101-1826 COMPANY <br />Division of Minerals 8 Geology C <br /> _ <br /> COMPANY <br /> D <br />COVERAGES This certificate supersedes and replaces any previou¢iy issued certificate for the policy period noted below. ~ : 9: -- <br />- . <br />„ <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV 8E ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTR DATE (MM/DD/YV) DATE LMMIDO/YY) <br />~{ GEN ERAL LIABILITY HDO 619906735 10/01/03 10/01/04 GENERAL AGGREGATE $ 4,000,000 <br /> J( COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> CLAIMS MADE OCCUR pERSONALBADV INJURY $ f,000,OOO <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 2,OOD,000 <br /> X B[oad Fnnn Vepdpfe FIRE DAMAGE (An Dne Lre) $ SD,DOD <br /> X oven a Included MED EXP An one wn $ 5,000 <br />A AUT OMOBILE DABILITY ISA H07943817 10101/03 10/01/04 <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br /> X ANY AUTO <br /> <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (per ~~) <br /> SCHEDULED AUTOS <br /> <br /> X HIRED AU70S BODILY INJURY $ <br /> <br />X <br />NON-0WNED AUTOS (Per amicknU <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE UABILITV <br />AUTO ONLY-EA ACCIDENT <br />$ <br /> ANV AUTO OTHER THAN AUTO ONLY: , <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATKIN AND WC STATU- DT <br /> EMPLOYERS'LIABIUTY TORY LIMITS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ <br /> PARTNERSIEXECUTNE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />$ <br /> OTHER <br />DESCRIPTION OF OPEIYATIONS/LOCATIONSNEXICLES/SPECIAL ITEMS <br />COVERAGE EFFECTIVE APRIL 15, 2004 FOR THE FOLLOWING: Twentymile Coal Company, Colorado Yampa Coal Company, Shoshone Coal <br />Corporation, RAG Empire Corporation and BTU Worldwide, Inc. <br />Including Permits C-81-044 and C-82-056 <br />The Insurer will notify the Division of subslanlive changes In policy, including termination or failure to renew. <br />CERTIFICATE-HOLDER ~ ~ - ~ - CANCELLATION ~ - -- -- ` -- <br /> SHOULD ANY OF TIE POLICES DESCRIBED HEREIN BE LANCELLED BEFORE THE FXPIRAnON DATE 1XEREOF. <br /> TIE INSURER AFFORDING COVERFGE 1MLL E,~ MNL -~0 OFYS WTi1TTEN NOTCf TO THE <br />Colorado Dept. of Natural Resources GERTFIOATE HOLDER NAMED HEREIN, <br />Div. of Minerals and Geology <br />1313 Sherman Street, Room 215 ~ E <br />Denver, CO 80203-2273 <br /> MARSH USA INC. 1 ' <br />eY: Alfred A. Peterfeso ~,N(..L~ Q , ~ C~Jllt+~l+b~' <br /> MM1(3/02) VALID AS OF: 04/15/04 <br />
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