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GENERAL32826
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GENERAL32826
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Entry Properties
Last modified
8/24/2016 7:55:09 PM
Creation date
11/23/2007 7:26:46 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1987072
IBM Index Class Name
General Documents
Doc Date
1/22/1987
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~~~~u~iiiiiimiir <br />rnuuuuen <br />Y?estern Insurance Service Inc. <br />2oz .r. -29th st. <br />Pueblo CO 81008 <br />INSURED <br />LaPlata Coal Corp. <br />P.U.B~x 1941 <br />Durango CO 81301 <br />THIS CERTIFCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />E%TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />I COMPANIES AFFORDING COVERAGE <br />COMPANY A i <br />LETTER $]-'tT][fL1T'L01,ES <br />COMPANY B <br />LETTER <br /> <br />COMPANY <br />L` <br />C y 1:' <br />~ ~ I~ ~) ~~ II <br />T^ <br />LETTER <br />TT <br />NY ~ ~AN l <br />~ ~O~! <br />~ <br />LE <br />ER . <br />i <br />Y E ~Jll~r~ <br />LAN~ <br />LETTER .,__ _ <br />ABOVE FOR THE POLICY PERIOD INDICATED. <br />RESPECT TO WHICH THIS CERTIFICATE MAY <br />I ALL THE TERMS, E%CLUSIONS, AND CONDI- <br />CO <br />TYPE OF INSURANCE <br />POLICY NUMBER Ppl-ICY EFFECTIVE PpLICY ExP1R4TION LIABILITY LIMITS IN THOUSANDS <br />L7R DATE IMMNDAYI DATE IMMND/Y11 EACH <br />AGGREGATE <br /> OCCURRENCE <br /> GE NERAL LIABILITY <br /> BODILY <br /> { COMPREHENSIVE FORM IN.IURV $ $ <br /> PflEMISEG/OPERATIONS PROPERTY <br /> X E7(PL0.51pNB COLLAPSE HAZARD <br />84 <br />1~20~87 <br />1~2G~88 DAMAGE $ $ <br />A 7 <br />GL 1238 <br /> }~+ PgDOUCTS/COMPIETEDOPERATIONS <br />' COMRACTUAL $ $ <br /> INDEPENDENT CONTRACTORS COMB ED SGG f 5GG r <br />' v BROAD FORM PROPERTY DAMAGE <br /> PERSONAL INJURY PERSONAL INJURY ,~ <br /> A UTOMOBILE LIABILITY Baglr <br /> ANY AUTO I~pPERk1Nl $ <br /> ALL OWNED AUTOS (PRIN. PASS I mGtr ' <br /> ALL OWNED AUTOS ~pRi~flp <br />N~ <br />5 I~ KLMN~ $ <br /> p <br />5 <br /> HIRED AUi05 <br />i, PROPERTY <br /> NON-0WNED AUTOS DAMAGE $ ' <br />i GARAGE LIABILITY <br /> BI 8 PD - <br /> COMBINED ,~' <br /> EXCESS LIABILITY <br /> UMBRELLA FORM BI 8 PD <br />COMBINED <br />$ <br />$ <br /> OTHER THAN UMBRELLA FORM <br /> <br />R <br />E <br />' C <br />PE <br />T <br />W STATUTORY <br /> I( <br />NSA <br />ION <br />O <br />RS <br />OM <br />AND <br />$ (EACH ACCIDENn <br /> EMPLOYERS' LIABILITY $ (DISEASE-POLICY LIMIT) <br /> $ (DISEASE-EACH EMPLOYEEI <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />Tm COAL I~I4II~'G-- B+i~tTmlinous wi-11 comply with Firm z.o3.9 <br />Statin~su6s~a~iveycfiangeslaremade in e£nerp°s~3cyn~ncludingeayB~e°rnina~~otYi irefa~ureDntoT~Trene <br />Peter G I G~nnCr SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br />PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70 <br />Mine Land Reclamation Division MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />42 Centennial Buildin LEFT, B'UQF TO MAIL SUCH NOTICE SNA IMPOSE NO oBLIGg710N OR LuBILRY <br />3 g OF ANY N 7 E COMPANY, AG S OR REPRESENTATIVES. <br />1313 Shes'man AUTHOR S ~I~ , <br />
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