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GENERAL32951
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GENERAL32951
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Entry Properties
Last modified
8/24/2016 7:55:12 PM
Creation date
11/23/2007 7:28:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980007
IBM Index Class Name
General Documents
Doc Date
2/5/1990
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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..:...~ ::.: .:...::.... <br />~~lleSeD <br />- ~4F~~~F{~A~'E L3~ It~Si3i~ ::._:~~.:,, : ~ iii iiiiiiiiiiiuiii ..~,:, <br />Ai~i~~~ 999 = r oi <br />~ <br />s °"" <br />. <br />.~ r <br />v <br />~ <br />. <br />. . . <br />: _,,...n_.,.. , .~, .. ..., ., .. <br />~ . <br />... <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Johnson 8 Higgins of California ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Casualty Department HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2029 Century Park Easl ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />LOS Angeles, CA 90067 ~~r~j1 COMPANIES AFFORDING COVERAGE <br />Tel: (310) 551-4667 ~ <br />. <br />0659A-GL2 <br />- - <br />- ~-~F{ ~' ; P,~ <br />jOq(A INDEMNITY INSURANCE COMPANY OF NORTH AMERICA <br />_ -- -_ <br />_._ <br />INSURm <br />~~ <br />ATLANTIC RICHFIELD COMPANY, ITS B <br />SUBSIDIARIES AND SUBSIDURES Dlv iSion of Mlnerala <br />THEREOF AS NOW OR HEREINAFTER <br />CONSTITUTED C <br />515 SOUTH FLOWER STREET <br /> <br />LOS ANGELES, CALIFORNIA 90071 COMPANY <br />p <br />;... <br />...c..,, <br />0 <br />.3: <br />~ <br />. <br />.. . <br />THIS LS TO CERTIFY THAT THE POLICIES OF INSURANCE LJSTED BELOW WIVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERRFICATE 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. L1MlTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR ~ TYPE OF INSURANCE POLICY MUYBEp Po~'ry EFFECTNE POLICY FIPIMTIOM <br />Y UYnS <br /> PATE ryY/DDM1 DATE ryYNW <br />Y) <br />A ~EI rmAL UAaIUTr ISL G7423156-0 01-01-96 01-01-99 BoDlLV rwuRr occ s N/A <br /> X COI./PF~FIENSIVE FORM BODILY RLURI'AGG i N/A <br /> X PREAIEiESAPEMTgNS PROPFFIY 6IMAGE OCC f WA <br /> X IAVDE.49R0UND <br />EXPLOSION a courase HAIAr70 PROPERTY ONMAGEAGG f N/A <br /> X Pi10D11C75/COMPLEIID OPER BI6 PD COMBINED OCC f 2,000,000 <br /> X CONIAACNAL BIA PD COMBINED AGG f ~Z,000,OOO <br /> x DIDEPENOEM CONTRACTORS PERSONAL INJURY AGG f N/A <br /> X BROAD FORM PROPERrY DMIAGE <br /> X PERSONALIwuRY <br /> ABT OYOBIIE UABIUT' BODILY INJURY <br />f <br /> ANY AUTO <br />IPer Parso^) <br /> All ONRJED AUTOS D'Ilvaea PAa) <br /> BODILY INUURY f <br /> ALLONMEO AUTOfa ~ ~~~ <br /> tODYr DYA PINeb Pnaenpcr) <br /> <br /> F9RFD AUTOS <br /> PROPERTY DMIAGE f <br /> NON-0WNW AUTOS <br /> GARAGE LIABILRY BODILY MJURY 8 <br /> PROPERTY DAMME f <br /> COMBINED <br /> EXCFbS IBIBILITY EACH OCCURRENCE f <br /> UMBREUJI FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM f <br /> 1YBnIG71.4 COYPd4A710M AMD STATUTORY UMnS <br /> EYPIOYEMf' 111101UTY <br />EACH AOCIOENT <br />s <br /> 7lE PROPRIEIOFV P1Ll 06E/LSE-POl1CY UMR f <br /> PARfN~Qfi1VE <br /> OFT7CII6 ARE: EX0. OE:FASE-EACH EMPLOYEE f <br /> oTMrn <br />OESCWP710N OF OPEM770MSADCATOMf/VEMICIESISPECULL KEYS (l1YITS WYHAVEBEFII REDUCm BY PAIOCWYS AMD YAY W1VEDmUClI8LE9 OR RETT]I710Nf) <br />•PRODUC75 COMPLETED OPERATIONS. <br />NAMED INSURED INCLUDES MOUNTAIN COAL COMPANY, PERMIT N0, C-80-007. <br />m <br /> ENDUED AMY OF 1NE ABOVE DESCRIBm POLICIEf BE GIICEUJID BEFORE THE <br />STATE OF COLORADO <br /> <br />DMSION OF MINERALS AND GEOLOGY E)D'INATN)N PATE TNEREOF, THE ISfU1N0 COMPANY WILL D(1'BCYNL <br />DEPARTMENT OF NATURAL RESOURCES 10 DAYS pn1TTEN NOTICE TO THE CEITIIFlGTE N N/Jlm 70 THE LEFT, <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER COLORADO 80203 <br />ATTENTION: DAVID A <br />BERRY <br />. AOTHORIffD REPBESEMTATIVE <br />l <br />... :.::::..........:.:I....,.... ,.....:~.:..: ~.:::: a.~::::: ~.::::.;.: ;;.:'.::.:::''r:.::a::..::.~:::::.::.::.::.::::;.... <br /> <br /> <br /> <br />ACGH +~-p[' 9':w::;:::::.::i,<:::;;;,::.?>i::i:;<;:::;::~-::::c:~:iri>>:,•ii <br />D, <br />318..).. ,....... ~ .:.................. ~.,. .....~..~.:::..i~:......~.::.~.::.:.. ................::........~:..:..::........::::::.....::::.:. .......:.....:~: .:::: .. ... .........:.:. ::...~.::~.. <br />...( <br />~y`'a<1=::iii:i i::ii`i%'isi.ii!?'ii::i'11:iii`~"i'ii:i:'::,:. .:. 9 <br />T BS: <br />:x~~-?i=:i3:i:=i'~;:<:^~;'<'a?<~;~. ...... .. ....r.. , <br />............,~.........._ ~. ~~.~...:...... ~,.............:...::..,.:::. ::.... ,....,.......... ......... ................. ...... <br />
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