GENERAL32957

• Permit No: C1994082
• IBM Index Class Name: General Documents
• Doc Date: 9/29/1997
• Doc Name: Certificate of Insurance
• From: PEABODY HOLDING CO INC
• To: DMG
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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ii1D1/1:11. GERTI'FICATE ~F

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.. ... ISSUE DATE IMM/DD/YYI
2:014:::.
SURANCE '
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Incorporated
MdTSh & McLennan CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
, ' IXTEND OR ALTER THE COVERAGE AFFORDED BY THE
10 SOUTH BROADAAY PO ICIES BOW.
St. LOU1S, MO 63102
COMPANIES AFFORDING COVERAGE
c~ERNY A INDEMNITY INS CO OF N. AMERICA
RFCtIVtD

COMPANY
INSURED LETTER B
Seneca Coal Compan]5eP 2 9 ~yy~ COMPANY /~
1300 South Yale LETTER y

Flagstaff, AZ 86001

;tivislon ul mcuerals ~ Geology COMPANY D
LETTER
COMPANY
E
LETTER
COY.EHAGES :.
;.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOW N MAY HAVE BEEN REDUCED BV PAID CLAIMS.
CO
LTA TYPE OF WSURANCE PQ1CY NUMBER PIX1CY EFFECTNE
DATE IMM/DD/YY) POLICY Fl(PIRATION
DATE IMM/DD/WI DMITS
A GENE RAL LLABIDTY DO G1 9316105 10/G 1/97 10/D 1/98 GENERAL AGGREGATE E 3000000
X COMMERCWL GENERAL LLABILRY PRODUCTS-COMP/OP AGG. S 2000000
CLAIMS MADE ~ OCCUR. PERSONAL & ADV. INJURY E 1000000
OWNER'S fl COMRACTOR'S PROT. EACH OCCURRENCE E 1000000
X BSOaCl FOrm Ven- FIRE DAMAGE (Any ona lire( E 50000
X y
40r9 COV InOl . MED. E%PENSE (Any one person) E 5000
A AuTa ADBBEwBIUTr ISA H07402009 10/01/97 10/01/98
COMBINED SINGLE
X ANY AUTO
LIMIT
S 1000000

ALL OWNED AUTOS BODILY INJURY
E
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY WJURv
$
}[ NON-OWNED AUi05 IPei acutlenp
reRAGE LuBIUTY
PROPERTY DAMAGE
5

IXCEES DABILLTY FACH OCCURRENCE b
UMBRELLA FORM AGGREGATE E
OTHER THAN UMBRELLA FORM ~ ~ ~' ~ "' " " "'

' STATUTORY LIMITS
WORKER
S COMPENSATION
EACH ACCIDENT S
AND
DISEASE-PDLIOY LIMIT
E
EMPIOYERE' LLABILLTY
OISEASE~FACH EMROYEE
E
OTHER
DESCRIPTION OF OPERATON9/LOCA710NS/VEHICIEB/SPECWL ITEMS
(SEE REVERSE AND/OR ATTACHED)
EERTtFICATE''.HOLDER:":':::.:':::'; :".:".:':' ::.::::..::.:..::~:;.:::..::.::.....::.:..:..: ..: ~:: ~::CANCECUITI:O~N~~: ~ ~~'::'~:' ~':::'.:.:::.'.;'.:.: ,:: ~.;..;::;.:~'~':~' ~' ~':~:~'~':''.~'~':''.~':':':~':':.:":':::"~'.~ ~:":
SHOULD ANV OF THE ABOD
SCR
IB
POLICIES RE CANCELLED BEFORE THE
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COlOradO Dept. of Natural 77
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EXPIRATION DATE THEREOFxTJ7~~S~7iIVBCOMPANV WILIXi~~X1XIXX~X
A
AA
Resources, Div. of Minerals MAIL_~ODAYS WRITTEN NOTICE
T O
THS CERTIFICATE HOLDEN NAMED TO THE
and Geology ~ LEFT. iGXXAO)0~7Q'~[ffiA[I]6~SOE-t~7CX0E76N/-CWdfF]DK4Q}GXO[7G7G9CXXXXX
1313 Sherman Street, Room 215 ~ K~a~X061[Q611QX9N[X3E1Cffi')PXd4]CC6XOE7Q467DKAE]P3F9E}Q4NG4EXXXXX
Denver, CO 80203-2273 ~~~A P

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