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GENERAL33639
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GENERAL33639
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Last modified
8/24/2016 7:55:30 PM
Creation date
11/23/2007 7:41:53 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
General Documents
Doc Date
6/10/2005
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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--w---~-- _ ._ ~ <br />ACORD <br />CERTIFICATE OF ~LIABII,I __ _ _- ~~ DATE(MM~OD~WYY~ <br />TY INS <br />i <br />rw - 3 ~, ;~ 06~o3~zoos __ <br />PROxucER <br />Aon Risk Services, lnc. of Northern California THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />199 Fremont street AND CONFERS NO RIGHTS OPON THE CERTIFICATE HOLDER THIS <br />Suite 1400 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />San Francisco CA 94105 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSORERS AFFORDING COVERAGE NAIC N <br />Pxorve ~ 415 486-7000 TAx ~ 415 486- <br />70 <br />2 <br />` <br />f <br />INSURED <br />~ INSURER A: Insurance Company of the State of Pq 19429 <br />~ <br />V <br />Rennecott.Energy and coal compayy~l~ <br />Col owyo Coal company, L. P. \K{~G INSURER e: zurich American ins co 16535 !_ <br />5731 State Highway 13 <br />r <br />05 v <br />O <br />~o <br />• <br />Meeker CO 81641-9199 USA INSURER C: <br />`` <br />,~\\ `, <br />l INSURER D: ~ <br />Y <br />~. _m <br />Wd~ <br />G '~ <br />g(Id INSURERE 50 <br />`COVERAGES ' - _- _" - .~.. ~, n . e `a __ <br />THE POLICIES OF WSURANCE LISTED BELOW HAVE EMSSUED 7b THE[NSURED NAMED ABOVE FOR THE POLICY PBRIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W TTH RESPECT TO WHICH THIS CERTIFlCATE MAY BE ISSUED OR MAY <br />PERTAW, THE INSURANCE AFFORDED BY THE POLICIES DESCRBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED HY PAID CLAIMS. <br />LN'SR <br />LTR ADD' <br />INSR <br />T\'PE OF INSURANCE <br />POLIC\'NUMBER POLICI'EFFECTTVE POLICY EXPIRATION <br />' <br />' <br />LLNITS <br /> DATE(AfMIDD\YY) DATE(MM111DD\\ <br />1 <br />J <br />B ,ENERAL LIABe.m' GL0623019606 05/31/0$ 05/31/06 EACH OCCURRENCE $2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ESO, 000 <br /> PREM1DSES fEn,ecurcme) <br /> CLAIMS MADE ® OCCUR IMY one cersonl <br /> PERSONAL IL ADV INNRY $2,000,000 phi <br /> N <br /> GENERAL AGGREGATE $2,000,000 p <br /> ' <br /> L AGGREGATE LIMITAPPLIES PER: <br />GEN PRODUCTS-COMP/OP AGG $2,000,000 cm-I <br /> POLICY ^ PRO- ^ LOC ~ <br /> © <br />JECE ~ <br /> <br />A AUTOM1I"OBD.E LL1tlILP1'Y CAJ204496 05/31/05 05/31/06 CO\1HINED SINGLE LIMIT <br /> X ANy AUTO (Ea accidenp $1,000,000 Z <br /> <br />ALL OWNED AUTOS <br />BODILY INJURY r <br />of <br /> SCHEDULED AUTOS (Per perx,n) '~ <br />L <br /> X HIRED AUTOS <br />BODILY WNRV <br />V <br /> X NON OWNED AUTOS (Pe+aalden0 <br /> PROPERTY DAMAGE <br /> P <br />W <br /> ( <br />er acc <br />enp <br /> GARAGE LLI6ILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO <br />OTHER THAN EA ACC <br /> AUTO ONLY <br /> AGG <br /> EXCESS NM1IBRELLA LIABILITY EACH OCCURRENCE <br /> ^OCCUR ^ CLAIMS MADE AGGREGATE <br /> <br /> -- DEDUCTIBLE -~ ~--~ <br /> RETENTION <br />A WC X WC STATU- OTH- <br /> WORKERSCOMPEVSATIONANU RY IMI R <br /> EMPLO\'ERS' LIAtlH.ITY <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />0 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />_ <br />OFFlCER/MEMBER EXCLUDED? E.L DISEASE-EA EMPLOYEE $1,000,000 <br />I(}es. describe unJer SPECIAL PROVISIONS E.L. DISEASE-POLICY LIMIT $1,000,000 <br />Mlow <br />OTNER .~! <br /> <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/E%CLUSIONS ADDED BY ENDORSEM ENTISPECIAL PROVISIONS <br />~ <br />Re: Col owyo Coal Company L.P., Surface Coal Mining Pe rmit C-81-019. ' <br />* <br />i <br /> r~ <br />GER`1`IFIG`ATE IIOL.DER +~ ~'"'Gii3VCEG 'ATION . ~e m k ~ ~" ~~ ~-•: ~~ .- ~' . o- , ?~~; <br />~ <br /> <br />COlOrddO D1VlSIOn Of M1^erdls SHOULD ANYOPTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBE~ORETHEE%PIRATION <br />dnd GE!Ol Ogy DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Attn: B ron walker <br />y 30 DAYS WRITTENNOTICE TOTHE CERTIFlCATE HOLDER NAMED iO THE LEFT, <br /> BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />1313 Sherman St. OF ANY KIND UPoNTHE INSURER.ITS AGENTS OR REPRESENTATIVES. <br />l B <br />ildi <br />21 <br />i <br />u <br />ng <br />5 Centenn <br />a <br />Denver CO 80203 USA AUTHORIZED REPRESENTATIVE <br />- - - ~= .1,. :~ - - - =--~.ro-.,~. DRAT ON 9R8 <br />~ -AGORD `2001-Y08 ~-+~~-~..~~. / .,~ --- - ;. i3. -71C RD RP I 1 ~ <br />
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