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GENERAL34314
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Entry Properties
Last modified
8/24/2016 7:55:51 PM
Creation date
11/23/2007 7:53:53 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
General Documents
Doc Date
10/2/2007
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORDn CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 09/28/2007 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis xorth America, xnc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Siva. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Sox 305191 <br />Nashvilie, 1'iT 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INBURED peabody Haergy Corporation INSURERA: ACB American Insurance Company 22667-001 <br />Attn: Walter $awkias <br />701 M <br />t St <br />t <br />k <br />INSURER B: <br />ar <br />e <br />ree <br />Suite 700 INSURER C: <br />St. Louis, MO 63101-1826 <br /> INSURER O: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 7HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' rypE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE POLICY 'XPIRATION LIMITS <br />-A' -- GENERaurnelLTTY - - - - - OG237T7773 70/1/2006- 11J1/200~ EACH OCCURRENCE -S 2 OOO OOO <br /> X COMMERCIAL GENERAL LIABILITY PREMISES Ee6oNxTVreOx'e $ 50 000 <br /> <br /> CLAIMS MADE aOCCUR MED EXP (Any one person) $ 5 000 <br /> PERSONALB AOV INJURY $ 1 OOO OOO <br /> GENERAL AGGREGATE $ ¢ QQO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 OOO OOO <br /> POLICY FROT LOC <br />A AUT OMOBILE LIABILITY ISAH08228103 10/1/2006 11/1/2007 COMBINED SINGLE LIMIT <br /> <br />(Ea aceitlentJ $ 2,000,000 <br /> X ANY AUTO <br /> ALLOWNEDAUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILYINJURY <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> O PROPERTY DAMAGE <br /> V <br />P <br />itl $ <br /> ( <br />er acc <br />enQ <br /> GARAGE LIABILITY R AUTOONLY-EAACCIDENT $ <br /> ~ <br /> ANV AUTO 10~ OTHERTHAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESSNMBRELLA LIABILRY eG~am <br />~ EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE ` <br />~9 Rd ~O AGGREGATE <br /> O`v <br />~`~ <br />l'~~ $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS LOMPENSATON ANO -~ <br />' v_ WC STATU- OTH- <br />T R M T <br /> EMPLOYERS <br />LIABILITY <br /> ANY PROPRIETORlPARTNE WEXECUTIYE <br />E.L. EACH ACCIDENT <br />$ <br /> OFFICEWMEMBER EXCLUDED? <br />E. L. DISEASE-EA EMPLOYEE <br />$ <br /> If yes, tlescribe antler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OiNER <br />DESCRIPTION OF OPERADONSA.OLATONSA/EHICLESIE%CLUSIONS ADDED BY ENDORSEMENTAiPECIAL PROVISIONS <br />Named Insured: Hayden Gulch Terminal, inc. <br />Covers operations at Hayden Gulch Loadour Facility including damage from surface coal, etc., <br />Permit <br />C-92-081. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOYE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL 1VhXXdI MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFA~IIX)bMBVYxBf1[dRY~eM L <br />Colorado Department of Natural Resources 06MdhXYIT5761fTdQ(ntffiY~XXOIBIM9RXif X6660tlCdf~C <br />Diviaioa of Reclamation, Miaiag and Safety <br />Room 215 <br />1313 Sherman Street AU ORIZE PR E ATIVE <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/08) Co11:2124235 Tp1:547796 Cert• 544706 ®ACORD CORPORATION 1988 <br />
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