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GENERAL34417
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Last modified
8/24/2016 7:55:54 PM
Creation date
11/23/2007 7:56:26 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
10/10/2006
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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AC'URD <br />n CERTIFICATE OF LI~-B,ILITY INSURANCE page 1 of 2 10/02/2006 <br />PRODUCER 877-945-7378 `THISiCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie xorth America, Lnc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 century alvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Hox 305191 RECEIVE® <br />Nashville, 1RI 372305191 INSURERS AFFORDING COVERAGE NAICN <br />INSURED 'laentymile Coal Company INSURERA: ACH American Insurance Company 2266)-001 <br />701 Market Street <br /> <br />MO 63101-1826 Division of Recle <br />St <br />L <br />i INSURER B: <br />. <br />ou <br />e, <br />mauon, <br />Mining and Safety INSURERA <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 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 />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' rypE OF INSURANCE POLICY NUMBER POLICY~FFECTIVE POLAICYM PIRAxON LIMITS <br />A GENERAL LIABILITY HDOG23717773 10/1/2006 10/1/2007 EACH OCCURRENCE $ 2 000 000 <br /> <br />X <br />COMMERCIAL GEYNERAL LIABILITY <br />_ <br />_ __ _ DAMAGETO RENTED <br />.PRELUSE6 @e occu <br />--SO -OOA- <br />~ <br />_ _ <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ <br />$ QQQ <br /> PERSONALB ADV INJURY 8 1 OOO OOO <br /> GENERAL AGGREGATE $ 4 QQQ OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 OOO OOO <br /> PRO <br /> POLICY <br />LOC <br />A AUT OMOBILE DABILITY ISAH08226103 10/1/2006 10/1/2007 COMBINED SINGLE LIMIT <br /> <br />(Ea accitlan0 $ 2, QQQ, OOO <br /> X ANY AUTO <br /> ALLOWNED AUTOS <br />BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Perewidenl) <br /> PROPERTY DAMAGE <br /> $ <br /> (PBr eCCidenf) <br /> GARAGE LIABILITY AUTOONLY-EAACCIDENT $ <br /> ANV AUTO OTHERTHAN EA ACC $ <br /> AUTOONLV: qGG $ <br /> E%CESS LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />' WC STATU- OTH- <br />T RV IMIT ER <br /> LIABILITY _ _ __ <br />EMPLOYERS ___ _ _^_ _ _ _- __ _ _ <br /> _ <br />ANV PROPRIETOWPARTNEFVEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMSER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$ <br /> Ii yes, tlescribe antler <br /> SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPRON OF OPERATIONS/LOCATIONSIVEHICLESIE%CLUSIONS ADDED BY ENDORSEMEfdrSPECIAL PRQVISIONS <br />Twentymile Coal Company and HTII Empire Corporation/RAG Empire Corp <br />Including PermitB C-81-044 and C-62-056 <br />The Insurer will notify the Division of substantive changes in policy, including or failure to <br />renew. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATON <br />GATE THEREOF, THE ISSUING INSURER WILL Xafx~atrilDe7d MAIL 3 O DAYS WRITTEN <br />NOTIDE TO THE GERTIFlOATE HOLDER NAMED TO THE LEFgCHCR7FIGMlCKYdIDf%4G1ElULl <br />Colorado Division of Reclamation, Miaiag & Safety <br />Division of Minerals sad Geology <br />Room 215 <br />1313 Sherman Street <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/08) Coll:1760861 Tp1:547803 Cert:/7838385 <br />
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