My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL34571
DRMS
>
Back File Migration
>
General Documents
>
GENERAL34571
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 7:55:59 PM
Creation date
11/23/2007 7:59:03 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/26/2001
Doc Name
CERTIFICATE OF INSURANCE
From
MARSH RISK & INSURANCE SERVICES
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
µDDm) <br />CORD <br />CERTIFICATE OF <br />L <br />I <br />ABILITY INSURANCE <br />1 <br />rt <br />, <br />_ <br />_ <br />_ <br />007C 02/20/01 <br />01 <br />No <br />PROOUCeR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Marsh Risk 8 Insurance Serv ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Three Embarcadero Center, #200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />PO Box 193880 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />San Francisco, CA 94119-3880 COMPANIES AFFORDING COVERAGE <br />Attn: Mary R. Berry <br />COMPANY <br />025158--CAS- 007C A PACIFIC EMPLOYERS INS CO <br />INSURED COMPANY <br />The Pittsburg 8 Midway B ACE American Insurance Co RECEIVE <br /> <br />Coal Mining Co. <br />6400 S. Fiddlefs Green Circle COMPANY <br />Englewood, CO 80111 C <br /> COMPANY <br /> D <br />COVERAGES This certifcatesupersedes and replaces any previously issued certificate. IvIS10n o Mjnerals 8 Ge0®rn, <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. <br />CO TYPE OF INSURANCE POUCV NUMBER POUCV EFFECTIVE PODGY EXPIRATION LIMITS <br />LTR DATE IMMIDDm) DATE IMMIDDm) <br />({ GEN ERAL DABIDTY HDC 619888575 03/01/01 03/01/02 <br />GENERAL AGGREGATE <br />$ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY _ _ - ~ PRODUCTS~COMP/OP AGG $ 1,000,000 <br /> X CIAIMS MADE OCCUR PERSONALSADV INJURY $ 1,000,000 <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> X FIRE DAMAGE IAny One fire) $ <br /> <br /> X arch 1, 1986 MED E%P IAnV one person) $ <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO <br /> ALL OWNED AUTOS BOOILY INJURY $ <br /> IPer Derson) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-O W NED AUTOS (Per acotlenU <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE DABIDTY <br />AUTO ONLY-EA ACCIDENT <br />$ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br />B Excess uaelulr XCE 619889580 03/01/01 03/01/02 EACH OCCURRENCE $ 3,500,000 <br /> UMBRELLA FORM AGGREGATE $ 6,SOO,000 <br /> X OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND <br /> EMPLOYERB'DABIDTY TORY LIMITS ER <br /> EACH ACCIDENT $ <br /> THE PRGFRiEOF.' INCL DISEASE-POLICY LIMIT S <br /> PARTNERS/E%ECUTIVE <br />OFFICERS ARE: <br />EXCL <br />DISEASE-EACH EMPLOYEE <br />$ <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS UMITS MAY HAVE BEEN REDUCED BY PND C WMS PlID MAY HAVE DEDUCTIBLES OR RETENTIONS. <br />This Certificate shall provide for personal injury and property damage as <br />a result of surface coal mining and reclamation operations including <br />arising from the use of explosives al the Insured"s Edna Mine in Colorado. <br />The issuing Company shall notify the below named Certificate Holder when- <br />CERTIFICATE HOLDER SEA-000235038-03 CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED PODCIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL dGlSXM76M)1'14 MNL <br />Division of Minerals & Geology <br />CO Depl. of Natural Resources 3O pAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Kent Gorham P~Xrrk1W6NA1(Jt14 ifd'LkX <br />1313 Sherman Street, Room 215 X~,dy~,Y,X <br />Denve <br />2273 <br />CO 80203 <br />r, <br />- ~7 ry~_ _- <br />` <br />~' <br /> <br />~ <br />Mary R Berry <br />ACORD 25S (1f95) ~ ~ ~ ~ p ACORD CORPORATION 1988 <br />
The URL can be used to link to this page
Your browser does not support the video tag.