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GENERAL34923
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GENERAL34923
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Last modified
8/24/2016 7:56:09 PM
Creation date
11/23/2007 8:06:26 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
10/1/1992
Doc Name
Certficate of Insurance
From
PEABODY WESTERN
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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„-- <br />.aC1/1:11. CERTIFICATE OF INSURANCE ISSUE DATE (MMIDDIYV) <br /> <br />PRODUCEp TNIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />SEDGWICK JAMES NATIONAL ACCOUNTS G <br />Cj1~ICIES BELOW. <br />830 MORRIS TURNPIKE <br />SHORT HILLS, NJ 07078 G-4B COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />LETTER A NATIONAL UNION FIRE INS. CO. <br /> COMPANY B <br />INSURED LETTER <br />PEABODY COAL COMPANY ~ ~ ~ Ir"' ~ \i l <br />COMP <br />701 MARKET STREET, SUITE 700 ANY <br />LETTER C I._. , <br />ST. LOUIS MO b3101-182e <br /> COMPANY OC7 01 1992 <br />LETTER D <br /> <br />-- LETTERNY E DIV IJI\Jr\ .. <br />. <br />COVERAGES , MIN `` '-'~ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS S HOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />GATE (MM/DD/VYI DATE (MMIDD/VY) <br />GENERAL LIABILITY GENERAL AGGREGATE E2 UUU .000 <br />A X COMMERCIAL GENERAL LIABILITY GL3265189 10/01/92 10/01/93 PRODUCTS-COMPIOP AGG. E2.QQI)r QUQ <br />CLAIMS MADFXX OCCUR. PERSONAL AADV. INJURY 51 0~)~I OQ~I <br />OWNER'S 6 CONTRACTOR'S PROT. EACH OCCURRENCE E 1 ~ 1) I~ 0 ; QI) Q <br />X Eruad Furm Vendors Coveraue I I1Clllded. FIRE DAMAGE (Any one lve) E jQ; QQQ <br /> MED. EXPENSE (My ana parson( E Tj Q 0 0 <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />S <br />A X ANY AUTO CA1429040 ~ LIMIT <br />10/01/92 10/01/-3 1;000,000 <br />X ALL OWNED AUTOS BODILY INJURY <br />E <br />X SCHEDULED AUTOS <br />(PB! person) <br />X HIRED AUTOS BODILY INJURY <br />E <br />NON~OWNED AUTOS <br />(Per sccitlenU <br />GARAGE LIABILITY <br />PROPERTY DAMAGE S <br />E%CESS LIABILITY EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE S <br />OTHER THAN UMBRELLA FORM __ -~~_ <br /> STATUTORY LIMITS <br />WORKER'S COMPENSATION <br /> EACH ACCIDENT f <br />AND <br />DISEASE-POLICY LIMIT S <br />EMPLOYERS' LIABILITY <br />DISEASE-EACH EMPLOYEE S <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATION$1VENICLE515PECIAL ITEMS ALL GPERATIONS OF THE INSURED AT <br />ALL LOCATIONS. COVERS OPERATIONS AT SENECA II-W MINE INCLUDING DAMAGE FROhf <br />SURFACE COAL MINE OPERATIONS. THE USE GF EXPLGSIVES AND DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER T CANCELLATION~ ~^ ~ ^~ <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Y9 <br />Tp <br />E%PIRATION DATE THEREOF, THE ISSUING COMPANY WLLIt/BNDE <br />COLORADO DEPARTMENT OF NATURAL RE ~ <br />~~ <br />SOURMAIL30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAM D/ 4 FIE <br />DIV. OF MINED LAND RECLAMATION LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />21 S CENTENNIAL BLVD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />1~'~13 SH <br />RM <br />STREET <br />E <br />AN <br />p <br />I <br />~ <br />~f <br />Denver, CO BOZOS AUTHORIZED REPRESENTATI~~~ <br />ACORD 25-5 (7/90) ORPORATION 1990 <br />
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