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GENERAL35033
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GENERAL35033
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Entry Properties
Last modified
8/24/2016 7:56:12 PM
Creation date
11/23/2007 8:09:14 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/22/1994
Doc Name
CERTIFICATE OF INSURANCE
From
MARSH & MCLENNAN INC
To
DNR
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />KAtr`v111:11. CERTIFICATE QF 1N $URANCE ~ ?~7t7$ " • " eBUE OATE,MM/DD/YY) <br />• n. ~&=fl9$ 2/17/94 <br />PROOUtER THI ERTIFlCATE IS IS LIED A A MATTER OF INFORMATI N LY AND <br />Marsh 8 McLennan, Incorporated CONFERS NO RIGNTS UPON THE CERTIFlCATE HOLDER. THIS CERTIFlCATE <br />Three Embarcadero CeIIter ~ EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />P <br /> OLIC ES BOW. <br />P. O. Box 193880 <br />San Francisco, CA 94119-3880 COMPANIES AFFORDING COVERAGE <br /> ~q"'• A INSURANCE CO OF N AMERICA <br /> ~ <br />TER~ <br />NSURED <br />B <br />L <br />ET <br /> <br />The Pittsburg i Midway <br />Coal Mining Co. ~R~ C <br /> <br />6400 8. FiddlerFs Green Circle <br />Englewood, CO 80111 ~ER"~ D <br /> COfPANY E <br /> LETTER <br />COYEPAGES <br />~~ .. , <br />~ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE <br />LISTED BELOW HAVE BEEN <br />1^uSUED TO THE INSURED NAMED ABOVE FOq THE POLICY PERIO0 <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDI TION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CWMS. <br />CO <br />lTR TYPE OF NSURANCE POLICY NUMBER POLICY EFFECTNE <br />DATE (MM/DD/YY) Pm1CY EI~IMl10N <br />GATE (MM/OD/W) ~~ <br />A 0°:E RALUAeuTY DCG1731136-0 3/01/94 3/01/95 CEIERPLAGGREGATE f looooo0 <br /> K COMMERCIAL GENERAL LIABtfTV "Ptulti-State" Policy PRODUCTS-COMP/OP AGG. f 1000000 <br /> ':::~ X CLAIMS IMOE ~occuR. Retroactive Date 1S PERSONPIf ADV. IN.NRY f 1000000 <br /> OWNER'38 CONTRACTOR'S PROT. MaL'Cll 1, 1986 EACH OCCURRENCE t 1000000 <br /> FIRE O4MAGE (Any ons Sn) f <br /> MED. EIPENSE IAny on. p.rwn) S <br /> AUTO MOBIE lMBf1TY COMBINED SINGLE <br /> ANY AUTO UMR f <br /> ALL OWNED AUTOS BODILY INJURY <br />5 <br /> SCHEDULED AUTOS (Par psrwn) <br /> HIRED AUTOS BODILY INJURY <br />5 <br /> NON-OWNED AUTOS (Per ecclEent) <br /> GARAGE LIABILffV <br />PROPERTY DAMAGE <br />f <br /> <br />A ExcESS UABArrr CEG1731139-6 3/01/94 3/01/95 EACH OCCURRENCE s 3500000 <br /> UMBRELLA FORM AGGREGATE S 6500000 <br /> <br />][ <br />OTHER THAN UMBRELLA FORM . . ... . .......... .......................... ... . <br /> <br />: <br /> STATUTORY UMRS .. . <br />...............:.......:. <br />~ <br /> WORtER9 COMPENSA71011 <br />f <br /> EACH ACCIDENT <br /> AND <br />DISEASE~POUCY UMR <br />t <br /> EMPLOYERS UABIlfY <br />DISEASE-EACH EMROYEE <br />f <br /> OTHER <br /> RECEIVF_G <br />OESCfIPT10N GF OPEMT1019/LOfaTB]NS/VEHICIES/ePECw. nEAe 94 <br />(SEE REVERSE AND/OR ATTACHED) <br /> LI!'IEICN C1 P.110EIr:IS a laDlpciv <br />C TtFl ::::::::::.::.::.::.::::.::.:.:::.::.::::::~:::~:~~::~:::~~~^:::::~.::::~::::;.::::.::::::;;:.::.>::.>::.>.::..: <br />... EI;..... CATE.HQ.L..DEp::..:.~ ..:::.::.:..:..:.:..:.::.:~.~:.......::..:...::.:.::..~..~:.~.:...:....:..:...:: :.:: N lATION~::~::~~:~::~..:.::...::::.:.:::..:::~::~~~•~~:~:~;~:~:~:•:~:.;.::;::::::::::::.:::;:.::.:;:;::::.~::.~::.~::.<~::;::.s::.;:..::..:::::.:::.;:.;:.;:.;..::.;:. <br />:.:CA.. CEL.,....,..............:.......:.........:..:.::..:..:.:..:.:..:..:..::.::.:..:..~..~..:..:.:...~.....:...:..:...:......~:...:... <br /> :~~~ SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DivlBlOn Of Niaeral8 S 09010fJy ~;: ~ EXPIMTION DATE THEREOF, THE ISSUING COMPANY WILI~I~~X~ <br />CO Dept. Of Natur8l Re 60urCeB ~~~~~ MAIL ~_0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 7O THE <br />Attention: susaa Burgmaiar LEFT•1C1[Y~GXOtlQS11~G761QCE-EmS~6NISIR7E7aYXXXXX <br />1313 Sherman Street, Room 215 S~R~[9iAiY36~IdiISH6D1[B7fXII~]AHX-tX8t7LlT3DRH76$3FSIl7{iM][XXXX <br />Deaver, CO 80203-2273 ATNE cLENNA`I, INC. <br />~~; Aunlon~DREPRES <br />~ <br /> f <br />L <br />Soe <br />e <br />~ <br />. <br />ACORD 2SS.. 90 . ....: <br /> <br />.....:: <br />:::. .~..:...~.:: ~:~ <br />~...~:: : <br />....:.: ........ .....: .............:.:.:.... ..: <br />.:..:.:..:.: <br />oaD:coRVORAnoN.t9e9.: <br />::::::..::.::::...:.::..::. ::. : :::::: :::.:::::: ::: : :. ::..:.:::..::.:..: A c <br />
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