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GENERAL35132
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GENERAL35132
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Entry Properties
Last modified
8/24/2016 7:56:15 PM
Creation date
11/23/2007 8:11:24 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
7/3/2003
Doc Name
Certificate of Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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C-tG8 i--o ~ y <br />C- ~a~z-vs ~ <br />~ertfticote of ~u~ur~uce <br />~~ Aon Risk Services <br />Natural Resources <br />Group <br />To: Division of Minerals & Geology Re; <br />Department of Natural Resources <br />Attn: Janet H. Binns <br />1313 Sherman St. Rm 216 RECEIVED <br />Denver, CO 80203 <br />JUL 0 42003 <br />Assured: ""RAG-AmericanCoalHodling-Inc. ---- - Divisibno3Mt*E;>ri'endceolonv _ <br />999 Corporate Blvd. <br />Linthicum Heights, MD 21090 <br />This is to cedify that the polities o/ insurance listed below have been issued to the Insured named above /or the policy pedod intlicatetl, notwithstanding any <br />2quirement. term, or condition o/any contract or other document with respect to which this certi/icafe may be issued or may pertain. The insurance afforded by <br />the policies desedbetl herein is sub/ect fo all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />Type of Policy Policy Policy <br />Insurance ~ No. Period LimitsNalues <br />Workers Compensation OC 01704906 06/30/03 - WC: Statutory <br />Employers Liability 06/30/04 <br />EL: <br />$1,000,000 Each Accident <br />$1,000,000 Disease -Policy Limit <br />$1,000,000 Disease -Each Employee <br />The subscribing insurers' obligations under contracts o/insurance to which they subscribe are several and not JOint and are limited solely to the extent o/their <br />individual subscriptions. The subscribing insurers are not responsible for the subscription o/ any cosubscribing insurer who for any reason does not satisfy all or <br />paR of ifs obligations. <br />This certifcate is issued as a matter of information only and confers no rights upon the certifcate holder. This certificate does not amend, extend or alter the <br />coverage afforded by the policy(ies) shown hereon. Should any of the above described policies be canceled before [he expiration tlate thereof, this agency, on <br />behalf of the issuing company{ies), will mail 60 days written notice to the above named certifcate holder, but failure to mail such notice shall impose no obligation <br />or liability of any kind upon the wmpany(ies) or this agency. <br />;; - Aon Risk Services of Texas, Inc. <br />Date: ` Jtirie 30, 2003 By: ~«.. ~$~ <br />Aan Ritk Services of Texa{ Inc. <br />1330 Post Oak Blvd., Suite 900 • Houston, Texas 77056 • tel: (832) 476-6000 • Eax: (832) 476-6590 <br />IWSGhou2kl`shared\CLIENT$WNR\RAG\2003 Certdirates\2003 WC Certi0cate aoc <br />
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