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GENERAL35266
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GENERAL35266
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Entry Properties
Last modified
8/24/2016 7:56:20 PM
Creation date
11/23/2007 8:15:46 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981071
IBM Index Class Name
General Documents
Doc Date
7/13/2001
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIiIII III <br />~ertitfc~te of ~1r~~ur~r~ce ggg <br />~~ Aon Risk Services <br />To: Division of Minerals and Geology Re: Natural Resources <br />Colorado Department of Natural Resources ~iY01lp <br />Attn: Mr. Michael Long, Director RECEIVED <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />JUL 132001 <br />ASSUred: RAG American Coal Holding, Inc. et al vision of MinerdlS & Geobgy <br />Including Colorado Yampa Coal Company,.RAG Empire Corporation and <br />Twentymile Coal Company <br />999 Corporate Blvd. <br />Linthicum Heights, MD 21090 <br />This is fo cedily Naf Ne policies of insurance listed below have been issued to the Insured named above for the pdicy period indicated, notwithstanding any <br />requirement, term, or condition of any contract or other document with respect to which this cerbficafe maybe issued or may perta/n. The insurance afforded <br />by the policies described herein is sub/ecf fo all the terms, exGusions and conditions of such policies. Limits shown may have been reduced by paid clams. <br />Type of Policy Policy Policy <br />Insurance No. Period Limits/Values <br />Commercial General Liability GL 544-22-49 06130/01 - $ 6,000,000 General Aggregate <br />06130/02 $ 6,000,000 ProductslCompleted <br />Operations Aggregate <br />$ 1,000,000 Personal and Advertising <br />Injury <br />$ 1,000,000 Each Occurrence <br />$ 1,000,000 Fire Damage (Any One <br />Fire) <br />$ 10,000 Medical Expense (Any <br />One Person) <br />Insurance Company(ies) The Insurance Company of the State of Pennsylvania <br />Auto Liability AL 548-83-24 Gii/30/O I - $ 1,000,000 C5L Each Occurrence <br />06/30/02 <br />Insurance Comoanv(ies) The Insurance Companv of the State of Pennsvlvania <br />Workers' Compensation OC 017049-04 06/30/01 - WC: Statutory <br />Employers' Liability 06130/02 EL: $1,000,000 Each Accident <br />$1,000,000 Disease -Policy Limit <br />$1,000,000 Disease -Each <br />Employee <br />Insurance Company(ies) Old Republic Insurance Co. - <br />Excess Workers' EX363-01 06/30/01 - Statutory Excess of a Self Insured <br />Compensation 06/30/02 Retention: $2,000,000 any one <br />occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscribing insurers' obligations under contracts of insurance fo which they subscribe are several and notjoint and are limited solely fo the ex(ant o! their <br />individual subscripfbns. The subscribing insurers era not responsible for the subscdpoon of any cosubscdbing insurer who /or any reason does not satisfy all <br />or pert o1 ifs obliga(ions. <br />This cedllltate is issued as a matter of information only end confers no fights upon the cerlifiwle holder. This cergbrate does not amentl, extend or alter Iha <br />wverage afforded by the policy(ies) shown hereon. Should any of the above described policies be canceled before the expiration date thereol, this agency, on <br />behalf of the issuing company(ies), willlgpg@gyg~ mail 60 days written notice to the above named certifice[e holder,7~gQdg~UMU(ppjl>6~F~6'86cA)OAII <br />Rl@990Ci'. <br />Aon Risk Services of Texas, Inc. <br />Date: July 5, 2001 By: ~„ ~; ~4i(~i+wtlw <br />Aon Rirk Struiru of Trxar, Inr. <br />d/b/a Aon Riik /ruurana Servircr of Texar, Inr. • CA Lirmn 05597/5 <br />2000 Bering Drive, Sui [e 900 • Houston, Texas 77057-3790 • tel: (713) 430-6000 • fax: (713) 430-6590 <br />F:\CLIENTSV+ONIRAGViobens Files12001 Cen F,la\GL, AL,WC 8 %S WC Cen.doo-l0 <br />07/05/01 2:01 PM <br />
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