My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL35405
DRMS
>
Back File Migration
>
General Documents
>
GENERAL35405
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 7:56:24 PM
Creation date
11/23/2007 8:19:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
General Documents
Doc Date
11/23/1992
Doc Name
Certificate of Insurance
From
SEDGWICK JAMES
To
MLR
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.
/
2
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
---- -_- _ <br />1~~7~j'~~~. 'L.~H I ~~~S.v;a. I h 1~1'r ]I~i W.3 ~o-rU?\11 .~- -_ - <br />~ "' '" ~I 1 rill/4J <br />PRODUCER THIS CcRTIFIC.:TE IS ISSUcC a~ A id.aTTER OF INFO n'~i,i TiCN GI1LY Ar~D <br />Sed wick James National Accounts Grou I DOES~NOT AMEND..EXTEND OR~ALTER~THE COVERAGE AFFORDED ~B YVTHE <br />! g p I POLICIES BELOW. <br />830 Morris Turnpike COMPANIES AFFORDING COVERAGE <br />Short Hills, NJ 07078 <br />G-44 COMPANY <br />LETTER A <br />INSURED <br />Hayden Gulch Terminal, Inc. <br />701 Market Street, Suite 700 <br />St. Louis, MO 63101-1826 <br />COMPANY g <br />LETTER <br />COMPANY `. <br />LETTER <br />COMPANY D <br />LETTER <br />COMPANY E <br />LETTER <br />Nationa'~~'~~''~~~~~~ffffff~~'~~'neon Fire Insurance Company <br />i- <br />I11~ ._ aI_~ <br />il:: vL~ . <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 MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />I <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS <br />CO <br /> <br />LTR <br />TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATIDN <br />LIMITS <br />DATE IMM/DDIYYI DATE (MMIDDIYY) <br />A ~ <br />~NERAL LIABILITY GL3265189 ~ O~D1 X92 10/01 /93 GENERAL AGGREGATE 5 2 ~ D00 y D00 <br /> Y <br />^ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG. 5 2 ~ OQQ ~ D00 <br /> CLAIMS MADE X OCCUR. PERSONAL 6 ADV. INJURY 5 ~ ~ QOQ ~ QQQ <br /> OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE S 1 ~ ODO s QDO <br /> X Broad Form Vendors Coverage Included FIRE DAMAGE IAny one lira) 5 ~jD r OQO <br /> MED. E%PENSE IAny one person) S 6 QQQ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE <br />S <br />A X ANY AUTO CA1429040 ~ ' ooo' 00o <br />~ D~D1 /g2 ' O/01 /9'Z LIMIT <br /> <br />,~ ALL OWNED AUTOS I <br />BODILY INJURY S I <br /> X SCHEDULED AUTOS IPBr person) <br /> HIRED AUTOS BODILY INJURY <br />S <br /> NON~OWNED AUTOS (Per acutlenp <br /> GARAGE LIABILITY PROPERTY DAMAGE S <br /> EXCESS LIABILITY EACH OCCURRENCE E ~ <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM <br /> <br />WORKER'S COMPENSATION STATUTORY LIMITS <br /> EACH ACCIDENT 5 <br /> AND <br />DISEASE-POLICY LIMIT 5 <br /> EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE S <br /> <br />I OTHER <br />OESCWPTION OF OPERATIONS/LOCATIONSIVENICLES/SPECIAL ITEMS Covers operations at Hayden Gulch Loadout Facility FD1Y112 j <br /> including damage from surface coal mine operations, the use of explosives and damage to water <br /> wells. I <br />I <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE I <br /> Colorado Department of Natural Resources E%PIRATION DATE THEREOF. THE ISSUING COMPANY yr,~li;x~.y`o~xya~(~o~ <br /> Division of Mined Land Reclamation MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> <br />~15 <br />C <br />ntennia~ <br />tevard <br />B I <br />LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ! <br /> 3 <br />~ <br />ee <br />3311 Kerman <br />t <br /> <br />Denver, CO 80203 LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES <br /> AUTHORIZED REPRESENTATIVE ~f ~/ / ~ <br /> 1' <br />__~~ <br />I ACORD 25S (7/90) '~7A,GOMU GURPORATIQN 7B9u I <br />
The URL can be used to link to this page
Your browser does not support the video tag.