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GENERAL35698
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GENERAL35698
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Entry Properties
Last modified
8/24/2016 7:56:34 PM
Creation date
11/23/2007 8:25:26 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
7/6/1999
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />~OiIV <br />~Certific~te of ~1u~ur~uce <br />-iiiiiiiiil <br />Aort Rr.rk Serr'n-r~ <br />To: Division of Minerals 8 Geology <br />Department of Natural Resources <br />1313 Sherman St. Rm. 216 <br />Denver, CO 80203 <br />Re: Attachment <br />Fax to: <br />Tracey at Twentymile <br />970-870-2753 <br />'~cc rv~r_; <br />Assured: RAG American Coal Holding Inc. <br />1520 Kanawha Boulevard East <br />Charleston, WV 25311 <br />~i,r. v ~ ~sss <br />'•~ ~-r fhrrterb & GeolGgy~ <br />This fs to certify that (he policies el insurance listed below have been issued (o the Insured named above for the policy penod indicated, nnrwithsfand~ng any <br />requirement, term, or condition o1 any urontract or other Oocumen( with respect to which This certilbare may be issued or may pertain. The insurance afforded by <br />the policies described herein is subject to 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 />Commercial General Liability 6122944 <br />06-30-99/00 $ 6,000,000 General Aggregate <br />$ 6,000,000 Products/Completed <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 /> Ona Person) <br />Insurance Company(ies) American Home Assurance <br />Auto Liability 5347309 06-30-99/00 $ 1,000,000 CSL Each Occurrence <br />Insurance Comoanvliesl American Home Assurance <br />Workers'Compensation 00017049-02 06-30-99/00 WC: Statutory <br />Employers' Liability EL: $1,000,000 Each Accident <br />$1,000,000 Disease -Policy Limit <br />$1,000,000 Disease -Each <br />Employee <br />Insurance Campany(ies) Old Republic Insurance Co. <br />Excess Workers' EX360 06-30-99/00 Statutory Excess of a Self Insured <br />Compensation Retention: $1,000,000 any one <br />occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscdbing insurers obligations under confrdcfs of insurance !e which they subscnbe are seve2l and no! joint and ere limited solely !o the ez]enl o/ their <br />individual subscdplions. The subscribing insurers ere not responsible for the subscription o! any cosubscnbing insurer who !or any reason does nor saristy all or <br />part of its obligations. <br />This cerlilicate Is issuetl as a matter of inlortnalion only antl coolers no rights upon the cenilicate holder. This certificate does not amend, enend or alter the <br />coverage afforded by the policy(ies) shovm hereon. Shoultl any of the above described policies ba canceled before the expiraoon tlafe thereof, this agency, an <br />Dehall of the issuing crompany(ias), will eodoax®tamail 60 days written notice to the above named cemlicafe holdar~bearDm6uradaxnuikscnbegoCUaoAall <br />~rl di Y W tag®opc <br />Aon Risk Services of Texas, Inc. <br />Date: June 29, 1999 By: `4`tuc, ~ ~/--j¢ <br />Ann Xi.rk Srrrius u~Trxz+t, Lrr. <br />21111f1 Brring Drive, Suire 900 • Flnusron, Tczas ?7057-3790 • rrl: (711) -tjll-(11n0 • (az: (713) tii0-(5911 <br />F:\CLIENTSUonW AG\policies\0630~99~OO.lease\2]J~9.DrvOIMinGeo.cl0.dac~ 1 <br />
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