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GENERAL35955
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GENERAL35955
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Entry Properties
Last modified
8/24/2016 7:56:42 PM
Creation date
11/23/2007 8:33:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
6/8/1992
Doc Name
Certficate of Insurance
From
PEABODY COAL CO
To
MLRD
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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as;~1~a~. CERTIFICA'i~ OF INSURANCE ~ IBfDEDO/11 j~91 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />2d ~'D1 Ck James G-4 B CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />GOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />f `J !?UJ ~nglan d. InC. POLICIES BELOW. <br />J _roBd Street COMPANIES AFFORDING COVERAGE <br />"oston~ Ma. 02109 <br />COMPANY <br />LETTER A NATIONAL. UNION FIR= Iti4. CO. <br />COMPANY <br />INSURED LETTER E! 3IRMINGHAN FIE;: INS. CO. <br />Peaoody Loal Company COMPANY <br />Suzanne Luepke LETTER C LANDMARK INSURANCE CO. <br />iQ1 North Memorial Drive COMPANY <br />St. ! ouis MO b3165 LETTER D <br />COMPANY E <br />LETTER <br />COVERAGES _ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV 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 BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EZDIRATION ~ D O ~ ,L NITS <br />LTR DATE (MMIDD/V V1) pATnE IMM/pD/VV) <br />M GENERAL LIABILITY JLTX~2JS2).J (TX) 10~D1~91 1D/G1~?C GENERAL AGGREGATE S 1500 <br />l~ X COMMERCIAL GENERAL LIABILITY G L 3 2 5 3 2 3 4 (A ! 0 S T A T_ S) PRODUCTS~COMP/DP AGG. f ~ 7 OO <br />CLAIMS MADE X OCCUR. PERSONAL d ADV INJURY f ~ O CO: <br />OWNER'S 8 CONTRACTOR'S PROT. EALN OCCURRENCE S ~ OOCU <br />X orozd Form Vendors Goveraae Included FIRE DAMAGEIAnyDnsLnl f 5O <br />n MED. E%PENSE (My me Demnl S 5 <br />~ UTOMOBILE LIABILITY ~.~ 4 3 O • T X~ O~ r ~~ Q 1~ ~ C~ U ~~ 9 2 COMBINED SINGLE <br />ANY AUTO CA1427999 (NJi NYr MA) LIMIT f ~ 500 <br />ALL OWNED AUTOS CA1427998 tAlO STATES) BODILY INJURY 3 <br />K SCHEDULED AUTOS IPar Dersan) <br />X HIRED AUTOS <br />BODILY INJURY 3 <br />X NON-OWNED AUTOS (Per eccitlenN <br />GARAGE LIABILITY <br />PROPERTY DAMAGE i . <br />EXCEf3 LIABILITY EALN OCCURRENCE f <br />UMBRELLA FORM AOOREGATE 3 <br />OTHER THAN UMBRELLA FORM <br />WORKER'S CONPENSATION STATUTORY LIMITS _ <br />EACH ACCIDENT 3 <br />AND - '- <br />n DISEASE-POLICY LIMIT f <br />EMPLOYERS' LIABILITY -' "' - <br />DISEASE-EACH EMPLOYEE f <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSIVENICLES!SPECIAL ITEMS L O V E R S .l L L O P E R A T I O N S I N C C L D 5 A D D <br />IJ;CLUDI~G SENECA II-W ~4INE AND INLLUDIML; UdMAGE .=ROM SURFACE t:O.iL <br />'AI~lt UPERATIOIiS. THE USA Jr :XPLOSZV.^.5 AND DAMAGE TO 'w4TFN JELLS. <br />CERTIFICATE HOLDER CANCELLATION _ , <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DI V. O F .h I N E O LAND R E C LA MA i I 0 N E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL £ftPEAYRNX7mCX <br />OLORADO DEPT CF NAT RcSOURC:S MAIL S~DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE <br />1 5 C E N i E NN I A L 3 L D G. LEFT, BUT FAILURE TO MAIL SUCH NOT)CE SF(ALL IMPOSE NO OBLIGATION OR <br />1 31 3 Sh c R MA N STREET LIABIL ITV OF ANY KIND UPON 7MB COMAA,1(X~ ITS PGENTS OR REPRESENTATIVES. <br />OENVcRi CG 30250 <br />AUTNORIZED PEPRESENTATIVE , (~ "'~' ~• ~., <br />!"i / <br />ACORD ZS•S (7/90) ~.~ .~ t~ACOA6`CORPORATION 1 <br />o~- <br />
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