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GENERAL36008
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Entry Properties
Last modified
8/24/2016 7:56:44 PM
Creation date
11/23/2007 8:34:17 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
10/18/2005
Doc Name
Certificate of Liability Insurance Response
From
Byron Walker
To
Jerry Nettleton
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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• -.: <br />~~t~Gr~ J~~W~ <br />ACORD„ CERTIFICATE OF LtABILiTY INSURANCE Paga 1 bP 2 09/ oi2oo5 <br />~ 877-945-7378 THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Riuia North amari0a, ls.c. - Regional cart cantor HOLDER THIS CERTIflCATE DOES NOT AMEND, EXTEND OR <br />afi century 92va. ALTER THE COVERAGE AFFORDED BY THE PO11ClES BELOW. <br />-. 0. So: 309191 <br />NaeLvills, til 372/09191 INSURERS AFFORDING COVERAGE NAICp <br />MsuReO Peabody aaargy Corporation INSURERA M'R Amerieaa Insurance company 22667-001 <br />701 Narkee Street <br />i <br />INEURERS <br />. <br />St. I.oa <br />e, NO 63101-1826 , <br /> E15NiER C: <br />- INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAYS BEEN ISSUED TO T}lE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDIG4TED. NO7W17HSTANDING <br />ANY REQUIREMENT, TERM OR CONORION OF ANV CONTRACT OR OTHER DOCUMENT WRM RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREDJ 5 SUBJECT TO ALL TFE TERMS. E%CLUSIONS AND CONDITIONS OF SUCH <br />PCLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REWCEDBYPAW CL41R9S. <br />RTq TYPEOF EL9UMNCE PpACYNDMBER PONCY FECTIYE PPJCY LryRfi <br />A GEN ERALLUaILm BDOG21713661 10/1/1005 10/1/2006 EACHOCCURRENG! i- ,7y0 D <br /> COMI~¢RC4LGEHERAI LUBIL.PIY VI O~EMED f D <br /> cuaMS MADE ®occua NEOE[P s 5 0 0 <br /> PflKONPLa ADV aUURY S 1 00 OD <br /> cEH=RALAOCrtECa4TE 4 4 000 OD <br /> GE NIAOOREGATEUWTARNES PER: PRDg1L76-WSppPM3O t 4 000 0 <br /> POLICY LOC <br />p aa roroeA.Etu6am INAHOB011B91 20/1/2005 10/1/1006 fANBOJEDSINGLEULIR <br />S 2 <br />ODD, 000 <br /> x ANV AUTO <br />IEae~anl <br />, <br /> ALLOymtDAOTOS aooarlNnmr <br />f <br /> sQIEgAEaAUros <br />(PBlPoFGRI <br /> Hu:EO Auras BogLr a1AIRr <br />f <br /> NoHOwravAUros (P«maaanl <br /> PROVERIYMNAGE <br /> <br />(Paa~mAl f <br /> fM MGEl1A-WLY fAITOCNLY-EAACCaENT E <br /> PNYAUTO OTNERTIMN EAACC 6 <br /> AUTOONLY: AGO f <br /> EACESa UABILlfT FACHOCpJRRENLE S <br /> <br /> OCCUR ~ CWM9MApE AGGREOATE 9 <br /> x <br /> DEDUCTmLE i <br /> RETENTION f ~ i <br /> WORNBRSCONPENSATIOMANa <br />' WCSUP OT <br /> EaPLDYERi <br />LIABWiY <br /> 4NY PROPiRrTORP'MTRR:RIDIECUTNE EL FACHACCE)ENT S <br /> CFFICER/MEMBEREXCLUDtD) E.t OISFA6E-EA EMRDYEE S <br /> FYYeeaa.. Ceemroaurber <br /> SPECW.WEOVLSIONBbeIVA EL g6FA6E-POUCYUMIi i <br /> OTHER <br />giECMIRONOF aPERATIOR-ILPC,ITOM°JPE]IIL1R&F%CLVPWKSApOPDIY[NDORR6MENT9PFCW.PROVISIDIL9 <br />Taentymile Coal CoDgaany and 61°D 8mpirv Corpbratioa/BAD Bmpire Corp <br />Including Permits C-81-044 and _{~~056 <br />The Insurer x111 nbtiPy the DiviB of n ~ Nvbatantive changes in policy, including or Pallure to <br />reaea. <br />SlrolltD ANY oP THE A6OYE DHECRgIEp voucais 9E cANC[uzo a[FORE THE ExPn+A*wR <br />GATE T11EAE06, THE mSUMG 4aURER WaL lDBDi~IKNML 3~ MYS WRITTEN <br />NOTICE TO THE CEIITFR:ATE MOIDFR MM1Ea TO M[ tEFfGWIEYINI1QxY000D~iL <br />Colorado Department Natural Reeourcae <br />DSviaion o! Ninszala and Osology <br />Room 215 <br />1313 Slsermea Street ADTNOa¢EORePRE.svNA <br />Denver, CO 80203-2273 <br />ACORD2S(2001108) Colle1417311 Tp1:417397 Cert:6267016 ®ACORD CORPORATH)N 1988 <br />
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