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GENERAL36572
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Entry Properties
Last modified
8/24/2016 7:57:04 PM
Creation date
11/23/2007 8:46:56 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/20/2007
Doc Name
Certificate of Insurance
From
The Pittsburg & Midway Coal Mining Co.
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br />SEA-000235038-10 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTNER THAN THOSE PROVIDED IN THE <br />P. O. BOX 193880 PODCY. THIS CERTIFICATE DOES NOT AMEND, E%TEND OR ALTER THE COVERAGE <br />SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POOCIES DESCRIBED HEREIN. <br />CALIFORNIA LICENSE NO. 0437153 COMPANIES AFFORDING COVERAGE <br />COMPANY <br />25158-003.003- 007C A ACE AMERICAN INS CO <br />INSURED COMPANY RECEIVED <br />B <br />The Pittsburg & Midway <br />Coal Mining Co. <br />1161nverness Drive East wMPANV ' <br />c FEB 2 0 2007 <br />Suite 207 <br />Englewood, CO 80112 <br /> COMPANY Division of Reclamation <br /> , <br />D Minin <br />COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 11 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VvHICH THE CERTIFICATE MAY BE ISSUED OR MAV <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH PDLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLCY EXPIRATION LIMITS <br />LTR DATE (MMIDD/YY) DATE (MM/DOIYY) <br />A GE NERAL UABIUTY CMR 621702638 03/01/07 O3/O7/O8 GENERAL AGGREGATE $ 1,l)l)l)~000 <br /> X COMMERCIAL GENERAL LABILITY PRODUCTS-COMPIOP AGG $ 1~000.Ql1D <br /> X CLAIMS MADE OCCUR PERSONALBADV INJURY $ 1,000,000 <br /> OWNER'SB CONTRACTOR'S PROT EACH OCCURRENCE $ 1,ODQ,I)Qg <br /> X 6 FIRE DAMAGE (Any metre) $ <br /> MED EXP An Drre rsm $ <br /> AUT OM081LE UABIUTY <br />$ <br /> COMBINED SINGLE LIMIT <br /> ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (P¢r acdtlenq <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY; <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br />A E%CEBS DABILITY XLX G217D2651 Q3/D1/07 D3/01/06 EACH OCCURRENCE $ 3,500,000 <br /> UMBRELLA FORM AGGREGATE $ 6,SOO,000 <br /> X OTHER THAN UMBRELLA FORM $ <br /> WORKER3 COMPENSATION AND A - <br /> EMPLOYERS' UABILI7V TORY LIMITS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ <br />P <br />RTN <br />/ INCL ELDISEASE-POLICY LIMIT $ <br /> A <br />EXECUTIVE <br />ERS <br />OFFICERS ARE: <br />EXCL <br />EL DIBEASE-EACH EMPLOYEE <br />$ <br /> TH R <br />DESCRIPTION OF OPERATIONSILOCATIONSNEXICLESISPECIAL ITEMS <br />This Certifcete shall provide for personal injury and property damage as a result of surface coal mining and reclamation operations including arising from the <br />use of explosives at the Insured"s Edna Mine in Colorado. The issuing Company shall notify the below named Certifcate Holder whenever substantive <br />changes are made in the above described policies inclutling termination or failure to renew. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE POLICIES OESCRIBEO HEREIN aE CANCELLED BEFORE THE EXPIRATION DgTE THEREOF. <br /> THE INSORER AFFORDING COVERAGE WILL EikYdWGi9iX1~MAIL ~0 DAYS WRRTEN NOTICE i0 TXE <br />Division of Minerals & Geology <br /> <br />CO Dept. of Natural Resources CERTIFICATE NOLOER NAMED HEREIN. <br />Attn: Tam Kaldenbach E <br />1313 Sherman Street, Room 215 <br />Denver <br />CO 80203 <br />2273 <br />, <br />- MARSH USA INC. <br /> er: Wendy Sokol ~~'r~Y R~ ~3fidf <br /> MM1j3102) VALID AS OF: 02!15/07 <br />
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