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GENERAL36843
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GENERAL36843
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Entry Properties
Last modified
8/24/2016 7:57:13 PM
Creation date
11/23/2007 8:53:41 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980007
IBM Index Class Name
General Documents
Doc Date
6/2/1998
Doc Name
Certificate of Insurance
From
ARCO
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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•,, \ \ ~4~!~, <br />~sf., ~.JC _ DATE (GWDDM7 <br />~ .. .: .::. ~ .::...:..:::.::..::::::.:::::.:::~::~ <br />:. <br />:.: <br />: <br />~:. <br />~ <br />:.::: <br />:. <br />:. <br />:::~:: <br />~:..::.: ;~:.: <br />::~ <br />:: <br />>:. <br />~ <br />,. <br />~i3 . <br />. <br />. <br />. <br />. <br />. <br />:. <br />. <br />. <br />.~ <br />.; <br />: <br />: <br />: <br />: <br />PROi:UCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Johnson 8 Higgins of CalHomia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Casually Department HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2029 Century Park East ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Los Angeles, CA 90067 R~(+~ ~~ COMPANIES AFFORDING COVERAGE <br />lei: (3f0) 551667 <br /> <br />0659A-GL2 CAMPANv <br />5 INDEMNITY INSURANCE COMPANY OF NORTH AMERICA <br />INBURED <br />COMPANY <br />ATLANTIC RICHFIELD COMPANY, ITS 9 <br />SUBSIDIARIES A <br />UB <br />IDIARIES <br />ND S <br />S <br />DlVisiDn o1 Minerals ~~~y <br />THEREOF AS NOW OR HEREINAFTER <br />CONSTITUTED C <br />515 SOUTH FLOWER STREET <br /> <br />LOS ANGELES, CALIFORNIA 90071 COMPANY <br />p <br />CGV£RAgES <br />~ <br />THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMI TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INBURANCE POUCY NUYBER POUCV EFFECTIVE PODGY E]rPIRATON LIYITB <br />LTR DATE (IIY/DDM1 DATE (YY/DD/W) <br />A GEN ERAL LIABILITY ISL G1423156-0 01-01-96 01-01-99 BODILY INJURY OCC s NIA <br /> X COMPREHENSIVE FORM BODILY INJURY AGG s N/A <br /> X PREMISES/OPERATIONS <br />- <br />_ - -PROPERTYDAMAGE OCC .f . --- NIA <br />_ X UNDFRGROL'ND--' <br />EXPLOSION 8 COLLAPSE HAURO '-, - ' -_ -_ PROPERTY DAMAGE AGG s N/A <br /> X P{OOUCTS/COMPLETED OPER B18 PO COMBINED OCC f 2,000,000 <br /> X CONTMCTUAL BIe PD COMBINED AGG f2,000,000 <br /> X INDEPENDENT CONTRACTORS PERSONAL INJURY AGG S NIA <br /> X BROAD FORM PROPERTY DAMAGE <br /> X PERSONAL INJURY <br /> AUT OYOBRE DABIQTY <br />BODILY INJURY <br /> <br />ANY AUTO <br />(Per person) f <br /> ALLOWNED AUTOS (PrIwW Para) BODILY INJURY <br /> <br />ALL OWNED AUTOS <br />IPer eccltlent) f <br /> (Other then PMere Peseenper) <br /> <br /> HIRED AUTOS <br /> PROPERTY DAMAGE f <br /> NON~OWNEO AUTOS <br /> GARAGE LV\BIUTY BODILY INJURY 8 <br /> PTmPERTY DAMAGE f <br /> COMBINED <br /> IXCESf DABILITY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM f <br /> WORNER9 COMPEN8A770N AND STATUTORY LIMITS <br /> EMPLOYERT UABIIITY <br />EACH ACCIDENT <br />f <br /> THE PPOPRIETOR/ INCL DISEASE ~ POUCY UMIT f <br /> PARTNEFS/D(ECUTryE <br /> OFFICERS ARE: IXCL DISEASE ~ EACH EMPLOYEE f <br /> OTHER <br />DEBGRIPTION OF OPEMnONS/LOGTONBryEHIClES/BPECIAL ITEMS (11Y1T8 MAY HAVE BEEN REDUCED BY PND CIAIYf AMD WYHAVE DEDUCTBlES OR REfENTONf) <br />*PRODUCTS COMPLETED OPERATIONS. <br />NAMED INSURED INCLUDES MOUNTAIN COAL COMPANY, PERMIT NO. C-80-007- <br />CFAT1PlCATE:HOL4ER ATIRti <br />CRNCELi <br />i <br /> ~ <br />. <br /> 6HOULD ANY OF 7NE ABOVE OE9CRIBED PODCIEf BE GNCELLED BEFORE THE <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY E%PIMnoN DATe THEREOF, THE IfsU1N0 COMPANY WILL HD(~O(IMIL <br />DEPARTMENT OF NATURAL RESOURCES 10 DAMS M711TTEN MOnCE TO THE CERTFIGTE HO M11NED TO THE LEFT, <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER, COLORADO 80203 <br />ATTENTION: DAVID A. BERRY AUTXORIgD REPREBENTATWE <br /> t <br />ACbRn25=W::3189 ::.::..:::::::::::::::.::::::::..:.:.:::::::::::::::.::.::.:::. <br />l..... ::..::.:.:..:>::::::":::,::::,:.::::..::::.:;" "„'':":::.'.'.' .'':'.:::::::.:'°:.:'.':.;:`:::'::'.''.' .'::'.:.................. 1.9BS:: <br />
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