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GENERAL37708
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Last modified
8/24/2016 7:57:44 PM
Creation date
11/23/2007 9:17:04 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
9/27/1996
Doc Name
Certficate of Insurance
From
PEABODY HOLDING CO INC
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~. <br />ACORD CERTIFICATE OF <br />LIABILITY INSURANCE °"'~'M"'°°"_" <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA ION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />SEDGWICK JAMES OF NJ , INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />3 BECKER FARM ROAD COMPANIES AFFORDING COVERAGE <br />ROSELAND <br />NJ 07068 ~_p¢g COMPANY <br />, A <br /> <br />INSURED <br />COMPANY i''~ <br />~ ~ <br />i <br />A <br />~ <br /> B w- I <br />V <br />.(' <br />SENECA COAL COMPANY COMPANY <br />1300 SOUTH YALE <br /> <br />FLAGSTAFF, AZ 86001 COMPANY <br /> D DIV •,, I .. _ <br />COVERAGES RAL~ 8 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE~POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POQCY EFFECTIVE POLICY EXPIRATION LLYITS <br /> DATE (NM/DD/YY) DATE (MM/DDMT <br />A GENERAL DABILITY GENERAL AGGREGATE f <br /> <br /> COMMERCIAL GENERAL LIABILITY CGO G1 89653 7-9 1001 X96 1 D~1 X97 PRODUCTS~COMP/OP AGG f <br />CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY i <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE f <br />IX DORS COVERAGE INCLU DED FIRE DAMAGE NnY one llrs) f <br /> <br /> MED EXp (Any one person) f <br /> i AUTOMOBILE LIABILITY <br /> COMBINED SINGLE UMIT f <br />A ANV AUTO SCA HO 71 292 6-9 1001 X96 101 X97 <br /> <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />f <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS BODILY INJURY <br />f <br />I NON~OWNEO AUTOS <br />(Par eccltlenU <br /> <br /> PROPERTY DAMAGE f <br /> GARAGE DABILITY AUTO ONLY~EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCDENT f <br /> AGGREGATE f <br /> EXCESS DABILITY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE i <br /> OTHER THAN UMBRELU FORM i <br /> WORMERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LLABIUTY <br /> EL EACH ACCIDENT f <br /> THE PROPRIETOR/ <br />PARTNEPS/EXECUTIVE INCL EL DISEASE ~ POLICY UMIT f <br />I <br />I OFFICERS ARE: E7(CL EL DISEASE~EA EMPLOYEE f <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS COVERS OPERATIONS AT SENECA I I-W MINE <br />INCLUDING DAMAGE FROM SURFACE CO AL MINE OPERATIONS, THE USE OF EXPLOSIVES AND <br />DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br />COLORADO DEPT. OF NATURAL RESOUR CES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DIV. OF MINERALS & GEOLOGY EXPIRATION DATE THEREOF, TIE IiBUIND COMPANY WILL Exg~ypRj(IRj~.~)( <br />1 31 3 SH ERMAN STREET , ROOM 21 6 ~~ DAYS WRITTEN NOTICE TO THE CERTFICATE HOLDER MAMED TO THE IEFT, <br />DENVER, CO 80203-2273 iluf~El4~fa6KYdclufxiW~liXdf~tdfrXa~GX~(_ m~'X <br /> OF ANY KIND UPON THE COMPANY, ITS A9ENT5 OR REPRESENTATVEi. <br /> AU <br /> ',- - ~_. <br />ACORD 25-5 (1/95) ®ACORD CORPORATION 1988 <br />l/ CERTSS_1 <br />
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