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GENERAL37711
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GENERAL37711
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Last modified
8/24/2016 7:57:44 PM
Creation date
11/23/2007 9:17:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
General Documents
Doc Date
10/1/2001
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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,I `~'" LERT6ICATE MVYBER <br />f <br /> <br />PRODUCER THIS CERTIFICATE IS ISSUED A9 A NATTER Of INFORMATION ONLY AMD LONFER9 <br />Mafsh USA IOC. NO RIGHTS UPON TXE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IM THE <br />600 Market Street, Suite 2600 POLICY. THIS CERTIFICATE DOES NOT AMEND, El(TEMD OR ALTER THE COVERAGE <br />St. Louis, MO 63101-2500 AFFORDED BY THE POLICIES LISTED HEREIN. <br /> COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />16862--99100 G44 A PACIFIC EMPLOYERS INSURANCE CO. <br />INSURED COMPANY <br />Hayden Gulch Terminal B <br />701 Market Street <br />LO <br />/wY <br />C <br />S1~Louis~MO 63101-1826 <br />RECEIVED <br />COMPANY <br />D <br />G~ <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED <br />NOMITHSTANOING ANY REOUIREMEHT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENr WITH R69gyr~~~fj~(r~ MAY BE ISSUED OR MI1Y <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS AND E%CLUSIONS OF SUCIES LIMITS SHONN IMY <br />HAVE BEEN REDUCED BY PAID CLAIMS <br />LO <br />TYPE OF INSURANCE <br />POLCY NUYBER - - . POLICY EFFECTIVE POLICY EAPIRATIOM _ <br />IJYITe- - <br />.LTR. _ <br />- _ _ - DATE (YYIDDNY~ CATS jNYIDDNY~ <br />(~ GEN ERAL IJABILITY HDOG19898891 10101199 10101100 GENERAL AGGREGATE E 3.000,000 <br /> J( COMMERCULL GENERAL LVIBILRY PRODUCTS-COMP/OP AGG E 2,000,000 <br /> CUIMS MADE OCCUR PERSON.ALBADV INJURY S 1,000,000 <br /> OVMER'S d CONTRACTOR'S PROT EACH OCCURRENCE E 1.000,000 <br /> X FIRE DAMAGE (My are On) S 50,000 <br /> <br /> X oven elncluded MED ExP ore E 5,000 <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMr <br />S 1,000,000 <br />A X ANV AUro ISAH0740524A 10101199 10101100 <br /> ALL OWNED AUTOS BODILY INJURY s <br /> (Pa OerFODI <br /> SCHEDULED AUTOS <br /> x HIRED AUTOB BODILY INJURY E <br /> X IPS esJtlenU <br /> NON-0WNED AUrOS <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LIABILITY <br />AUTD DNLY-EA ACCUIErrt <br />E <br /> ANY AUrO OTHER TW W AUTO ONLY' <br /> EACH ACCIDENT f <br /> AGGREGATE E <br /> EILESS LIABILITY EACH OCCURRENCE E <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM S <br /> OYPE I <br />W RNERS -- <br />- <br />- - - <br /> . <br />_. <br />EMPLOYERS' LIABILITY - - <br />. TORY LIMITS" R <br /> EL EACH ACCIDENT S <br /> 7HE PROPRIETOR/ INCL ELDISEASE-POLICY LIMr S <br /> PARTNERSIEJ(ECUTNE <br />I <br />A <br />E <br />S <br /> OFFICERS ARE: EXCL EL D <br />SE <br />SE-EACH EMPLOYE <br /> <br />DESCRIPTION OF OPERATIOMSILOCATIONSNEHICLESISPELVIL ITEMS (11X17$ YAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) <br />overs operations at Hayden Gulch Loadout Facility including damage from surface coal mine operations, the use of explosives and damage to water wells. <br />plicable to CDMG Permit No. C-92-081. <br />G rr <br /> <br /> 6MUlD U11' OF TXE PODGE6 LISTED HEREIN BE UMLELLEO BEFORE THE EXPIMmON DATE THEREOF, TXE <br /> INSURER AFFORDING COVERAGE 1MLLxRRPS4XA•<Ab EWL70 MY6 NWTrEX NOTICE TD TE CERTIFlUTf <br />Colorado Dept. of Natural Resources HGLIER NNAED HEREIN, <br />Div. of Minerals and Geology <br />1313 Sherman Street, Room 215 F <br />Denver, CO 60203-2273 <br /> JLH MA S C NAM, OR AT <br /> ^ A/, <br />"VL/ V <br /> 2 <br />
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