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GENERAL37823
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GENERAL37823
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Entry Properties
Last modified
8/24/2016 7:57:48 PM
Creation date
11/23/2007 9:20:26 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/24/1995
Doc Name
CERTIFICATE OF INSURANCE
From
MARSH & MCLENNAN INC
To
DNR
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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... . . <br />. :. <br />A~;ilI:II. CERTIFICATE OF IN y <br />:~ .. M 32729. ~ L9$DE MTE (MM/DD/YY) .. ... <br />SURANCE <br /> 9 z 1s 9s <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />Marsh i 1'1cLennan, incorporated CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />Three Embarcadero Center r El(TEND OR ALTER THE COVERAGE AFFORDED BY THE <br />~ <br /> POLIC ES BE <br />iOW. <br />P. O. BoX 193880 <br />San Prancisco, CA 94119-3880 COMPANIES AFFORDING COVERAGE <br /> LETfER~ A CIGNA INSURANCE CO. <br /> COMPANY R <br />NSURED LETTER B <br /> <br />The Pittsburg i Midway <br /> <br />Coal Mining CO• COMPANY C <br />LETTER <br /> <br />6400 8. Fiddlersa Green Circle <br />En lewood CO 80111 <br />g CIETfER~ <br />D Divis+on of Minerals is GeD ogy <br /> COMPANY E <br /> LETTER <br />::COVERAGES <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 ANV REQUIREMENT, TERM OR CONDI TION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />LTR TYPE OF NBURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE (MM/DD/YY) POLICY EXPIMTON <br />OAIE IMM/DD/Y1'I ~~ <br />A ~"E H11L LUewtt DCG1731162-1 3/01/95 3/01/96 C>ENERAL AGGREGATE s 1000000 <br /> X COMMERCIAL GENERAL LWBILLTY rrM <br />l <br />St <br />" P <br />i <br />L PRODUCTS-COMP/OP AGG. i 1000000 <br /> :~:~~: 1C CLAIMS MADE OCCUR. u <br />ate <br />t <br />- <br />O <br />I CY PERSONAL 8 ADV. INJURY S 1000000 <br /> Re CIO8CC3 <br />VE Dace ~S <br /> OWNER'SBCONTRACTOR'S PROT. . EACH OCCURRENCE S 1000000 <br /> March 1, 1986 FIRE DAMAGE (Any ane frel s <br /> MED. EXPENSE (Any one peraanl s <br /> AuTa MOasE wawn <br />COMBINED SINGE <br /> ANY AUTO LIMIT s <br /> ALL OWNED AllTOS BODLY INJURY <br />S <br /> SCHEDULED AUTOS IPer person) <br /> HIRED AU705 <br />BODILY INJURY <br /> NON-OWNED AUTOS IPer eccltlenl) S <br /> GAPAGE LIABILfTY <br />PROPERTY DAMAGE <br />S <br /> <br />A ExcESawewn CEG1731164-s 3/01/95 3/01/96 EACH OCCURRENCE s 3sooooo <br /> UMBRELLA FORM AGGREGATE s 6500000 <br /> ][ OTHER THAN UMBRELLA FORM .....:.:.:...:........:..:.:'. ~:~.~ .. ......:.............. ... ,. <br /> <br />' <br />PEN STATUTORY UMRS <br /> WORKER <br />SATION <br />S COIr <br /> EACH ACCIDENT S <br /> AND <br /> <br />' <br />DISEASE-POIJCY UMD <br />S <br /> EA@LOYERS <br />LNBwTY <br />S <br /> DISEASE~EACH EMPLOYEE <br /> OTHER <br />DEBCPPTIQi OF OPEMT10115/LOl'ATIdIS/VEHIXES/SPECML RFLLO <br />(SEE REVERSE AND/OR ATTACHED) <br />CERTIFICATE:NQL.DER ~::' ': ':CA.N.CELLATION ~~~~ .~.~ ~:~ ... <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />D1V 1910n Of Miner816 S GBOlOgy .~ E%PIRATION OATS THEREOF, THE ISSUING COMPANY WILI}~iI~X1T~~ <br />CO DBpL. Of Natural Re 60urCe8 L MAIL ~OOAVS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />Attention: Rent Gorham LEFT.ffiItYDG7G0F7Q-[IS8G761Qd[IlFdCI417oX9D7II-}F3E~G0[1G]td[DOTGYXXXXX <br />1313 Sherman Street, Room 215 " E~~~X~`~x9NSYr3EXEWhXr~kXC~XCE743G76D(CE4tIF9E]i1WE1EXXXXX <br />Denver, CO 8D2D3-2273 ::'~ AUTNOR~D REPRESF <br />! AT TIVE <br />C I <br /> J <br />Vice Pre~idenc <br />ey <br />F <br />' <br />ACORb:YSS': ~BO~::::~::~:;:.;.~:.::~~::'::~:~:~~:.~.;..;:.-.~;.:::::.'..~.;::;:: . :::.: .. <br />. <br />.... <br />:.:.::.:..:~ ..:..:.:.::.......:.................::.::...:...:.ACORDCORPORIiTION~'1890~: <br />
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