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GENERAL38064
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GENERAL38064
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Entry Properties
Last modified
8/24/2016 7:57:58 PM
Creation date
11/23/2007 9:27:42 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981071
IBM Index Class Name
General Documents
Doc Date
6/2/1999
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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.. - .. <br />~ertiftc~te of ~1r~~urar~ce <br />~~ Aoll Risk Serr~ire.r <br />To: Division of Minerals and Geology Re: <br />Colorado Department of Natural Resources <br />Attn: Mr. Michael Long, Director <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />ASSUred: RAG American Coal Holding Inc. et al <br />Including Colorado Yampa Coal Company, RAG Empire Corporation and <br />Twentymile Coal Company <br />1520 Kanawha Boulevard East <br />Charleston, WV 25311 <br />This is to certify (hat the policies o/ insurance listed below have been issued to the Insured named above !or the policy period indicated, notwithstanding any <br />requirement, farm, or condition o1 any conlraM ar other document wish respect fo which this certificate maybe issued or may pertain. The insurance ehordad by <br />the policies described herein is subject (o ell the terms, exclusions end conditions of such policies. Limits shown may have been reduced by paid claims. <br />Type of Policy Policy Policy <br />Insurance No. Period LimitsNalues <br />Commercial General Liability 06-30-99/00 $ 6,000,000 General Aggregate <br />Other States 6122944 $ 6,000,000 Products/Completed <br />Wyoming 6122945 Operations Aggregate <br /> $ 1,000,000 Personal and Advertising <br /> Injury <br /> $ 1,000,000 Each Occurrence <br /> $ 1,000,000 Fire Damage (Any One <br /> Fire) <br /> $ 10,000 Medical Expense (Any <br /> One Person) <br />Insurance Company(ies) American Home Assurance <br />Auto Liability 06-30-99/00 $ 1,000,000 CSL Each Occurrence <br />Other States 5347309 <br />Wyoming 5347310 <br />Insurance Company(ies) American Home Assurance <br />Workers' Compensation 00017049-02 06-30-99/00 WC: Statutory <br />Employers' Liability EL: $1,000,000 Each Accident <br /> $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />Insurance Company(ies) Old Republic Insurance Co. <br />Excess Workers' EX360 06-30-99/00 Statutory Excess of a Self Insured <br />Compensation Retention: $1,000,000 any one <br /> occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />the subscribing insurers' obligations under tonlracls o! Insurance fo which Ihey subscribe are several and not joint and are limited solely to the exlen( o/ Iheu <br />individual subscriptions. The subscribing insurers am no( responsible Ior the subscription o! any cosubscdbing insurer who !or any reason does not satisty all or <br />pen of its obligations. <br />This cenilicale Is Issued as a maber el Inlonnalion only and coolers no rights upon the certificate holder. This cenihcale tloes not amend, extend or alter the <br />coverage aflordetl by the poliry(ias) shown hereon. Shoultl any of the above described policies be canceled before the expiration tlala Ihereol, This agony, on <br />behalf of the issuing compeny(ies), will endeavor to mail fi0 tlays written notice to the above named certificate holder, but failure to mail such notice shall <br />impose no obligation or liability of any kintl upon the company(ies) or This agency. <br />Aon Risk Services of Texas, Inc. <br />Date: July 1, 1999 By: S~c~.c~ ~'Cy 7~~-.-,~~->.-c~ <br />Aun Xi.rk Sr~rt~iaf of Trznt, I n<. <br />21111(1 Brnng Dnve, Swre 900 • Housron, Trxas 77057-3790 • tel: (71 i) a i0-60170 • fax: (7 t ~) d i0-[590 <br />F:\CLIENTSAOn\RAGyoliciesN6~30~99~00.ras\273-4.clg.dao-fi <br />67/01/99 3:aa PM <br />
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