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GENERAL38627
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Entry Properties
Last modified
8/24/2016 7:58:19 PM
Creation date
11/23/2007 9:46:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
8/29/2003
Doc Name
Certificate of Insurance
From
Marsh Risk & Insurance Services
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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CERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br />MARSH <br />xsvrsEn <br />SEA-000235038-02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />One California Street POLICY. THIS CERTIFICATE GOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />P.O. Box 193880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />San Francisco, CA 94119-3880 COMPANIES AFFORDING COVERAGE <br />coM <br />PANV <br />A <br />ACE AMERICAN INS CO <br />25158-003-003- 007C RECEIV <br />INSURED COMPANY <br />The Pittsburg & Midway AUG 2 9 a <br />26~?3 <br />Coal Mining Co. <br />4601 DTC Blvd. COMPANY <br />Denver, CO ao237 Division ~f Minerals and Ge <br />l o <br />o <br />ogy <br /> COMPANY <br /> D <br />COVERAGES This certifcate supersedes and replaces any previously issued certificate for the policy period noted below. 10 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAV <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE LMMIDD/YY) DATE (MM/OD/YY) <br />(j GEN ERAL LIABILITY CMR 618072336 03/01/03 03!01%04 <br />GENERAL AGGREGATE <br />$ 1,000,000 <br /> X COMMERCIAL GENEPAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> X CLAIMS MADE OCCUR PERSONAL BADV INJURY $ 1,000,000 <br /> OWNER'SB CONTRACTOR'S PROT EACH OCCURRENCE $ 1.000.000 <br /> X 6 FIRE DAMAGE(Any onefre) $ <br /> MEO EXP An one erson $ <br /> AUT OMOBILE LIABILITY <br />$ <br /> COMBINED SINGLE LIMIT <br /> ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accidenU <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE UA8ILITY AUTOONLV~EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br />A EXCESS LIABILITY XCE 618072348 03/01/03 O3/O1/O4 EACH OCCURRENCE $ 3,500,000 <br /> UMBRELLA FORM AGGREGATE $ 6,500,000 <br /> X OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION ANO <br /> EMPLOYERS'LIABIUTY TORY LIM(iS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL EL DISEASE~POLICV LIMIT $ <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />$ <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS <br />This Certifcate shall provide for personal injury and property damage as a result of surface coal mining and reclamation operations including arising from the <br />use of explosives at the Insured"s Edna Mine In Colorado. The issuing Company shall notify the below named Certificate Holder whenever substantive <br />changes are made in the above described policies including termination or failure to renew. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF TIE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, <br /> TIE INSURER AFFORDING COVERAGE WILL E#Xx3f~Y MAIL ~p DAYS WRITTEN NOTICE TO THE <br />Division of Minerals & Geology <br /> <br />CO Dept. of Natural Resources DERTIFICATE HOLDER NAMED XEREIN, <br />Kent Gorham ~ E <br />1313 Sherman Street, Room 215 <br />D <br />CO 80203 <br />2273 <br />enver, <br />- MARSH USA INC. <br /> ev: Mary R Berry ~'~D-^~ 4-- ~ ~'~ <br /> MM1(3/02) VALID AS OF: 08/28/03 <br />
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