Laserfiche WebLink
CERTIFICATE OF INSURANCE DATE(MWDD/YY) <br />~AIDIII:II <br />s 11-Se -95 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <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 /> <br />ROSELAND, NJ 07068 G-04A _ __ <br />_ <br />COMPANY <br />_ <br />-_____ A INDEMNITY INS. CO. OF N. AMERICA' <br />~__-_ __-__ - <br />INSURED ~ COMPANY <br /> B <br />SENECA COAL COMPANY o <br /> I <br />PANY <br />1300 SOUTH YALE ~ <br />FLAGSTAFF, AZ 86001 COMPANY <br /> D <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 ANY REQUIREMENT, TERM OR CONDITION OF ANV 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 />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />~-_ - ~ ~ - - <br />CO 7\'PE OF INSURANCE I POLICY NUMBER <br />LTR' POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />GATE (NWDD/YY) DATE (MWDD/YY) <br />A GENERAL LIABILITY ~ <br />GENERAL AGGREGATE a N/A <br />X COMMERCIAL GENERAL LIABILITY CGO G1 423000-2 ~ <br />10/01/95 1O/1/96 IPRODUCTS~COMP/OP AGG 'E 2, OUOt 0U0 <br />~r ~ CLAIMS MADE x~' OCCUR I I PERSONALS ADV INJURY . S 1 , QUO, OOO <br />~OWNER'S6CONT PROT ~ EACH OCCURRENCE E 1,000, OUO <br />~X BROAD FORM VEN DORS COVERAGE INCLUDED I FIRE DAMAGEIAnyone0rel § 50,000 <br /> 'MED E%P (Anyone personl E 5 000 <br />AUroLloeaE LIABILffY <br />F <br />A .J( J ANY AUTO <br />SCA HO 187821-9 II I COMBINED SINGLE LIMIT E <br />10/01/95 10/1/96 1,000,000 <br />ALL OWNED AUTOS I <br /> i <br />BODILY INJURY S <br />X <br />_ SCHEDULED AUTOS i (Per personl <br />rX HIREO AUTOS I <br />'BODILY INJURY E <br />NON~OWNED AUTOS <br />X I (Per acntlenq <br />' 4 <br />I iPROPERTY DAMAGE IE <br /> GARAGE LIABILITY I ' <br />AUTO ONLY ~ EA ACCIDENT <br />b <br /> ANY AUTO . <br />OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT § <br /> - , <br />I <br />AGGREGATE E <br />IFE%CESS LIABILITY , ~ EACH OCCURRENCE E <br />UMBRELLA FORM ~~ AG_GREGATE E <br />~ <br />OTHER THAN UMBRELLA FORM ' <br />f <br />I WORKERS COMPENSATION AND I ~~ ~ STATUTORY LIMITS <br />I EMPLOYERS' LIABILITY I ~, <br />EACH ACCIDENT ~S <br />'THE PROPRIETOR/ ~ INCL ' DISEASE ~ POLICY LIMIT S <br />PARTNERSrE%ECUTIVE ~ ~ - <br />OFFICERSARE E%CL DISEASE-EACH EMPLOYEE § <br /> OTHER <br />I <br />DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL REMS COVERS OPERATIONS AT SENECA II MINE <br />INCLUDING DAMAGE FROM SURFACE COAL MIN E OPERATIONS, THE USE OF EXPLOSIVES AND <br />DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br />COLORADO DEPT. OF NATURAL RESOURCES SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DIV. OF MINERALS 8 GEOLOGY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL~~RY~~ MAIL <br />1 31 3 SHERMAN STREET, ROOM 21 S ~Q_ DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, <br />DENVER, CO 80203-2273 X~xT~Fkky~`FXR7PR9tRri9tIXiPR9a9caroFOl~X~vioxeceeXO~cxxKO~asx <br /> >psclcxXxax rAwr~txx <br /> AURIORIZED REPRESENTATIVE / i <br />ACORD 25-S (3/93) o ACORD CORPORATION 1993 <br />