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GENERAL39755
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Entry Properties
Last modified
8/24/2016 7:59:07 PM
Creation date
11/23/2007 10:20:38 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
7/6/1999
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iii iiiiiiiuiiiiiii <br />certificate of ~1u~urauce 999 <br />~~ Aon Risk Services <br />RECEIVED <br />TO: Division of Minerals and Geology Re: <br />Colorado Department of Natural Resources s <br />Attn: Mr. Michael Long, Director JUL 0 ~9~ <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 pjyjgjp~c(Minetals8Ga010yy <br />ed: RAG American Coal Holding fnc. et al <br />ASSUr __ _ <br />_ <br />_ <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 certity that the policies o! insurance listetl below have been issued to the Insured named above !or the policy pedod indicated, nohvithstanding any <br />requirement, term, ar condition of any contred or other document with respect to which (his certilicate maybe issued or may pertain. The insurance elloAed by <br />the polires descdbed herein is subject to ell the terms. exclusions end conditions o! 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 cronfracfs of insurance to which they subscdbe are several end not join( end are limited solely to the extent of their <br />individual su6scrtptions. The subscdbing insurers ere not responsible for the subscdplion of any cosubscdbing insurer who for any reason does not satisty all or <br />part of its obligations. <br />This cendicate is issued as a manor of intormauon only and coolers no nghts upon the cendicate holder. Phis certificate tloes not amend, extend or alter the <br />roverage aHOrtled by the policy(ies) shown hereon. Should any of the above described policies be canceled before the expi2tion date thereof, this agency, on <br />behalf of the issuing company(ies), will entleavor to mail ~f _ days written notice to the above named certilicate holder, but failure to mail such notice shall <br />impose no obligation or liability of any kind upon the company(ies) or this agency. <br />Date: June 30, 1999 <br />Aon Risk Services of Texas, Inc. <br />r>ar+ Ritk Sen~iref o~Texnt, lnr. <br />2000 Berin¢¢ Drive, Suire qq00 • Housron, Texas 77057-3790 • rel: (713) 430-6000 • fax: (713) 430-6590 <br />F:\CLIENTSWon\RAGpohdesW6~3P9&OO.cast27&4.tlg.doc43 <br />06+36/99 9:49 AM <br />
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