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GENERAL40170
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Last modified
8/24/2016 7:59:25 PM
Creation date
11/23/2007 10:32:34 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
9/27/1996
Doc Name
Certficate of Insurance
From
PEABODY HOLDING CO INC
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ACORD~ °"'~ <br />"Y'D°"'I <br />PRDDUCER _ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA ION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />SEDGWICK JAMES OF NJ <br />INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, <br />3 BECKER FARM ROAD COMPANIES AFFORDING COVERAGE <br /> <br />ROSELAND <br />NJ 07068 G-04B ~"'"A"'' <br />, A <br />INSURED }~ <br />COMPNJY <br /> ~ <br />B C I~~ <br /> <br />SENECA COAL COMPANY - <br />~PAr^' <br />1300 SOUTH YALE <br /> <br />FLAGSTAFF, AZ 86001 COMPANY <br /> D DIV ' • I. _ <br />COVERAGES - -~ <br />~ ~ ~ + '-"'~`" "" <br />~ ~. <br />_ <br />_ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB ~ R THE F4~LJCY PERIOD <br />INDICATED, NOTWfTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTTH 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 />IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE (YMNOMI POLICY E)(PIRATON <br />DATE (YYlDDMI UYfTS <br />A OE NEML LIABILITY GENERAL AGGREGATE f <br /> <br /> COMMERCIAL GENERAL LYBIUTY CGO G1 896537-9 10/01/96 10/1/97 PRODUCTS-DDMPA]P AGG f <br /> CWMS MADEOCCUR PERSONALBADV WJURY f <br /> OWNERS a CONTRACTORS PROT EACH OCCURRENCE f <br /> DORS COVERAGE INCL DED FIRE DAMAGE (Myan in) f <br /> <br /> MED E%P NRr DrY parMnl f <br /> AUT ONOBI(E LLABILLTY <br /> coMBINED SwcLE UMIr f <br />A ANY AUTO SCA HO 71 2926-9 10/01 /96 10/1 /97 <br /> <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />t <br /> SCMEWLED AUTOS (Par p~mon) <br /> HIRED AuTOs <br />BooarlwuRY <br />f <br /> NON-0WNED AUTOS (PK Aa1tlnIQ <br /> <br /> PROPERTY DAMAGE f <br /> 011RAOE TUBIUTY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO OTHER hIAN AUTO ONLY: <br /> EACH ACCIDENT s <br /> AGGREGATE i <br /> Excessu•ewn EACHOCCUaRENrF t <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM t <br /> WORNERt COMPEMSAnON AND TORY NITS ER <br /> EMPLOYERS' LLABILLTY <br />EL EA(-•I1 ACGOENT <br />f <br /> THE PROPRETOW <br />PARTNEi6/E7fECUTNE INCL EL OEE/SE - POLICY UMR f <br /> OFFICERS ARE: D(CL EL OEiEluE-EA EMPLOYEE f <br /> OTHER <br />DESCRIPTION OF OPEMTOMSM1OCATIONSNEHICLEt/SPECIAL ITEMS COVERS OPERATIONS AT SENECA II-W MINE <br />INCLUDING DAMAGE FROM SURFACE COAL MINE OPERATIONS, THE USE OF EXPLOSIVES AND <br />DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br />COLORADO DEPT. OF NATURAL RESOURCES SHOULLI AMY OF THE ABOVE DESCRIBED PDLLCIES BE CANCELLED BEFORE THE <br />DIV. OF MINERALS 6 GEOLOGY ExPIMnoN DATE THEREOF, THE ISSUING COMPANY WILL E~~(-x <br />1 31 3 SHERMAN STREET , ROOM 21 5 ~m DAYS WaTTEM NOTCE TO 7NE CERTFICATE HOIDER NAMED TO THE LEFT, <br />DENVER, CO 80203-2273 ~XlfiNai)cYdc~xXIX~d06Y,X1~~ ~•x <br /> OF ANY HIND UPON E CO 1uh, ff5 N OR REPJiESENTATIYES <br /> AU <br />I ~ ` ~ ~ - <br />ACORD 25-5 (1/95) / / 6 ACORD CORPORATION 1988 <br />
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