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GENERAL40218
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Last modified
8/24/2016 7:59:27 PM
Creation date
11/23/2007 10:34:01 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
General Documents
Doc Date
11/29/1996
Doc Name
Certificate of Insurance
From
PEABODY HOLDING CO INC
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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CERTIFICATE,;OF LIABILITY INSURANCE DATE IYY/DDN1') <br />ACORD <br />n <br />26-Sep-96 <br />~ <br />~ <br />.m~«. _.~ .. <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. G_57 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />3 BECKER FARM ROAD ~ COMPANIES AFFORDING COVERAGE <br />ROSELAND, NJ 07068 COMPANY <br />A INDEMNITY INS. CO. OF N. AMERICA <br />INSURED COMPANY i <br /> B <br />SENECA COAL COMPANY coMPANV <br />1300 SOUTH YALE ~ <br />FLAGSTAFF, AZ 86001 COMPANY <br /> D <br />COVERAGES `~:° ",.', -. ". ~.~>....~. (;Pq~~FI <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUA~f51WRIUE~}S R~g~E~-Uii 7'HE~'P~Of.YCY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTA TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />' POLICY E%PIRATON LIYIT9 <br /> DATE IMM/DDM <br />) DATE (YWDDlYY) <br />A GE NERAL uABILITY GENERAL AGGREGATE S 3 , DOO , OOO <br /> X COMMERCIALGENERALUABILITY HDO G1 896537-9 10/01/96 10/1/97 PROOUCTS~coMProPAGC s2,000,000 <br /> CUIMS MADE XX OCCUR PERSONALB ADV INJURY S1 ,000,000 <br /> OWNER'SBCONTRACTOR'SPROT EACH OCCURRENCE f1,000,OOO <br /> X BROAD FORM VEN DORS COVERAGE INCLU ED FIRE DAMAGE(MyonaBre) s 50,000 <br /> MED E%P (Any one person) S 5 , O <br /> AU TOMOBIIF LIABILITY <br />A X ANY AUTO ISA HO 712926-9 10/01/96 10/1/97 COMBINED SINGLEUMIT f1,000,000 <br /> X ALL OWNED AUTOS BODILY INJURY <br />f <br /> X SCHEDULED AUTOS (PBr ~r°O^) <br /> X HIRED AUTOS <br />BODILY INJURY <br />S <br /> ~( NON-OWNED AUTOS (PN ~1tlPnU <br /> <br /> PROPERTY DAMAGE f <br /> OARAOE UABIGTY AUTO ONLY~EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACGDENT f <br /> AGGREGATE f <br /> EXCESS UAeIDTV EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION AND <br />' TORY LIMITS ER <br /> EMPLOYERS <br />LIABILITY <br />EL EACH ACCDENT <br />f <br /> THE PROPRIETOW <br />PARTNERSrEI(ECUT)VE INCL EL DISEASE ~ PoUCY LIMIT f <br /> OFFICERS ARE: E%CL EL DISEASE ~ EA EMPLOYEE S <br /> OTHER <br />DESCRIPTION OF OPERATIOXS/LOCATIONSNEHICIESISPECIAL ITEMS <br />COMMISSIONERS ARE HEREBY NAMED AS ADDITIONAL INSUREDS. <br />CERTIFICATE HOLDER CANCELLATION <br />STATE OF COLORADO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE GNCELLED BEFORE n1E <br />BOARD OF LAND COMMISSIONERS ExPIRAnoN DATE THEREOF, THE ISSUING COMPANY WILL f,IJp~XCl(IMA „/j(la( <br />1 31 3 SHERMAN STREET , ROOM 620 30 DAYS WRITTEN NOTICE TO THE CERTIFIGTE HOLDER HAYED TO THE LEFT, <br />DENVER, CO 80203 BJfxd4lWtXd(fYAKXJEJ(Mo`Gi~CaWM~taifd6>YFKL1fiSflLdWSTifLY.GWXLXBIL#x)c <br /> lfd( XdFXdlel6XJtrd40( XLI(:Xd611ld1fi4'X XrX XA1fEYI#XdkX i(P]4i~fltlYrXri4d1;. <br /> A TH RI7ED RESENTATI <br />~ . <br />I <br />ACORD 25.5 (1/95) <br />°ACORD CORPORATION 1988 <br />CERT55_1 <br />
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