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GENERAL40638
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GENERAL40638
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Last modified
8/24/2016 7:59:47 PM
Creation date
11/23/2007 10:47:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/26/2003
Doc Name
Cetificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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G 1~1~0-C~ <br />MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br /> SEA-000235038-01 <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 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />P.O. Box 193880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />San Francisco <br />CA 94119-3880 <br />, COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />25158-001-- 007C A ACE AMERICAN INS CO <br />INSURED COMPANY <br />The Pittsburg 8 Midway RECEIVED <br />C <br />l <br />C B <br />oa <br />Mining <br />o. <br />4601 DTC Blvd. COMPANY <br />Denver <br />CO 80237 <br />, <br />FEB 2 6 2003 <br /> co PANV <br /> D <br />COVERAGES Thls c I~cOa 0~~~ ~~ 16ces 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 ANY 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 E%CLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OFINBURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTR DATE (MM/DD/YY) DATE (MMIODIYY) <br />4 GE NERAL LIABILITY CMR 618072336 03/01/03 03/01/04 <br />000 <br />000 <br />S 1 <br />, GENERAL AGGREGATE , <br />. <br /> ),' COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1.000,000 <br /> X CLAIMS MADE ^ OCCUR PERSONAL BADV INJURY S 1,000,000 <br /> OWNER'S BCONTRACTOR'S PROT EACH OCCURRENCE $ 1,000000 <br /> FIRE DAMAGE (Any one fre) <br /> <br /> MED EXP An one erson <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANV AUTO _ <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) <br /> SCHEDULED AUTOS <br /> MIRED AUTOS BODILY INJURY <br /> (Per accitlenU <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE <br /> <br /> GAR AGE UABILITY AUTOONLY-EA ACCIDENT <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE <br />A EXCESS UABILITY XCE 618072348 03/01/03 03/01/04 EACH OCCURRENCE $ 3,SOO,000 <br /> UMBRELLA FORM AGGREGATE S 6,SOO,000 <br /> x OTHER THAN UMBRELLA FORM <br /> WORKERS COMPENSATION AND <br /> EMPLOYERS'LIABILITY TORY LIMBS ER <br /> EL EACH ACCIDENT S <br /> THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS <br />This Certificate shall provide for personal injury and property damage as a result of surtace coal mining and reclamation operations including arising from the <br />use of explosives at the Insured"s Edna Mine in Colorado. The issui ng Company stlall notify the below named Certifcate Holder whenever substantive <br />changes are made in the above described policies including termination or failure to renew. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANV OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATION GATE THEREOF. <br /> THE INSURER AFFORDING COVEMGE WILL EIyA'ffi~4~1V"dFX MAIL _311 OAVS WRITTEN NOTICE TO THE <br />Division of Minerals 8 Geology CERTIFICATE HOLDER NAMED XEREIN, <br />CO Dept. of Natural Resources <br />Kent Gorham ~ ~ E <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203-2273 <br />MARSH USA INC. <br /> ev: Mary R Berry ~'~.°•^~ Q. • ~i"""', <br /> MM1(3102) VALID AS OF: 02/25/03 <br />
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