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GENERAL42002
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Entry Properties
Last modified
8/24/2016 8:10:27 PM
Creation date
11/23/2007 11:33:02 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
7/18/2000
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iii iiuiiiiniii iii <br />999 <br />~~ ~erttf f cite of ~1u~ur~uce <br />Aon Risk Service) <br />TO: Division of Minerals ~ Geology Rg; Attachment <br />Department of Nature/ Resources Fax to: <br />Attention: Janet H. Binns Rick Mills at Twentymile <br />1313 Sherman St. Rm. 216 970-879-8050 <br />Denver, CO 80203 <br />Assured: RAG American Coal Holding, Inc. RE <br />s9s corporate Blvd. CE~VFp <br />21090um Heights, MD C <br />oiyisie JU 18 2000 <br />Minerals g <br />This is fo certify foal foe policies of insurance listed below have been issued ro the Insuretl named above !or the policy period intli fwithsfantling any <br />requirement femr, or contldion of any cdnfrocf or other tlocumen( with respect fo which this cert~licare may be ~ssuetl or may pertain. The in~ronce allortled by <br />the policies described herein is subject fo all the terms, exclusions and conditions o! such policies. Limits shown may have been retluced by paid claims <br />Type of Policy Policy Policy <br />Insurance No. Period Limits/Values <br />Commercial General Liability 06130100 - $ 6,000,000 General Aggregate <br />Other States RMGL 6123905 06/30/01 $ 6,000,000 Products/Completed <br />Wyoming RMGL 6123904 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 Companvliesl American Home Assurance <br />Auto Liability 06/30/00 - $ 1,000,000 CSL Each Occurrence <br />Other States RMCA 5348027 06/30101 <br />Wyoming RMCA 5348026 <br />Insurance Comoanv(ies- American Home Assurance <br />Workers' Compensation OC 01704903 06130/00 - WC: Statutory <br />Employers' Liability 06/30/01 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' EX363 061'30/00 - Statutory Excess of a Self Insured <br />Compensation 06/30101 Retention: $1,000,000 any one <br />occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscribing insurers' oblipafions untler mnfrocfs or insurance fo which they subscnbe are several and not joint and are limi(ed solely ro the extent of their <br />intlividual subscnpfions. The subscribing insurers are not responsible for the subscnpfion o! any cosubschbing insurer who for any reason does not safisry all or <br />part of ifs obliga(ipns. <br />This certificate is issuetl as a matter of in(ormabon only antl confers no rights upon the cerbficate holder. This cenifioale does not amend. a%tend or alter the <br />wverage afforded by the pollq(ies) shown hereon. Should any of Ine above described policies he ranceletl before the expiration tlate thereof, Isis agency, on <br />behalf o! the issuing fgmpany(ies), will eorda~mail 80 days written notice to the above named cenificate holder,zegriesdtloa!¢WpikwObatot~pall <br />Aon Risk Services of Texas, Inc. <br />Date: Julv 13. 2000 <br /> <br />Aar Rirk Srn •rlrt i~ (xaf, Ax. <br />?00(1 Bering Drive, Swre 900 • Houston, Texas 77057-3790 • tel: (713) 430-6000 • fax: (713) 430-L.590 <br />F:ICLIENTSWOngtAGWOberts Files17600 Cen FilelDwision OI Min 8 Geo Cen.doc-1 <br />
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