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GENERAL42303
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GENERAL42303
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Entry Properties
Last modified
8/24/2016 8:10:48 PM
Creation date
11/23/2007 11:42:07 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
General Documents
Doc Date
11/2/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD~, CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 10/29/2007 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie xortn America, lnc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 <br />Nashville, 17i 374305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED pedbody Hnergy Corporation <br />CEIVED INSURERA: National union Pire Insurance Company 19945-011 <br />RE <br />Attn: Walter Hawkins <br />701 Market Street <br />INGURER B: <br /> <br />Suite 700 INSURER C: <br />`1 ) <br />St. Louis, MO 63101-1826 r~OV O <br />2U~7 <br />L INSURER D: <br /> INSURER E: <br />COVERAGES SIOf10 CC ' <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEIU I INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' TYPE OFINSURANLE POLICY NUMBER POLICY EFFECTIVE <br />AT M POLICY E%PIRATION <br />M <br />LIMBS <br />A GENERAL LIABILITY 4807243 11/1/2007 11/1/2008 EACI+occuRRENDE $ 2 OOO OOO <br /> <br />X_ <br />COMMERCIAL GENERAL LIABILITY <br />__ ______ .__ <br />_ _____ <br />__ _ DAMAGETO RENTEp <br />_P.BEMISES fEanccur ce1-- <br />.$ _ _ SO .DOO- <br /> CLAIMSMADE~ OCCUR MED EXP (Myone person) $ S OOO <br /> PERSONALS ADVINJURV $ 1 OOO OOO <br /> GENERAL AGGREGATE $ 4 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 OOO OOO <br /> POLICY PRO- LOC <br />]~ AUT OMOBILE LIABILITY 4806729 11/1/2007 11/1/2008 COMBINED SINGLELIMIr <br /> <br />(Ea accitlenQ g 2000,000 <br /> X ANV AUTO <br /> ALL OWNEDAUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Pet eccitlent) <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accitlenQ <br /> GARAGE LIABILITY AUTOONLV-EA ACCIDENT $ <br /> ANV AUTO OTHERTMAN EA ACC $ <br /> AUTOONLY: qGG $ <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSADON ANO <br />' WC STATU- OTH- <br />T RY LIMIT R <br /> EMPLOYERS <br />LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ <br /> OFFICEWMEMBER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$ <br /> II yes, tlescribe antler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />OESCRIP770NOFOPERATIONS/LOCATIONS/VEHICLESrEXCLUSIONS ADOEO BYEN00RSEMENT/SPECIAL PROVISIONS <br />^ <br />~' <br />~O <br />Named Insured: Hayden Gulch Terminal, Inc. (-rl J`/)C//~ <br />Covers operations at Hayden Gulch Loadour Facility including damage from surface coal, etc., <br />Permit <br />C-92-081. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL Xdhl€Y1VSXdC MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFVCiS]fY15N15XYdCddC461S1UiL <br />Colorado Department of Natural Resources 351(XOOiPO[9R7f1EM1Q4C StXYT646dC4C~C <br />Division of Reclamation, Mining and Safety - ~ <br />Room 215 <br />1313 Sherman Street AU ORIZE PR E ATIVE ~ <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/08) Co11:2157932 TD1:698972 Cert• 723532 OACORD CORPORATION 1988 <br />
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