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GENERAL42615
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Last modified
8/24/2016 8:11:22 PM
Creation date
11/23/2007 11:53:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
7/2/1999
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~Certific~te of ~1u~urAUCe <br />~~ A0J1 P1J,~' Sel'1'!1-PJ <br />Tp; Division of Minerals and Geology Re: <br />Colorado Department of Natural Resources <br />Attn: Mr. Michael Long, Director <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />ASSUred: RAG American Coal Holding Inc. et al <br />Including Colorado Yampa Coal Company, RAG Empire Corporation and <br />Twentymile Coal Company <br />1520 Kanawha Boulevard East <br />Charleston. WV 25311 <br />This is to certify !ha( the policies of insurance listed below have been issuetl to the Insured named above !or the policy period indicated, nolwilhstandrng eny <br />requirement, term, or condition of any conlmcf or other document with respect to which this certificate maybe ~ssuod or may pertain Tfla insurance adordad by <br />The polrcies described herein is sub/e[•! to all Me terms, exclusions and conditions of such policies. Limits shown may have been reducetl by paitl claims <br />Type of Policy Policy Policy <br />Insurance No. Period LimitsNalues <br />Commercial General Liability 06-30-99/00 $ 6,000,000 General Aggregate <br />Other States 6122944 $ 6,000,000 Products/Completed <br />Wyoming 6122945 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 Company(ies) American Home Assurance <br />Auto Liability 06-30-99/00 $ 1,000,000 CSL Each Occurrence <br />Other States 5347309 <br />Wyoming 5347310 <br />Insurance Company(ies) American Home Assurance <br />Workers'Compensation 00017049-02 06-30-99/00 WC: Statutory <br />Employers' Liability 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' EX360 06-30-99/00 Statutory Excess of a Self Insured <br />Compensation Retention: $1,000,OOOanyone <br /> occurrence <br />Insurance Company(ies) OId Republic Insurance Co. <br />The subscnbing Insurers' obligations under conlrects o/ insurance to which they subscribe era several end not join) end are limited solely !o the etlen! o! (hair <br />intlivitlual subscriptions. The subscribing insurers are no! responsible for the 5ubscdption o/ eny msubscnbing insurer who !or eny reason does not salisly all or <br />part of its obligations. <br />This certificate is issued as a matter of inlortnation only and coolers no rights upon the certificate holder. This certificate does not amend, ezlend or alter the <br />Coverage aXorded by the policy(ies) shown hereon. Should any of (he above descnhed policies be canceletl balore the expiration data Ihereol, this agency, on <br />behalf of the issuing cnmpany(ies), will erMeavor lc mail 60 days wdden notice to tha above named cenilicala holder, but failure to mail such nonce shall <br />impose no ohligalion or liabili(y of any kintl upon Iha company(ies) or This egenq. <br />Aon Risk Services of Texas, Inc. <br />Date: July 1, 1999 By: `~i~e• Xy 7~/`~,.,_.~.~-,t~ <br />Ann Rirk Srrrri[e1 u~"lrsnl, An: <br />?000 Benn ~ Drive, Suice 900 • Hnusron, Texas 77057-3790 • rrP (71 3) a t0-6000 • fax: (7I 1) -1i0-<590 <br />F.\CLIENTS\AOn\RAG\policies\O6~~D~99-OO.cas1273.4 clq.doc-6 <br />07/01/99 3:48 PM <br />
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