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GENERAL43245
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GENERAL43245
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Entry Properties
Last modified
8/24/2016 8:12:03 PM
Creation date
11/23/2007 12:16:37 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980003
IBM Index Class Name
General Documents
Doc Date
11/23/1991
Doc Name
Certificate of Insurance
From
SEDGICK JAMES NATIONAL ACCOUNTS GROUP
To
MLR
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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al;/I~:D. CERTIFICATE OF INSURANCE ISSUE GATE (MM/DO/VY) <br />P 11/20/92 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />Sed wick James National Accounts Grou DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE <br />9 P POLICIES BELOW. <br />830 Morris Turnpike <br />Short Hills, NJ 07078 COMPANIES AFFORDING COVERAGE <br />G-44 <br /> COMPANY <br />A <br /> LETTER <br />Nationa~n•iaR fire,~nsurance Company <br /> y~ ~" 1 <br />COMPANY B <br />' <br />INSURED LETTER <br /> COMPANY `. ~~~, ~ <br />4f'/ <br />Hayden Gulch Terminal, Inc. ` <br />LETTER J <br />701 Market Street <br />Suite 700 COMPANY <br />, D <br />St. Louis, MO 631 01-1 826 LETTER <br /> COMPANY E <br /> LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOW N MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />DATE IMMIDD/VY) DATE (MMIDDIYY) <br />A GENERAL LIABILITY GL3265189 10/01/92 10/01/93 GENERAL AGGREGATE 5 2,000,000 <br />X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG. 8 2, OOO, OOO <br />CLAIMS MADE X OCCUR PERSONAL 8 ADV. INJURY $ 1 , OOO, OOO <br />OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE 5 1 , OOO , OOO <br />X Broad Form Vendors Coverage Included FIRE DAMAGE (Any one tea) 8 50,000 <br /> MED. E%PENSE (Any one person) 5 <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />s <br />A X ANY AGTG CA1429040 10/01 /92 10/01 /92 LIMIT <br />1 , 000,000 <br />X ALL OWNED AUTOS BODILY INJURY <br />s <br />X SCHEDULED AUTOS IPer person) <br />X HIRED AUTOS BODILY INJURY <br />E <br />X NON-OWNED AUTOS IPer accirlenU <br />GARAGE LIABILITY <br />PROPERTY DAMAGE S <br />E%CESS LIABILITY EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE S <br />OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br />WORKER'S COMPENSATION <br /> EACH ACCIDENT S <br />AND <br />DISEASE-POLICY LIMIT S <br />EMPLOYERS' LIABILITY <br />DISEASE-EACH EMPLOYEE E <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Covers operations at Hayden Gulch Loadout Facility 7FDiX~ <br />including damage from surface coal mine operations, the use of explosives and damage to Ovate <br />wells. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Colorado Department of Natural Resources EXPIRATION DATE THEREOF, THE ISSUING COMPANY JtJ(IXXFIf~6lEXJVjkK)o-l6 <br />Division of Mined Land Reclamation MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />p 55 C tennis1 Boulevard <br />~ LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />1 <br />13 ~~ierman Street <br /> <br />Denver, CO 80203 LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE ~~~~~ <br />ACO D 25.5 7190 ®ACORD CORPORATION 1990 <br />w <br />
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