Laserfiche WebLink
ACORD <br />CERTIFICATE OF LIABILITY INSURANCE <br />n <br />page 1 of 2 09/28/2007 <br />PRODUCFA 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />wi11iB Morth America, Iac. 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 />xaeh„illa, 17r 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED 'lYYentymile Coal Company INSURERA: ACH American Ineuraace CompaIIy 22667-001 <br />Atta: welter Bawkine <br />701 Market Street <br />INSURER B: <br /> <br />Suite 700 INSURERC: <br />St. Louie, MO 63101-1826 <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 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 />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INBR DD' <br />N <br />TYPE OFIN$URANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMIT$ <br />A GENERAL LIABILITY HDOG23717773 r 10/1/2006 11/1/2007 EACHOCCURRENOE $ 2 000 000 <br /> X COMMERCIAL GENERAL LIARILITV p <br />PREMISES Ee occurance $ 50 000 <br /> <br /> CLAIMS MADE OOCCUR MED EXP (Anyone person) $ $ OQQ <br /> PERSONAL&ADV INJURY $ 1 OOO OOO <br /> GENERAL AGGREGATE $ 4 OOO QQO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 OOO OOO <br /> POLICY PRQ LOC <br />A AUT OMOBILE LIAmLIiY ISABO6226103 10/1/2006 11/]./2007 COMBINED SINGLE LIMIT <br /> (Ea acci0ent) $ 2, OOQ, QQO <br /> X ANV AUTO <br /> ALLOWNEO AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />RODILV INJURY <br /> <br />NON-OWNED AUTOS <br />(Per acci0en[) $ <br /> @@``°~ <br />, ~~ AMAGE <br /> E <br />~ $ <br /> ~/ (Per accitlent) <br /> GARAGE LIABILffY OO AUTOONLV-EA ACCIDENT $ <br /> ANYAUTO ~ <br />O L OTHER THAN EA ACC $ <br /> v' ~(l, AUTO ONLY: AGG $ <br /> E%CESSNMBRELLA LIABILRY 1slQ~of $~ EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE p1v <br />MfnfPP d AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />- - WORKERBOOMPENBATION AND-. - <br />EMPL <br />' ---- _ _ _ _ _ -. _ _ - WCSTATU- TH- <br />IMIT _ . - . _ - <br /> OYERS <br />LIABILITY <br /> ANY PROPRIETORIPARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$ <br /> If yes, describe ur~Der <br /> SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ <br /> OTHEq <br />DE$CRIPDON OF OPERATION$A-OCADONSA/EHICLE$/EXCLUBIONS ADDED BY ENDOR$EMENTSPECIAL PROW SIGNS <br />BTU Empire Corporation <br />Including Pezmit C-81-044 <br />The Insurer will notify the Division of Substantive changes in policy, including or failure to <br />renew. <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE tSSU1NG INSURER WILL XdDY16i61E.~fg MAIL 3 Q DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF4CCD1Y7G1§ffiKYdCB[X4D1C141LL <br />Colorado Department of Natural Resources <br />Divieioa o£ Reclamation, Mining and Safety <br />Room 215 <br />1313 Sherman Street <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/06) Co11:2124235 Tp1:547803 Cert:H 544420 ®ACORD <br />