My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL44765
DRMS
>
Back File Migration
>
General Documents
>
GENERAL44765
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:13:28 PM
Creation date
11/23/2007 1:17:25 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
General Documents
Doc Date
12/28/2000
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
12/28/00 15:25 FAS 885450JJ90 MARSH ENERGY 1N ~100J <br />III IIIIIIIIIIIII III ~ <br />-' r G1rNEok>s <br /> <br /> <br /> <br />PRODUCER: THIS CERTIFICATE 13 44SUED AS A MATTER OF RIFORMAT1pN ONLY ANO CONFERS NO RIGHTS UPON THE <br />CERTIFICATE HOLDER OTHER THAN TXOSE PROVE)ED IN THE POLICY. TICS CERTIFICATE DOES NOT AMEND, <br />Marsh USA Int. EXTEND OR ALTER TIE COVERAGE AFFO ED BY THE POLICES LISTED BELOW. <br />P. O. Boa 19810 COMPANIES AFFORDING COVERAGE <br />Knaaville, 7N 37939-2810 COMPANY <br />A <br />ZURICH AMERICAN INSURANCE COMPANY <br />865SB4-9101 LETTER <br />1NSURED~ COMPANY B <br /> LETTER <br />LORENCITO COAL COMPANY, LLC COMPANY O <br />dD AL PERRY LETTER <br />9203 PETERSBURG ROAD COMPANY D <br />EVANSVILLE IN 47711 LETTER <br /> {I <br />4i <br />TITS IS TO CERTIFY THAT THE POLICIES OF WSURANCE LISTED NEREM HAVE BEEN ISSUED TO THE MSURED NAMED NEREW FOR THE POLICY PERIOD INDIUTED. <br />NoTWITHSTANDINO AHY REOVIREMEM, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WDH RESPECT TO MMICH THE CERTIFCATE MAYBE ISSUED OR N4 <br />PERTAIN, THE INSURANCE eFFOROED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDRIONS AND EILCLUSIONS OF SUCH POLICIES, LIMBS SHOWN <br />MAY HAVE BEEN REDUCED BY PAID U21MS. <br />CO TYPE OF INSURANCE POLICY NUMRER P011CY EFFECTNE POLICY EXPIRATION LIMBS <br />LTR DATE MM/D DATE D <br />A GE NERAL LUUIILffY GL9298313A1 D1101101 Ot701)02 GENERAL AGGREGATE S 2,ODD,000 <br /> K COMMERCIAL GENERAL LIASIlR1' PROOUGTSMMPIOP AGG S 1 000 000 <br /> CLAIMS MADE ^X OCCUR PE BDN/LL a ADV IwURY $ 1,ODD,ODO <br /> OWNER'S CONTRACTOR'S PROT. EACH OCCURRENCE S 1.000,OOD <br /> FlRE DAMAGE ene Ilre $ 60,000 <br /> MED EXP M Pne son $ 5,000 <br /> AU TOMOBILE LIABILITY <br />COMBINED SMGLE LIMB <br />S • <br /> ANY AUTO <br /> ALL OW NED AUTOS 9001LY INJURY S <br /> SCHEDULED AUTOS Per enm <br /> HIRED AUTOS BODILY INJURY $ - <br /> NON-0wNED AUTOS er aceAerA <br /> PROPERTY DAMAGE S - <br /> GARAGELIARILRI' AUTO ONLY•EA ACCIDENT $ <br /> PNY AUTO OTHER TUN AUTO ONLY: <br /> EACH 4CQDEM $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ • <br /> UMBRELLA FORM <br /> OTHER THAN UMBRELLA FORM AGGREGATE $ <br /> WORKMAN'S COMDENSATIDN S74TUTORY LIMTf9 _ <br /> AND EMPLOYERS LABILITY EACH ACCW ENT $ <br /> THE PROPRIETORI INtt DLRE/LTE .POLICY LNIR $ <br /> PARTNERSIEAECUTIVE <br /> OFFICERS ARE: EXCL DLSF~SE-EA EM LOYEE $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES / SPECWL ffEMS <br />RE: PERMIT TiG-95-08a. LOCATION 2 MILES WEST OF SEGUNOO. CO ON HIGHWAY 12. <br />58,000 -- PROPERTY DAMAGE DEDUCTIBLE IS APPLICABLE. <br />'1 t; 11 ~ ~6. <br />SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELED BEFORE THE EXPIRATION <br />DATE THEREOF, THE INSURER AFFDRDINO CO~'EMGE W ILL )MAIL <br />COLORADO DIVISION OF MINERALS AND GEOLOGY 3O DAYSWRT'EN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, <br />1313 SHERMAN STREET <br />DENVER. CO 80203 <br />ItlAA3H U30. INC. <br />• <br />By <br />~, <br /> .v <br />
The URL can be used to link to this page
Your browser does not support the video tag.