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GENERAL45182
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GENERAL45182
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Last modified
8/24/2016 8:14:02 PM
Creation date
11/23/2007 1:36:39 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
7/6/1999
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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.: <br />Y + <br />~~C~ <br />~ertific~te of ~1u~ur~uce <br />iii iiiiiiiiiiiiiiii <br />999 <br />Aon Risk Serr.'ire~- <br />RECEIVED <br />TO: Division of Minerals and Geology Re: <br />Colorado Department of Natural Resources 6 <br />Attn: Mr. Michael Long, Director JUL 0 19~ <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 Division of MirteralsBGeology <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 that the policies o! insurance listed below have been issued fo the Insured named above !or the policy period indica(ed, nonnthstanding any <br />requirement, term, or condition of any crontmct or other document with rasped to which this certificate may be issued or may pertain. The insurance aNoNed by <br />tho policio5 described herein is subject fo ell the terms. exclusions and conditions o! such policies. Limits shown may have been reducetl by paid 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) Otd Republic Insurance Co. <br />Excess Workers' EX360 06-30-99/00 Statutory Excess of a Self Insured <br />Compensation Retention: $1,000,000 any one <br /> occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscribing insurers' obligations under contracts o/ insurance to which they subscdbe are several end no! joint end are limited solely !o Iha eafent o! their <br />individual subscriptions. The subscdbing insurers are not responsible !or the subscdption of any cosubscribing insurer who !or any reason does not satisy all or <br />part o! its obligations. <br />This certificate is issuatl as a mailer of inlortnaaon only and coolers no rights upon the cendicate holder. 1 his certificate tloes not amend, extend or alter the <br />coverage affortled by Iha policy(les) shown hereon. Shoultl any of the above descdbetl policies be canceled before the expiration date Ihereol, this agency, on <br />6ehall of the issuing company(ies), will endeavor to mail ~ tlays wdhen notice to the above named certificate holder, but failure to mail such nonce shall <br />impose no obligation or liability of any kind upon the company(ies) or this agenry. <br />Aon Risk Services of Texas, Inc. <br />Date: June 30, 1999 By: '~~~""'~""' ~ ~f~Y ~9~• <br />Ann 2i.rk Scrrim ul T~e:n, La: <br />?1111(1 Hcrinl,• Drive, Suicr 900 • Houston, Trxas 77057-37911 • ref: (711) ~i 311-(1011(1 • tlx: 1711) ~i i(1-G5')0 <br />F:\CLIENTS W on\RAG\policies\06-30-99-OO.cas\213-4.clg.tloc-6 <br />Ofi/30/99 6:49 AM <br />
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