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GENERAL45329
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GENERAL45329
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Last modified
8/24/2016 8:14:25 PM
Creation date
11/23/2007 1:42:53 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
10/8/2004
Doc Name
Certificate of Insurance (Faxed)
From
Twentymile Coal Company
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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OCT. 8.2604 2~46PM TWENTYMILE CORL N0.821 P. <br />,,.. I. <br />~ Y :.,,. .... .... .. _....._.. <br />~~ <br />IUTAR$H <br />~ <br />' <br />i~aR <br />~~~TI~'I~ATE OF ~~~U~~~~~ ~ `~ ooi se <br />.. <br />~; .. , <br />.--...._. <br />..---... r <br />PRODUCER TXIS CBRITPICATE IS ISSUED AB A BATTER DF INPORMATOX ONLY AND CANFERs <br />Mersp USA InC. NO RIGHTS UPON THE CSRNFlCATE XOLDRi O7H~R THAN THOSE PxOV1OEp IN THE <br />600 Market Street, Suite 2800 POLtCr. TITS CERI7PICATE DOES NOT AMEND, Ex7Erm OR ALTSR THE COVERAGe I <br />St Lrnds, MO 83101-250D APPaRO~ eYTNe POLICIES DESCweEn xERmx. <br /> COMPANIES AFFORDING COVERAGE <br /> CDMPIWY <br />18882-GUAL-04/05 C'12 A ACE AMERICAN INSURANCE COMPANY <br />INSURED GOMPANy <br />Twanry Mlle Coal COmpa~ry <br />701 Medlel Sleet, Suite 700 B <br />SL Louis, MO 83101-1826 COMPANY <br /> C <br /> COMPANY <br /> D <br />~ouQ~i.Q~s,...,..--- - ~?iN11Al?tf1~OR,RIJg.R?AI~eNRtlfAt9fad~6ltdlll~IluAAceroAeate~quR91L~lttr~tel~Rl4'N: t~. . <br />THNi IS TO CERTIFY 7}WT POLICIES OF e18URANCE OESGPoBED HEREIN NAVE BEEN ISBUm TD THE OYSURBO NAM[D HEREIN FOR THE POyCY PERIOO INPCATL;O. <br />NOTwfRIS7AND9iGANY REOl11REMENT, TERM OR CONOmON OFANYCONiRACTOR OINBR OOWMEM W RH RESPECTTO wHICII THE CERIIFN:ATB MAV BE ISSUEp OR MAY <br />PERTAIK THE PI3URANCE AFFORDED OY THE pOLICSiS DESCRIBED NER@1 IS SUBIBCT TO ALL 7ME TERMS, CONDmW,45 AND E%q.USX1N8 Of SUCH POLICIES. AGGREGATE <br />LRIIIS SHOWPI MAY HAVE BEEN REOUCEO BY PAID CLAIMS. <br />CO <br />LTR TYPEOFINSDRANCE POLICY xuLO3ER POyCTEPPEDTIVB <br />DATE IMLVe01YYl POyCY E%PIRATON <br />OATS IMNIpPIYY) LMTS <br />A aErr ~~RAl. uaeluty HDO 619908000 10101/04 10/01/05 G NERALAGOfLEriA1E S 4A00,000 <br /> X COMMEItCIAI GENBRAL WBILRY PROWC73.COMPIOPAGG 8 4,000,000 <br /> CWMS MADE gOCCUR PERSONALSAW Ya,IURY $ 1,000,000 <br /> OWNERS SCONitLAGt0fi5 PROT EACH OCOURRENGE 6 2.000,000 <br /> X FlRE DNUAGE mleae $ 50,000 <br /> X OYefa a IndUOetl E EXP Ana $ $,000 <br />A AUr OMOeILE L4LMyn' ISA H07992634 10/01104 10/01!05 ~BQ,IEp SMGLE LIMIT $ 1,000,000 <br /> X gNrarro <br /> <br /> AU_OwHEDAUTOS eopavw.luRr $ <br /> 6giEDUL®AUTOS P'A1PMS°41 <br /> X NIRED AUTOS BODILrIRIURY <br />$ <br /> X NaaowNmAUTns P'a ACddanD <br /> PROPERIYOAMAGE $ <br /> <br /> OARAILE LIA61L11Y <br />AV f0 ONLY • EA ACCIDENT <br /> ANTAUTO~~s ~ OTHER THAN AUTO ONLY: <br /> . A 3 <br /> <br />- AGGREGATE $ <br /> EX CxSS LIASILM <br />- EACH OOCURRENCE $ <br /> UMBREyA FORM AGGREGATE $ <br /> OTI~R THAN UMBR0.LA FORM $ <br /> WORKERS C N <br />EMPLOYERS' yABiLln ~ 4PA ~ <br /> 0.EACH ACgDENT $ <br /> P <br />R <br />P <br />~ <br />S~T 51CL EL OISEASE?OLICY UMR $ <br /> A <br />7 <br />N <br />ER <br />NE <br />OFFlCEIL4 ARE: F7R:L EL [KSFASE.BACN EMPLOYBB $ <br /> <br />DESCRIPTON OF OPERAnONSnACATIONSNDSCIB-41SPBCIAL (TENS <br />Twenlvmla Coal CbmPpaany, Colorado Yams Coal Campa'ry, Shoshone COaI CorpDreBOn, BTU EmpRa CDrporatjon arK~ BTU Wolldwlde, Inc. <br />I <br />d <br />P <br />C <br />61 <br />041 <br />tl C <br />82 <br />056 <br />d <br />l <br />n <br />u <br />ng <br />enn <br />LS <br />• <br />. <br />en <br />- <br />. <br />Tne insurer wip nedTy the DMslon of subsmntive dmnges in policy, Inrludllfg teRnlnetion or failure to renew. <br />Q R71 QA'1'~ NPGpaR fiAM~r1:1,yTN1N <br /> a1a,~n.xr of n~ PR1CIfS DESQiREO NFJ>tr+ eE eAlxEUm a~{DAR VE swaulDN DATE THEREOF, <br /> n~ mss ArfOPpNO cOVCFA,r, wiN. Ner. ~ OAVe vmmER NDTICS To THE <br />CDloredo.DapS. Of NeNrel Resources ~~,~ N~ y„Mm XFNaw <br />Div. of Minarets and Geobgy <br /> <br />1313 Snennan Street, Room 215 s <br />D~nver,ro apso3.2a73 <br /> <br />;,. ~ Rex usA I <br />AlfredaPetedeso 10',~~+A~RS <br /> bIM1181Dp) VALID AS OF:;~09/80l04 <br />
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