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GENERAL45468
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GENERAL45468
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Last modified
8/24/2016 8:14:50 PM
Creation date
11/23/2007 1:52:03 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
General Documents
Doc Date
9/25/2002
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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CERTIFICATE NUMBER <br />PRODUCER <br />Marsh USA Inc. <br />800 Market Street, Suite 2600 <br />St. Louis, MO 63101-2500 <br />116862--GL/AL-02!03 G-44 <br />INSURED <br />Hayden Gulch Terminal <br />701 Market Street <br />Suite 700 <br />St. Louis, MO 63101-1826 <br />THIS CERi1FICAiE lS ISSUEp AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />POLICY. TNIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES DESCRIBEp HEREIN. <br />COMPANY <br />A PACIFIC EMPLOYERS INSURANCE CO. <br />COMPANY <br />B <br />COMPANY EII /~~ <br />C V <br />COMPANY <br />D fP 25 ~M~ <br />THIS IS TO CERTIFY THAT PODCIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR TRE'YAQ7~~)ggP RIOD INDICATED. <br />NOTtMTHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT VdTH RESPECT TO WHICH THE CERTIFICATE MAV ~` IE9,OR MAV <br />PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES OESCRIGED HEREIN iS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAV HAVE SEEN REDUCED 8V PAID CLAIMS. <br />CO POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br />LTR TYPE OF INSURANCE POIICY NUMBER DATE IMMIDDIYV) DATE IMMIppIYY) <br />A GENERAL LIABILITY HDOG20297475 10/01/02 10/01/03 GENERAL AGGREGATE $ 4,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPAGG $ 2AODA~ <br /> CLAIMS MADE OCCUR PERSONALS ADV INJURY S 1,000,000 <br /> OWNER'SBCONTRACTORB PROT EACH OCCURRENCE S 2,000,000 <br /> x Brnad Form VendnTS FIRE DAMAGE (Any one fire) $ 50,000 <br /> X overa a Included <br />MED EXP (Any one person) <br />$ 5,000 <br />A AUT OMOaILE LIABILITY ISAH07969879 10/01/02 10/01/03 COMBINED SINGLE LIMIT $ 1,000.000 <br /> X ANV AUTO <br /> <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />SCHEDULED AUTOS (per person) <br /> <br /> x HfRED AUTOS BODILY INJURY 5 <br /> (Per accident) <br /> X NON-OWNED AUTOS <br /> <br /> PROPERTY DAMAGE <br />GARAGE LIABILITY gUTO ONLY-EA ACCIDEN <br />ANV AUTO OTHER THAN AUTO ONLY: <br /> <br />UMBRELLA FORM AGGREGATE <br /> <br />OTHER THAN UMBRELLA FORM <br />YlORR£RStOMPErfaATGtfTtN - -- ~-_ _ _ _ _ _-_ WC STATU- --J-~1 <br />ITORV LIMITS ER _, <br />'I;; <br />EMPLOYERS'LIABILITY S <br /> EL EACH ACCIDENT <br />THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S <br />PARTNE~RS/E%ECUTIVE <br />o <br />cvrl <br />EL DISEASE-EACH EMPLOYEE <br />S <br />DESCRIPTION OFOPERATIONS/LOOATIONSrvenICLESISPECIAt ITEMS <br />Covers operations at Hayden Gulch Loadoul Facility including damage from surface coal mine operations, the use of explosives and damage to water wells. <br />Applicable to CDMG Permit No. C-92A81. <br />910UL0 PNY OF THE PoLICIES pESCPMEO HEREW BE GNCELLEO BEFORE THE E%FIRATYJN GATE THEREOF, <br />THE WSURER AFFORDING COVERAGE VdLL EY~@h'(1~YFxt"d MAIL ~0 DAYS NRITTEN NOTpE TO THE <br />Colorado Dept. of Natural Resources cERnFlcnTe HoLpER NAMED HEaEW, <br />Div. of Minerals and Geology <br />1313 Sherman Street, Room 215 E <br />Denver, CO 80203-2273 p5~;yy~~YCrJGk1DfN <br />MARSH USA INC. n, ~ F~ <br />er: Alfred A. Peterteso 17J:,~.,,1,~ Q , Y ~;hk.AJd.~ <br />
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