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GENERAL45763
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GENERAL45763
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Entry Properties
Last modified
8/24/2016 8:15:57 PM
Creation date
11/23/2007 2:04:43 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
General Documents
Doc Date
7/31/1995
Doc Name
CERTIFICATE OF INSURANCE
From
SENECA COAL CO
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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a1:f~i:D.. CERTIFCCATE~OF rINSU A CE~ DATE(YWDDIYy( f, <br />KK <br /> 1 _ <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, El(TEND OR <br />DGWICK JAMES OF NJ , INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />ECKER FARM ROAD COMPANIES AFFORDING COVERAGE <br />ELAND, NJ 07068 COMPANY <br /> A INS .. CO. OF NORTH AMERICA <br />INSURED <br />COMPANY <br />SENECA COAL COMPANY B RF(` <br />_ <br />1300 SOUTH YALE COMPANY <br />c JUL <br />FLAGSTAFF. AZ 86001 <br />~L~ <br />O'J~ COMPANY <br />D <br />COVERAGES _ -+S t?r:'_Sc+-''- 2a .:.t°.-.K, ~ xF,;:,._„ - .a:Lt,~: 1Y~.~_._._ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTA rypE OF INSURANCE POUCY NUMBER POLICY EFFECDVE POLICY E%PIRATgN LIMTI9 <br /> DATE (MWDD/YV) DATE (MEVDD/YY) <br />A GE NERAL I:ASILf!Y 3cNERAL A^uGREGP.?E S N A <br /> X COMMERCIAL GENERAL LIABILITY CGO G1 658779-5 10/01 /94 10/1 /95 PRODUCTS~COMP/OPAGG S 2 OOO OOO <br /> CLAIMS MADEOCCUR PERSONALS ADV INJURY E 1 OOO OO'J <br /> OWNER'38 CONT PRO7 EACH OCCURRENCE E 1 000 000 <br /> X BROAD FORM VEP DORS COVERAGE INCL DED FIRE DAMAGE(An onefrel S 50 000 <br /> MED E%P M one ereonl E S 0 0 U <br /> AU TOMOBILE DABILTTY <br />A X ANY AUTO SCA HO 625052-5 1 0/O1 /94 10/1 /95 COMBINED SINGLE LIMIT E 1 000 OOC' <br /> X ALL OWNED AUTOS <br />BODILY INJURY <br />E <br /> X SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />E <br /> NON-OWNED AUTOS (Per aCCitlenT) <br /> <br /> PROPERTY DAMAGE S <br /> GA RAGE LIABILffY AUTO DNLY ~ EA ACCIDENT E <br /> ANY AUTO - OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT E <br /> AGGREGATE f <br /> EXC ESS UABILIfY EACH OCCURRENCE E <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM f <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br /> EYPLOYERS' LABILITY <br />EACH ACCIDENT <br />E <br /> THE PROPRIETORI <br />PARTN <br />TI <br />~ INCL DISEASE ~ POLICY LIMIT E <br /> ERS <br />E%ECU <br />VE <br /> OFFICERS ARE: E%CL DISEASE ~ EACH EMPLOYEE E <br /> OTHER <br />DESCRIPTION OF OPERATIONS~LOCATONS'YEHICLES9PECIAL ffEYS COVERS OPERATIONS AT YOAST MINE INCLUDING <br />DAMAGE FROM SURFACE CGAL MINE OPERATIONS, THE USE OF EXPLOSIVES AND DAMAGE TO <br />WATER WELLS. <br />QERTIFICATEHOLDER,~_._~~.-._`-~-,...-._.._:_ _. _ ' _ - <br />J C_ANCELLATION_•.,•~>. ~ "~ _ __ _ _ <br />` <br />COLORADO DEPT. OF NATURAL RESOURCES SHOULD ANY OF THE ABOVE <br />DESCRIBED PODCIES BE CANCELLED BEFORE iIIE <br />OF MINERALS 8 GEOLOGY <br />~ E%PIRATION DATE THEREOF, THE ISSUING COMPANT WILL MAIL <br />3 S H ERMA N STREET , ROOM 21 S ~` Q_ DAYS WRfTTEN NOTCE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, <br />DENVER, CO 80203 <br /> AUTHORIZED REPRESENTATIVE / <br />~- <br />I <br />ACORD 25-5 (3/93) ~ ~ _ <br />~ m ACORD CORPORATION 1993 <br />
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