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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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rr:rq ~.~r~rtaa,...ac:~. e~'~.E <br />e1/.~iii.11. CERTIFICATE'°OF~INSUR ~ DATE (YWDD/YY) <br />ANCE <br />~ <br /> _ <br />, _ _ <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, EXTEND OR <br />GWICK 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 e <br />1300 SOUTH YALE COMPANY <br />FLAGSTAFF, AZ 86001 C <br />/~~-/ <br />lTJ/ COMPANY <br /> D <br />.. t .. -. <br />COVERAGES ~f_ ~',.(„'?<_..._ _r-` . R - _`__. _~ ~-,c.: .: `.:. .:.. , ,++ ~y.,ry}~• ;ryjy(jC131S,~:~:,:~Y..::.~~~.~--- <br />01 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INS EII"RAM <br />ED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTVE <br />DATE IMAVDD/YY) POLICY E%PIRATION <br />DATE (MM'DD/YY) LLMRS <br />A GE NERAL L:AE!LITY GENERAL AGGREGATE s N / A <br /> X COMMERCIAL GENERAL LIABILITY CGO G1 658779-5 1001 ~94 1 O~1 ~9S PRODUCTS-COMP/OPAGG f 2 OOO OOG <br /> CLAIMS MADE X~OCCUR PERSONALd ADV INJURY f 1 OOO OOO <br /> OWNER'Sd CONT PROT EACH OCCURRENCE 5 1 OOO OOO <br /> X BROAD FORM VEP DORS COVERAGE INCL DEG FIRE DAMAGE (Any one lire s 50 000 <br /> MED E%P M ona xN f 5 OOO <br /> AIrt OMOBILE DABILRY <br />A X ANVAUTO SCA HO 635052-5 10/Ot /94 10/1/95 COMBINED SINGLE LIMIT f 1 OOO OOO <br /> X ALL OWNED AUTOS <br />BODILY INJURY <br />s <br /> X SCHEDULED AUTOS (Per pereonl <br /> HIRED AUTOS <br />BODILY INJURY <br />S <br /> NON-0WNED AUTOS IPer BaiOenq <br /> <br /> PROPERTY DAMAGE f <br /> CARAOE LIABILTY AUTO ONLY-EA ACCIDENT f <br /> ANY AUTO - OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT f <br /> AGGREGATE f <br /> EXCESS LIABILTY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLU FORM f <br /> WORKERS COMPENSATON AND STATUTORY LIMITS <br /> EMPLOYERS' l1ABIIJTY <br />EACH ACCIDENT <br />f <br /> THE PROPRIETOR/ INCL DISEASE ~ POLICY LIMIT S <br /> PARTNERS/E%ECUTIVE <br /> OFFICERS ARE. E%CL DISEASE ~ EACH EMPLOYEE S <br /> OTHER <br />DESCRIPTX)N OF OPERATNlN420CATIONSNEHICLES/SPECIAL fTEM3 OOVERS OPERATIONS AT YOAST MINE INCLUDING <br />DAMAGE FROM SURFACE CGAL MINE OPERATIONS, THE USE OF EXPLOSIVES AND DAMAGE TO <br />WATER WELLS. <br />CERTIFICATE.HOLDEH _ __;_ _ "'- <br />' .~_-.. _~.. ..._.. __... _ :. _ <br />CANCELLATION_...::. ~._i...--- -. ~.-.:-_~._ <br />COLORADO DEPT. OF NATURAL RESOURCES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />OF MINERALS 8 GEOLOGY E%PIRATON DATE THEREOF, THE ISSUING COMPANY WILL MAIL <br />3 SHERMAN STREET, ROOM 21S ~0_DAYB WRTREN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, <br />DENVER. CO 80203 <br /> AUTHORIZED REPRFSEMATIVE / <br />~_ <br />I _ <br />ACORD 25.5 (3/93) ~ ~ ~ p ACORD CORPORATION 1993 <br />
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