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GENERAL46034
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Last modified
8/24/2016 8:16:49 PM
Creation date
11/23/2007 2:16:19 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
General Documents
Doc Date
10/2/2007
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD~, CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 09/28/2007 <br />PRODUCER 677-945-7376 THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis Nozth America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 <br />Nashville, TN 3 72 3 05191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED peebOdy Snergy Corporation INSURER A: ACB American Insurance Company 22667-001 <br />Attn: Walter 8amkias <br />701 Narket Street INSURER B: <br /> <br />Suite 700 INSURER C: <br />St. Louie, NO 63101-1826 <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR OOR' TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE POgTYM PIRATION LIMITS <br />A-- -' GENERAL Unalim ~ "' OG23"717773 ~ 10/1/2006 11/1/2007 EACH OCCURRENCE $ 2 OOO OOO <br /> X COMMERCIAL GENERAL LIABILITY PREMISES EeEoocurtnce $ $O OOO <br /> CIAIMS MADE ~ OCCUR MED EXP (Any one parson) $ $ 000 <br /> PERSONAL&ADV INJURY $ 1 OOO OOO <br /> GENERAL AGGREGATE $ 4 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 OOO OOO <br /> POLICY FR~ LOC <br />A AUT OMOBILE LIABILITY ISAHO922E1O3 1O/1/2006 11/1/2007 COMBINED SINGLE LIMIT <br /> (Ea acciden0 $ 2.000,000 <br /> $ ANY AUTO <br /> ALLOWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per eccidenp <br /> PROPERTYDAMAGE <br /> <br />itl <br />P $ <br /> er ecc <br />en0 <br />( <br /> GA RAGE LIABILITY AUTOONLY-EAACCIDENT $ <br /> ANV AUTO OTHERTHAN EA ACC $ <br /> VET AUTO ONLY: AGG $ <br /> EXCESSNMBRELLA LIABILrtY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE 2~~7 AGGREGATE $ <br /> n~ <br />OCT 11 ~ <br /> $ <br /> DEDUCTIBLE <br />iteclamaUOn, $ <br /> Division Gt <br /> RETENTION $ e $ <br /> WORKEPS COMPENSATION NNO <br />' _ _ _ _ <br />~~ - ~ ~~ _ <br />~ CST TU- OTH~ <br />T RY <br /> EMPLOYERS <br />LIABILITY <br /> ANV PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />OESLRIPDON OF OPERATIONSILOCATIONSNEHICLEBIEXCLUSIONS ADDED BY ENDORSEMENTSPEGIAL PROVISIONS <br />Named Insured: Seneca Coal Co., a Subsidiary <br />Covers operations at Seneca II Mine including damage from surface coal mine operations, the use of <br />explosives and damage to water wells. <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL 1618RXM MAIL 3O DAYB WRITTEN <br />NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFdSBUEYIGMffiKYdC~%96K;lULL <br />Colorado Division of Reclamation, Mining E Safety NBCII{9Im167C7i9CXiK6MC]CL~C <br />Division of Minerals and Geology <br />Room 215 <br />1313 Shermda Street AU ORIZE PR E ADVE <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/08) Co11:2124235 Tp1:547796 Cert• 544708 ®ACORD CORPORATION 1968 <br />
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