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GENERAL46213
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GENERAL46213
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Entry Properties
Last modified
8/24/2016 8:17:39 PM
Creation date
11/23/2007 2:27:32 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/23/2004
Doc Name
Certificate of Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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MARSH <br />CERTIFICATE OF INSURANCE CERTIFICATE NUMOER <br />SEA-000235038-04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />One California Street POMCV. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />P <br />Box 193880 <br />O AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />. <br />. <br />San Francisco, CA 94119-3880 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />25158-003-003- 007C A ACE AMERICAN INS CO <br />INSURED G('~~ COMPANY <br />The Pittsburg & Midway ~`v B <br />Coal Mining Co. ~ <br />ooy coMParly <br />, <br />4601 DTC Blvd. <br />~ ~ <br />c <br />Denver, CO 80237 <br />~ <br />C <br />` <br />` Geo\o9' <br />ls aad co <br />ANv <br />. pot MTpaTa D <br />COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 11 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED i0 THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAV <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POtICV EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MMIDDIYY) DATE (MM/ODIVY) <br />A GEN ERAL LIABILITY CMR 618072488 03/01/04 03/01/05 GENERAL AGGREGATE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 1,000,000 <br /> X CLAIMS MADE ^OCCUR PERSONALBAOV INJURY $ 1,000,000 <br /> OWNER'SB CONTRACTOR'S PROS EACH OCCURRENCE $ 1,000,000 <br /> X 6 FIRE DAMAGE (Any ane fire) $ <br /> MED EXP An one erson $ <br /> AUT OMOBILE LIABILITY <br />$ <br /> COMBINED SINGLE LIMIT <br /> ANV AUTO <br /> <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE LIABILITY AUTOONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br />A EXCESS LIABILITY XLX 618072506 03/01/04 03/01/05 EACH OCCURRENCE $ 3,500,000 <br /> UMBRELLA FORM AGGREGATE $ 6,500,000 <br /> X OTHER THAN UMBRELLA FORM $ <br /> WORKERSC MP N A ION AND <br /> EMPLOYERS'LIABWTY TORY LIMITS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOW INCL EL DISEASE-POLICY LIMIT $ <br /> PARTNERSIEXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />$ <br /> <br />DESCRIPTION OF OPERATIDNSILOCATIONSNEHICLES/SPECIAL ITEMS <br />This Certifcate shall provide for personal injury and property damage as a result of surface coal mining and reclamation operations including arising from the <br />use of explosives at the Insured"s Edna Mine in Colorado. The issuing Company shall notify the below named Certificate Holder whenever substantive <br />changes are made in the above described policies including termination or failure to renew. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF T11E POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATION nATE 1HEREOF, <br /> TqE WSURER AFFDRDING LOVEMGE WILL E~1~MAIL _~f' Q DAYS WibTfEN NOTICE TO THE <br />Division of Minerals & Geology CERTIFICATE HOLDER NgMEO HEREIN. <br />CO Dept. of Natural Resources <br />Attn: Tom Kaldenbach Fi%iGCaW(SX7U{i(X E <br />1313 Sherman Street, Room 215 <br />CO 80203 <br />2273 <br />D <br />enver, <br />- MARSH USA INC. <br /> eY: Mary R Berry ~~°^-~ a- <br /> MM1{3102) VALID AS OF: 02/19104 <br />
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