GENERAL47251

• Permit No: C1981020
• IBM Index Class Name: General Documents
• Doc Date: 9/18/1995
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

I II I I I I I I I I I III I II I

a~:~~ttn. CERTIFICATE OF .:: ~ IBBUE DATE (MM/DD/YY)
INSURANC 999

RO
U
R .. .. :: .. ..... ;'; 9/14/95
... .
P
D
CE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Acordie of Lexington CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
M
E
Lexington Green Two , Suite 410 O
~
POLICIES BE
3201 N i cho I asv i l l s Roed
COMPANIES AFFORDING COVERAGE
Lexington, KV 40503-3311
606-273-6600 cDMPANV - --~-_~ ------
LETTER A Federal Insurance Company
--- --~ -
_ __
- COMPANY
B
INCUREO LEIIER
White Oak Mining ~ COnSt. Co. COMPANY V[~/~
~1
& Grand VBI ley Coal Company LEIIER- C - - ---~~
" C(.,/
P. O. Box 1409 COMPANY
LETTER D 19gg
Pikeville, KV ~y
K V 4 15 0 1 rsr°n G/ m,
COMPANY
ne
,ais K ~.o
LEIIER E
,..
~~COVERAGES.:.~:~~.':.~:::::.'~ :~'::~::':~~~~.~.:.:~:~.. .......
... ...... ~~ ~~ ~ .. ... ... ~~ ... .... ...... ... ~~ ..
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST.EP BELOW. HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT ON Ol HER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
ExCLUSIONS AND CONDITIONS__OF SUCH POLICIES. LIMITS SHOWN MAV HAVE_BEEN R_EDUCED_BY_P_AID CLAIMS.-- ___ _
CO TYPE OF INCURANCfi POLICY NUMBER POLICY EFFECTIVE POLICY FKPIRATION LIMITS
LT
DATE (MM/DD/VY) DATE (MM/DD/YY)
OF NERAL LIABILITY GENERAL AGGREGATE 4 2000000
A X COMMEflCIAL GENERA
L UABILRY 3710-45-17 9/16/95 9/16/96 PROOUQS-COMP/OP AGC. S 2DDDDDD
r
~LLAIMS MADE ~ OCCUfl. _PE_FSONAL 8 ADV. INJURY S _ 2000DOD
OWNER'S & CONiRACiOfl'S PROT. EACH OCCURRENCE Y 2000000
X I nc I udes USB Of FIRE
OAMAGE (Any one_lire) S 1DDDDD
EXpIO51VBS __
MED.E%PENSEIAn one arson S 1DDDD
AUT OMOBILE LIABILRY COMBINED SINGLE f
A X PNY AUTO BAP7320-38-21 9/16/95 9/16/96 LIMY 2000000_
_ 4LL OWNED AUTOS BODILY INJURY S
SCHEDULED 4Ui05 (Per person)
_ _
X HI REO 4UTOS GOBI LY INJURY f
X NON-OWNED AUi05 (Per a¢iGem)

- GARAGE LIABILITY
PBUPERTY DAMAGE
S
EACE99 LIABILITY EArH OCCURRENCE f _
_ UMBRELL4 PoflM AGGREGATE f _
OTHER THAN UMBRELLA FORM
- - WORKER•l COMPENSATION
-- -
- STATUTORY LIMITS _ _ _
.----
AND _--__ _ _ ___ EnCH-ACLIBf NT-- I f _
_
DISEASE-POLICY LIMIT S
---
EMPLOYERB'LIABRITY - S
DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONSR.OCATIONBIVENICLE6IFPECIAL ITEMS
As respects: Mine ND. 1, located et McLan e Canyon on S. R. 139, 19 miles
north of Loma, Colorado: Mine No. 2, loca ted et Munger Canyon on S. R. 139
about 18 miles north of Lome, Colorado. REVISED TO INCLUDE EXPLOSIVE COY,
•CERTIFICA7EHbl:bER,~ .:.:..:...:.....~ .~,.:.;.-:: :.. ~.. ..,.. :.~:.~''~~ :CANCEhLAT10N.:.....:.: .::.:.~~~.~:.::.::~~: ~.''~:~::.~.'~..:...~.~
~' SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
~: ExPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
~. MAIL 30 DAYS WgI7TENNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
D 1 V 1 S I On D f M I nB r B I s B nd ~ ~~ LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Geology "~ LIABILITYO NV KIND UPON THE COMPANV,ITS AGENTS OR REPRESENTATIVES.
1313 Sherman Street, Rm.215
~
Denver, CO 80203 ' AlrrgoRl PRES TATIVE - ^ A 069353000
. .. ... .:.:. .'::'.'.. ~. .~'~~~ ACOR .CORPORATION f98Q '.