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GENERAL47594
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GENERAL47594
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Entry Properties
Last modified
8/24/2016 8:22:46 PM
Creation date
11/23/2007 3:38:24 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
General Documents
Doc Date
9/8/2003
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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CERTIFICATE OF LIABILITY INSURANCE <br />PRODUCER <br />ROSE SMITH TUCKER LLC <br />120 MARKET PLACE BLW. <br />KNOXVILLE, TN 37922 <br />INSURED <br />TRITON COAL COMPANY, LLC ET AL <br />141 MARKET PLACE DRIVE, #100 <br />FAIRVIEW HEIGHTS, IL 62206 <br />COVERAGES <br />DATE 09/05/03 <br />TNIH GERTIFN:ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGMT9 UPON TXE CERTIFlCATE IIOLOE0. TWS CERTIFICATE GOES NOT AMEND, <br />EMEND ORALTER THE COVERAGE AFFORDED BY THE POLIGE9 BELOW. <br />INSURERS AFFOROINO COVERAGE <br />INSUREa s: Llovd's of Landon & London Companies I <br />INSDRER D: <br />THE POLIGES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED MANED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWfTHSTAN0INGAMY REONaEYEM, TERM <br />OafANOR10N OF ANY COMPACT OROTHERDOCUMEM WITH RESPECT TO WNU:N TH43 CERTIFICATE MAY BE ISSUED ORMAY PERTAIN, THE INSURANCE AFFORDED BY TNEPOLIGE9 <br />DESGUBED XEREIN IS SUBJECT TO ALL THE TERMS. IXCLUSKINB AND CONORIONS OF SUCH POLICIES. AGGREWTE LIMBS SHOWN MAY IMVE BEEN aEOVCEO BY PND CWMS. <br /> <br />LTR <br />1VT£OFINa110.WLE <br />VWCV xV.BFA Paucv EPTSiIVE <br />WTEIMNLOYVI wuc EVVUTron <br />ATE PWOOYT <br />WR! <br /> GENERAL LIFBILRY FACM OCCURRENCE $1,000,000 <br />A X COMMERCIAL GENERALLUBIUTY LK0306869 D9/D1/D3 D9/D1/D4 FIRE DAMAGE NNY ONE FIRE) InGuded <br /> CIAIMB MADE ~OCCUF MED E%P (MIY ONE PERSON) If1GUded <br /> PERSONALd ADV.INIURY $1,000,000 <br /> GENERAL AGGREGATE 52,000,000 <br /> GENT AGGREGATE LIMITS APPLIES PEIU PRODUCTS-COMP/OP AGG 51,000,000 <br /> POLICY PROJECT lOC <br /> AU TOMOBILE IIABIUTY <br />ANY AUTO COMBINED SINGLE LIMIT <br />(EBGI AOJGANI <br /> ALL OWNED AUTOS <br />SLMEOULEDAVTOS BODILY IWURV <br />(Pd PPRPn) <br /> HIRED AUTOS <br />NON-OWNEDAUTOB BOOILV INJURY <br />ryer ACpEert) <br /> PROPERTY DAMAGE <br /> ryW AmJUarA) <br /> GAMGE LIABK[fY AUTOONLY-EACH ACCIDENT <br /> ANV AUTO OMER TWW EA ACC. <br /> AUTOONLY: AGG. <br /> <br /> <br /> <br /> DEDUCTIBLE <br /> RETENTION ; <br /> WORI(ERS COMPENSATION AND WC BYAMORV LIMITS <br /> EMPLOYFRS'LMBILITY OTHER <br /> E.L. EACH ACCIDENT <br /> E L DISEASE- EA EMPLOYEE <br /> E.l DISEASE -POLICY IIMR <br /> <br />B 8 <br />C OTHER <br />PRIMARY PROPERTY <br />AND EQUIPMENT LU0333003. <br />LU0333020, & <br />LU0333022 <br />09/01/03 <br />09/01/04 <br />510,000,OOD Limit <br />DESCRIPTION OF OPEMTIONSrLOCAT10N3NEHICIES~EJ(CW IONS ADDED BV ENOORSEMENTISPECWL PROVISIONS <br />As respecLS Permit Numbers C-81-038 an C-96-083 ~ . <br />SEP 0 82003 <br />CERTIFICATE HOLDER AOOITONAL INSURED: INSURER LETTER: GANCELIATION p:.dn:nn R(Minarata and 680100Y <br />State Of COI02d0 BNOVLD ANY OF THE ABOVE DESCRIBED POLICIES BE GNCFLIED BEFORE TIE E%PIMTION WTE <br />Division of Minerals&Geology THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O~ DAYS WRITTEN NOTICE TO THE <br />1313 Sherman Street, Room 215 CERTIFIGTE HOIDERI ED <br />~~E LEFT. BUT FAIWRE TOWSO BHALL IMPOSE NOOBLIGATON <br />T <br />Denver, C080203 / <br />/ <br />OR LMBILITY FANV KI FOl1 INSURER. RS AGENTS OR REPRES TIVE. <br /> AVTNO A V A f <br /> • IBB <br />AcoRD ZSS Iaro,) '10 days for Non-Payment of Premium <br />
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