GENERAL47730

• Permit No: C1992081
• IBM Index Class Name: General Documents
• Doc Date: 9/29/1997
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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PRODUCER THIS CERTIFICATE IS SS ED AS A MATTER OF INF RMATION ONLY AND
Marsh 6 McLennan, Incorporated CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
D, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
MA
10 80UTH BROADWAY OW
POLIC ES B
St. Louis, MO 63102
COMPANIES AFFORDING COVERAGE
GL~rreA~ A INDEMNITY INS CO OF N. AMERICA
COMPANY
LETTER B
WSURED
Hayden Gulch Terminal
P. O. BoX 882323 LETTER C

Steamboat Springs, CO 80488
COMPANY
D
LETTER
COMPANY
E
LETTER
COVEgAG~S ::
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDI TION OF ANY CONTRACT OR O7HER DOCUMENT WITH AESPECT 70 WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS.

LTP 719E OF WSUMNCE PODCY NUMBER FCLICY EFFECTNE
DATE (MM/DD/1'Y) Pm1CY EXPIRAl10N
DATE IMM/DD/VVI UMIT8
A DENE RIIL UABIDTY DO G1 9316105 SO/01~97 lO/O1/98 GENERAL AGGREGATE S 3000000
X COMMERCWL GENERAL L14BILTfY PROOUCTS~COMP/OP AGG. S 2000000
CLAIMS MADE ~X OCCUR. PERSONAL 8 ADV. INJURY S 3000000
OWNER'S 8 CONTRACTOR'S PROs. EACH OCCURRENCE E 1000D00
X BIOad Form (Tell- FIRE DAMAGE IAny one Inel E 50000
x dots COV II1C1 . MED ERPENSE IAny one pe~sonl E 5000
A AUTO MOBILELNBNTV ISA H07902004 10/01/97 10/01/98
COMB WED SINGLE

0
][ ANY AUTO LIMB 5 100
000

ALL OWNED AUTOS BODILY INJURY
S
SCHEDULED AUTOS (Pe~Peisonl

x HIRED AUTOS BODILY INIUgv E
x NON-OWNED AUTOS IPer acutlenll

GARAGE LIABIQTY
PROPERTY OHMAGE
E

IXCEES LLABDf1Y EACH OCCURRENCE E
UMBRELL4 FORM AGGREGATE S
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STATUTORY LIMITS :~::"""' """"
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WORKER'S COMPENSATION EACH ACCIDENT E
AND

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DISEASE-POLICY LIMB
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EMPLOYERS' LIABILITY I
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DISEASE~EACH EMPLOYEE E
OTHER
SEP
9 1997
CIC~"
DESCRIPTION OF OPERAHONS/LOGTONS/VEHICIES/SPECWL ITEMS '~
#G-44 Covers operations at Hayden Gulch Loadout Facility including damage
from surface coal mine operations, the use of explosives and damage to
water wells. Applicable to CDMG Pe rmit No. C-92-081.
CER.TtFICATE:HOL~Ep~~~::"~~'~:: ~ :.....:.:.:..:. .... ~~.~~ ~ '..';:. ., CANCECLI1TIOli: .......: ~'~ .
SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

CO10 r8d0 Dept. of Natural '1 YrlpC?
EXPIRATION DATE THEREOFISySI~ jMG~COMPANY WILI~XI ~SGX1~{~}C
Resources, DiV . Of Miaeral S ~ MAIL -~0DAY5 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
aad Geology ~ LEFT•ffi1[yBpipAF}Qp[i[A~IQOFM~7C3(pE76KAC~9t~3D~]FX7G8l~[9~7GACXXXXX
1313 Sherman Street, Room 215 K~B1C X~~xAN[7G3F7C~P7D1~7[C6x4F]dl67DKAF]G7E9E]14NG11E%XXXX
Denver, CO 80203-2273 au ~ I
~ (11 ~91
'ACOgq:zsS:1?1su3- :, :'`; :_: ~ ;'; :; : .:: ': ' ' ' :.. '.:: ACORD :CO'gpOpATION J99u'