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GENERAL48491
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GENERAL48491
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Entry Properties
Last modified
8/24/2016 8:25:00 PM
Creation date
11/23/2007 4:21:46 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
General Documents
Doc Date
11/7/1994
Doc Name
Certificate of Insurance
From
PEABODY WESTERN
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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_ ,~ <br />, . ., r <br />Ali 11.11 <br />(~ <br />~~ <br />+ JINSV <br />~= , S . '::t».:t J' 5:, .,...~ DATE (MSVDD/YY) <br />~~ ° ~ <br />. <br />. <br />.a <br />~ s 15-se s <br />. <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS ,UPON THE CERTIFICATE <br />SEDGWICK JAMES OF NJ <br />INC HOLDER. THIS CERTIFICATE DOES 'NOT AMEND, EXTEND OR <br />, <br />. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />3 BECKER FARM ROAD - COMPANIES AFFORDING COVERAGE <br />~~ <br />ROSELAND, NJ 07068 <br />G-44 c ANV INS. CO. OF NORTH AMERICA <br />INSURED <br />COMPANY <br /> B <br /> <br />HAYDEN GULCH TERMINAL, INC. ~ COMPANY <br />C <br />701 MARKET STREET, SUITE 700 <br /> <br />ST. LOUIS, MO 63101-1826 COMPANY <br />D <br />60 tea: i:Ei;',jeS ''_:?s'.:a _.... ~> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE (MLVDD/YY) DATE (MM/OD/YY) <br /> GE NERAL LIABILITY GENERAL AGGREGATE E <br /> CGO G1 65877-9 5 10/01 /94 10/1 /95 <br /> COMMERCIAL GENERAL LIABILITY pg000CT5-COMP/OP AGG S ~ ~ <br /> <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY S t t <br /> OWNER'Sb CONT PROT EACH OCCURRENCE S ~ ~ <br /> BROAD FORM VE DORS COVERAGE <br /> FIRE DAMAGE An one lae S ~ <br /> MED EXP An ona nwn S <br /> AU TOMOBILE LIABILffY <br />A SCA HD 635052-5 1D/D1/94 10/1/95 COMBINED SINGLE LIMIT E 1 000 D00 <br /> ANV AUTO <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />E <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />f <br /> NON~OW NED AUTOS (Per acotlenN <br /> <br /> PROPERTY DAMAGE S <br /> GA RAGE LIABILITY AUTO ONLY~EA ACCIDENT § <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT § <br /> AGGREGATE E <br /> EXCESS LIABILITY EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE E <br /> OTHER THAN UMBRELLA FORM E <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br /> EMPLOYERS' LIABILITY <br />EACH ACCIDENT <br />S <br /> THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT S <br /> PARTNERS/E%ECUTIVE <br /> OFFICERS ARE: E%CL DISEASE-EACH EMPLOYEE S <br /> OTNER <br />DESCRIPTION OF OPERATIONS/LOCATIONE/VEHICLES'SPECIAL ITEMS <br />FACILITY INCLUDING DAMAGE FROM SURFACE COAL MINE OPERATIONS, THE USE OF <br />EXPLOSIVES AND DAMAGE TO WATER WELLS. <br />r <br />p• <br />A G .~ .O x,,i~'F~vtYilµ`~i~ <br />0 <br />A <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DIV OF MINERAL & GEOLOGY <br /> E%PIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOp TO MAIL <br />1 31 3 SHERMAN , ROOM 21 5 3O <br /> DAYS WpITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, <br />DENVER, CO HO2O3 <br /> BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMPANY, AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE / / L <br /> =Lr-; Q~ <br />_aa'v <br />
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