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GENERAL48584
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GENERAL48584
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Entry Properties
Last modified
8/24/2016 8:25:11 PM
Creation date
11/23/2007 4:24:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
7/12/2004
Doc Name
Certificate of Insuarance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Fi~CEIVED <br />~tl~rll' ` 2°°~ <br />Oivisian of Minerals and Geology <br />Certificate of ~r~gur~nce <br />Aon Risk Services <br />To: Division of Minerals & Geology <br />Department of Natural Resources <br />Attn: Janet H. Binns <br />1313 Sherman Street Room 215 <br />Denver, CO 80203 <br />Assured: RAG American Coal Holding, Inc. <br />999 Corporate Boulevard <br />Linthicum Heights, MD 21090 <br />Re: <br />This is to certify that the policies of insurance listed below have been issued to the Insured named above for the policy pehod indicated, notwithstanding any requirement, term, <br />or contlition or any contract or other document with respect to which this ceR/licate maybe issued or may pertain. The insurance aHordetl by the policies described herein is <br />subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by paid claims. <br />Type of Policy Policy Policy <br />Insurance No. Period Limits/Values <br />Commercial General ICH GL 137-04 01/01/04 - $ 6,000,000 General Aggregate <br />Liability 01/01/05 $ 6,000,000 Products/Completed Operations <br />Aggregate <br />$ 1,000,000 Personal and Advertising Injury <br />$ 1,000,000 Each Occurrence <br />$ 1,000,000 Fire Damage (Any One Fire) <br />$ 10,000 Medical Expense (Any One Person) <br />Insurance Company(ies) <br />Insurance Corporation of Hanover <br />Automobile Liability A52-641-004364-114 01/01/04 - $ 1,000,000 CSL Each Occurrence <br />01/01/05 <br />Insurance Company(ies) Liberty Mutual Fire <br />Excess Worker's OEX 000363 04 06!30!04 - WC: <br />Compensation/ 06/30/05 Statutory <br />Employer's Liability <br />EL: <br />$ 1,000,000 Each Accident <br />$ 1,000,000 Disease -Policy Limit <br />$ 1,000,000 Disease- Each Limit <br />Insurance Company(ies) Old Republic Insurance Company <br />Excess Liability ICH CU 231-04 01/01!04 - $ 1,000,000 Each Loss and in the aggregate as per <br />01/01/05 Form, excess scheduled underlying. <br />Insurance Company(ies) Insurance Corporation of Hanover <br />RAG Empire Corporation including Permit #C-81-044; Twentymile Coal Company including Permit #C-82-056. The insurer will notify the <br />Division of substantive changes in policy, including termination or failure to renew. <br />The subschbing insurers' obligations under contracts o/ insurance to which they subscdbe are several and not %oint and are limited solely to the extent of their individual <br />subscriptions. The subscdbing insurers are not responsib/e fort the subscdption of any casubscdbing insurer who for any reason tloes not satisfy all or part o1 its obligations. <br />Tnis certincate is issued as a matter Of information only antl confers no dghts upon the certificate Holder. This certifcate noes not amentl, extend or alter the coverage aROrded by <br />the policy(ies) shown hereon. Should any of the above described policies be canceled before the expiration date thereof, this agency, on behalf of the issuing company(ies), will <br />entleavor to mail 30 days written notce [o the above named certificate holder, but failure to mail such notice shall impose nc obligation or liahility of any kintl upon the <br />company(ies) or this agency. <br />Aon Risk Services of Illinois, Inc. <br />Date: July 8, 2004 <br />1 <br />Aon Ri.rk Services of Texar, Ine. <br />1330 Post Oak Blvd., Suite 900 • Houston, Texaz 77056 • tel: (832) 476-6000 • fax: (832) 476-6590 <br />
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