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GENERAL48798
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GENERAL48798
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Entry Properties
Last modified
8/24/2016 8:25:47 PM
Creation date
11/23/2007 4:34:32 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/25/2002
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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C-8o-0p <br />CERTIFICATE OF INSURANCE CE"T'F'°ATE "DMBE" <br />MARSH USA INC <br />. <br />_ SEA-000235038-01 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />MARSH RISK $ INSURANCE SERVICES, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />3 EMBARCADERO CENTER POLICY. THIS CERTIFICATE ODES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />P.O. BOX 193880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />SAN FRANCISCO, CA 94119-3880 COMPANIES AFFORDING COVERAGE <br />CALIFORNIA LICENSE NO. 047153 <br />COMPANY <br />25158--CAS- 007C A PACIFIC EMPLOYERS INS CO <br />INSUftEO COMPANY <br />The Pittsburg 8 Midway <br />i <br />002 B ACE AMERICAN INS CO <br />Coal Min <br />ng Co. <br />~ ~ 2 <br />c <br />6400 S. Fiddler's Green Circle <br />B <br />r COMPANY <br />Englewood <br />CO 80111 C <br />, <br />olo9V <br />G <br />a;,~ <br />e <br />= <br /> <br />ision of NdnBral <br />i COMPANY <br />v <br />p D <br />COVERAGES This certificate supersedes and replaces any previously issued certifcate for the policy period noted below. 0 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURl+NCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT, TERM Oft CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MM/pDIYY) GATE (MM/DD/YYI <br />A GE NERAL DABIUTY HDC 620591535 O3/Oi/OZ O3/Oi/O3 GENERAL AGGREGATE $ 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> Y` CLAIMS MADE ^OCCUR PERSONALBADV INJURY $ 1,000,000 <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> X FIRE DAMAGE (Any one fre) $ <br /> <br /> X arch 1 1986 MED EXP An one arson $ <br /> AUT OMOBILE LIABILITY <br />$ <br /> COMBINED SINGLE LIMIT <br /> ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accidenU <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br />B EXCESS LIABILITY XCE 620591572 03/01/02 03/01/03 EACH OCCURRENCE $ 3,500,000 <br /> UMBRELLA FORM AGGREGATE $ 6,SOO,000 <br /> X OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION ANO <br /> EMPLOYERS'LIABILITY TORY LIMITS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOrL INCL EL DISEASE-POLICY LIMIT $ <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />E%CL <br />EL DISEASE-EACH EMPLOYEE <br />$ <br /> <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS ILIMITS MAY BE SU&IECT TO DEDUCTIBLES OR RETENTIONSI <br />This Certificate shall provide for personal injury and property damage as <br />a result of surtace coal mining and reclamation operations including <br />arising from the use of explosives at the Insured"s Edna Mine in Colorado. <br />The issuing Company shall notify the below named Certificate Holder when- <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE TIEREOF, <br /> THE INSURER AFFORDING COVERAGE WILL EA~eY15Kx3k%MAIL ~p DAYS WRITTEN NOTICE TO THE <br />Division of Minerals & Geology CERTIFICATE MOLDER NAMED HEREIN, <br />CO Dept. of Natural Resources <br />Kent Gorham <br />1313 Sherman Street, Room 215 <br />D <br />CO 80203 <br />22 <br />3 <br />enver, <br />- <br />7 MARSH USA INC. <br /> er: Mary R Berry ~°""~ Q- ~ ~'~ <br /> MM1(9/99j VALID AS OF: 02/21!02 <br />
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