My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL49084
DRMS
>
Back File Migration
>
General Documents
>
GENERAL49084
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:27:09 PM
Creation date
11/23/2007 4:50:26 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
General Documents
Doc Date
9/25/1995
Doc Name
Certificate of Insurance
From
PEABODY HOLDING CO INC
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
`:ala~lal. CERTIFICA $~ OF INSURA <br /> <br />........ ............ ... <br />l <br />>,a,~ <br />r <br />t ~ <br />~ NCE j - DATE(MMIDD/YY) <br />'.. <br />. <br />.. <br />. <br />, <br />.. <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />SEDGWICK JAMES OF NJ <br />INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, <br />3 BECKER FARM ROAD COMPANIES AFFORDING COVERAGE <br />ROSEL'AND, NJ 07068 G-04B COMPANY <br /> A NDEMN.ITY I.NS_.CO._O.F~AMEE <br />INSURED <br />COMPANY <br />^ t B <br />SENECA COAL COMPANY COMPANY <br />1300 SOUTH YALE ~ <br />FLAGSTAFF, AZ 86001 COMPANY <br /> D <br />COVERAGES " " .. ,... <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 CONDIT ION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />lTR TypE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE (MEVDDIYY) POLICY E%PIRATION <br />DATE (NM/DDIVY) LIMBS <br />A GEN ERALLIABILTTY GENERAL AGGREGATE E N/A <br /> X COMMERCIAL GENERAL LIABILITY CGO G1 423000-2 10/01/95 1O/1/96 PRODUCTS~COMPIOPAGG E 2,0000 <br /> CLAIMS MADE ~ OCCUR PERSONAL B ADV INJURY E 1 OOO , OOO <br /> OWNER'S B CONT PROT EACH OCCURRENCE S 1 , O~ OOO <br /> X BROAD FORM VE DORS COVERAGE INCL DED FIRE DAMAGEIAnyonelrel s 50,000 <br /> MED E%P )Any one person) E 5 OOO <br /> AUT OMOBILE LIABILRY <br />A X ANY AUTO SCA HO 187821-9 1O/O1/95 1O/1/96 COMBINED SINGLE LIMIT S 1,000 OOO <br /> J( ALL OWNED AUTOS BODILY INJURY <br />f <br /> X SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br />BODILY INJURY <br />§ <br /> )( NON-0WNED AUTOS (Per acciEent) <br /> <br /> PROPERTY DAMAGE S <br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT E <br /> ANY AUTO OTHER THAN AUTO ONLY <br /> EACH ACCIDENT § <br /> AGGREGATE E <br /> E%CESS LIABILffY EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE E <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br /> EMPLOYERS' LIABILITY <br />EACH ACCIDENT <br />S <br /> THE PROPRIETOR/ INCL DISEASE ~ POLICY LIMIT 8 <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE E%CL DISEASE-EACH EMPLOYEE f <br /> OTHER <br />DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLESSPEGIAL ITEMS CO VERS OPERATIONS AT YOAST MINE INCLUDING <br />DAMAGE FROM SURFACE COAL MINE OPERATI ONS, THE USE OF EXPLOSIVES AND DAMAGE TO <br />WATER WELLS. <br />.CERTIFICATE HOLDER " "~ ^ " " CANCELLATION <br />COLORADO DEPT. OF NATURAL RESOURCES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />DIV. OF MINERALS & GEOLOGY E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILLXi~lRE~~~MAIL <br />1 31 3 SHERMAN STREET, ROOM 21 5 3O DAYS WRRTEN NOTICE TO THE CERRFICATE HOLDER NAMED TO THE LEFT, <br />DENVER, CO 80203-2273 7p~~yp~I(JLxapR'kxglFkRy(~tk'k1t9~7CR:PR9l9i"7~'R7cR9ct!'7~°1F1~7f <br /> AUTHORRED REPRESEHTATWE <br />~ <br /> <br />I <br />ACQBD25,S(3/93)" ":~;,. ~ <br /> <br />". `. '*" ~~`~.OACORDCORPORATIOj1'1993; <br />
The URL can be used to link to this page
Your browser does not support the video tag.