GENERAL49210

• Permit No: C1980001
• IBM Index Class Name: General Documents
• Doc Date: 3/10/1999
• Doc Name: CERTIFICATE OF INSURANCE 99-007C
• From: PITTSBURG & MIDWAY COAL MINING CO
• To: MLRD
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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PROOUCC: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
' ~~ JBfl Marsh & McLennan
Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
.
.
Three Embarcadero Center
#200 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
.
PO BOX 193880 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Francisco
G4 94119-3880 ~ COMPANIES AFFORDING COVERAGE
.
COMPANY
Mary R. Berry A PACIFIC EMPLOYERS INS CO
INSUPED COMPANY
The Pittsburg & Midway B CIGNA INSURANCE CO.
Codl M1n7ng G0.

Fiddler's Green Circle
6400 S COMPANY
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Englewood. CO 80111
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PER10D
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CO NDITION DF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR TYPE OF INSURANCE POLICY NUMBFA POUGY EFFECTIVE
DATE IMM/DD/YYl POUCY EXPIRATION
DATE IMM/DDM'I UMRS
A GEN EMLLIABILITY HOC G1807223-3 3/01/99 3/01 /OO GENERAL AGGREGATE • ], QQD, QOB
A' COMMERCIAL GENERAL LIABILITY PRODUCTS ~ COMP/OP AGG • 1.000, ODO
~: ,,' CLAIMS MADE OCCUR PERSONAL b ADV INJURY f 1.000. 000
OWNER'$6CONTRACTOR'S PROT EACH OCCURRENCE • ], QBD, QQO
X Retro Ddte: FIRE DAMAGE IAOY Ono Ilnl f
X March 1. 1986 MED EXP IAny ono perfonl
AUT OMOBILE LWBILD'Y
•
ANY AUTO COMBINED SINGLE LIMIT
ALL OWNED AUTOS
BODILY INJURY •
SCHEDULED AUTOS IPer pxedV
HIRED AUTOS
BODILY INJURY •
NON~O W NED AUTOS IPer eccitl•nU
PR
P
RTY DAMAGE •
O
E
6ARAOE LIABILOY AUTO ONLY ~ EA ACCIDENT f
ANY AUTO OTHER THAN AUTO ONLY:
::..:. r:...:..:.:: a::::. ~ .:..:.::.::::.
EACH ACCIDENT •
AGGREGATE f
8 ExcESSLIABILm XCEG17312145 3/01/99 3/01/00 EACH OCCURRENCE • 3.500.000
UMBRELLA FORM AGGREGATE • 6.500.000
X OTHER THAN UMBRELLA FORM •
WORXFA'S COMPENSATION AND WC STATU- OTH~
TORY LIMITS ER .::::::...:::.::::::.:..:::.E~:;i~~:.:';':"
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EMPLOYERS' LIABILIEY
EL EACH ACCIDENT
•
THE PROPRIETOR! INCL EL DISEASE ~ POLICY LIMIT f
PARTNERS/EFECUTIVE
OFFICERS ARE:
E%CL I
EL DISEASE ~ EA EMPLOYEE
f
OTHER
DESCAIPTfON OF OPERATIONSROCATIOHSIVEHX:IESISPEC1Al ITEMS
This Certificate sha)1 provide far personal injury and property damage as
a result of surface coal mining and reclamation operations including
arising fran the use of explosives at the Insureds Edna Mi ne in Colorado.
f5ee reverse andlor attached for additional information.)
CERTIFJCATE Hf3LDkR ;: t; ;: CANCE7.tATIDN ;;: ,:: ,.
SXOULD AHY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
pi vision of Minerals & Geology EXPIMTION OATETNEREOF. THE ISSUMO COMPANY WB.L 7W07Ed0004~SX MAR
CO Dep[. of Na[ura 1 Resources 3O DAYS WRRTEN NOTICE TO THE CERTIFICATE HOLDEII NAMED TO THE LEFT,
' Kent Gorham
1313 Sherman S[reet. Rcan 215 7LiSpK@6D0~[8C40707Q17C9tlDECQi6NfXX176DC7P1f06X1itKC9DG9S9Rm7D1C7~Adt-[X
Denver, CO 80203-2273 XdFXe1Q4C70D0007C0F000C703EXOQ10 70XX7P70lG96i[3i4(0LX
AUTHORI2E0 REPR ENTATIVE
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HOLDER COPY OO7C CERTIFICATE N0. 0286001-00001