My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL49545
DRMS
>
Back File Migration
>
General Documents
>
GENERAL49545
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:28:49 PM
Creation date
11/23/2007 5:11:31 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
General Documents
Doc Date
10/1/1992
Doc Name
CERTIFICATE OF INSURANCE
From
PEABODY WESTERN
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.
/
3
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
~T~ <br />AI;/1~:1~. CERTIFICATE OF INSURANCE ;ISSUE DATE (MM/DD/YY) <br />a_ ..o _ h-4P->-C7_ <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />SEDGW ICK JAMES NATIONAL ACCOUNTS G ~FJLIC ES EM~WD, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />••°•3U MORRIS TURNPIKE <br /> <br />SHORT HILLS <br />NJ 07078 COMPANIES AFFORDING COVERAGE <br />; <br />G-4A <br /> COMPANY <br />A` <br /> LETTER <br />NATIONAL UNI~I1_.FIRE__INS.__Cv...____ <br />.. -.___-_..______.. _- .__. _ __ __ __ _.-. _.____ . _. _._ _._.. <br />INSURED _ COMPANY B _ <br />LETTER ((''~~ ~ . <br />PEAEODY i:OAL CGMPANY _ --- --- -" + <br />' <br />7lli MARKET STREET. SUITE 7110 coMPANVC <br />- <br />LETTER <br /> <br />ST. LOUIS MO b3101-182b - - - - ocro r -~ssz - --- <br />COMPANY <br /> D <br /> LETTER <br />-. - - .. DI~/i51~1~ ~I:----- - <br /> coMPANV E .491NERALS d ~aE;il= <br />LETTER <br />i' <br />~ <br /> - <br />~ <br />• <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 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY 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 TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />DATE IMM/DD/YY) DATE (MM/DD/YY) <br />GENERAL LIABILITY GENERAL AGGREGATE f Z;O O 1) : Q Q Q <br />A It COMMERCIAL GENERAL LIABILITY GTu.i 2 U S 1 g ~) ], 1) / (~ ~/ ~I 2 1 Q/ Q L/ .l ~ PRODUCTS~COMP/OP AGG. f 2 Q I~ 11 Q O 1) <br />CLAIMS MADFXX OCCUR. <br />` PERSONAL 8 ADV. INJURY f 1 (1111) , () Il Q <br />J <br />OWNER'SBCDNTRACTOR'S PROT. EACH OCCURRENCE f1 1)1)1) <br />,QQIf <br />X Broad Form Vendors i;r~v?race Included FIRE DAMAGE (Any ana lire) S jQ,000 <br />- <br />~ <br />- -- <br />~ <br />~~ ~~- ~~ <br />--~ --~"- <br />_ _ "" ~ MED. E%PENSE (MY one Perxn) f _°. IJ I) Q <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />S <br />A _X _arlrauro CA 1429040 1; OliO_iilllj <br />U)/01/9~ 10/01/93 LIMIT _ _.__. _._ _ <br />X ALL OWNED AUTOS BODILY INJURY <br />f <br />X SCHEDULED AUTOS (Par pereonl <br />-__ <br />X HIRED AUTOS <br />BODILY INJURY <br />f <br />X NON~OWNED AUTOS IPer acaEam7 <br />~-" - -~" ~ -- ~ - ~-- <br />GARAGE LIABILITY <br />- PROPERTY DAMAGE S <br />EXCESS LIABILITY EACH OCCURRENCE S <br />` <br />UMBRELLA FORM AGGREGATE <br />f <br />OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br />WORKER'S COMPENSATION <br /> EACH ACCIDENT f <br />AND _. __-_. .. _ _. _._ _-__... _.___ <br />DISEASE-POLICY LIMIT S <br />EMPLOYERS'LIABIIITY ~~---- --~-- <br />DISEASE-EACH EMPLOYEE f <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS '=.GVEnS ~~PERAT I!'IJS AT SENECA Ii MINE <br />INCLUDING DAMAGE FROM SURFACE '.'.AL MINE OcERATI0N5. THE USE GF EXPLOSI~IES ARID <br />DAMAGE TO WATER WELLS. <br />i CERTIFICATE HOLDER _, CANCELLATION - . <br />I <br />I <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF. THE ISSUING COMPANY <br />~~/@tJOEAY09/T.O/ <br />/ <br />COLORADO DEPARTMENT I!F NATURAL RE SGUi~MAIL'' ~ ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOL/D/ER NAMED TO TH//E <br />DIV. OF MINED LAND REr_L.;;MATIGN LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />Z : 5 CENTENNIAL PLVD LIABILITY OF ANV KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br />1 = 13 SHE <br />RI~IAN <br />STREET <br />! <br />p <br />Denver, CO 8OZO3 AUTNORI2E0 REPRESENT <br />iI/ <br />ACORD 25.5 (7/901 ®ACORD CORPORATION 1990 <br />
The URL can be used to link to this page
Your browser does not support the video tag.