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GENERAL49936
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GENERAL49936
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Entry Properties
Last modified
8/24/2016 8:29:49 PM
Creation date
11/23/2007 5:32:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
12/31/2003
Doc Name
Certificate of Insurance (Faxed)
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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DEC-31-2003 17 52 <br />Certificate of insurance <br />To: Dlvlalan of Mlnerab & Geology Re: <br />Deperlmanl of NeNral Resources <br />Altn; Janet M. 81nns <br />1913 Shemten 61. Rln. 218 <br />Denver, Do eo209 <br />Assured; RAG AmeflCBn Coal HoMing, Inc. ' <br />Ann: Mary Wong <br />898 Corporate BNd. <br />LJmhbian Helghra, MD 21090,2227 <br />iltle ie r6 eeMN Mar pM odidee dY'wllartx pelpd tMMI nave Dean laeued fp lee YIYWM nerved eepq PY are padn'Pe7Pd riaParoG rxnMNfMdlq ero r¢edrsmenl, <br />ra'rrG w cmddan d wN cp,nrm w dMr dvwov ebh mpst m •Nkh d,s cwtlflate maybe kewd w n!q PmL'a Tev Mutenm sanded by Me paklee eNeclOed <br />Mrelnbeuyeerpap Vp lenre, sieedlonsaMCabpbru daudrPdedex LMMS MOMrl meynrw DeanlMlCSdeypwYdBM10. <br />~.-~ .e s-n-.. a-Ipr. Owllwv <br />Commercial General Llablllty ICH GL 797-06 01Nt/04 - $ 8,000,000 General Aggregate <br /> 07/07/05 $ 8,000,000 Protlucte/Complefed <br /> Operations Aggregate <br /> $ 7.000,000 Personal antl Atlvertieing Injury <br /> S 1,000,000 Eadr Occurrence <br /> S 1,000,000 Fke Damage (Any Ona Fre) <br />• S 70,000 Medical EYtpense (Any One <br />' Person) <br />Insurance ComaanY(leal Insurance Corporation of Hannover <br />Automob9e LlaWlhy 0.32.641-006saa•116 pt/01/04- $ 1,000,000 CSL EacA Occurrence <br /> 07/07/05 <br />Insuranee Compeny(tee) Liberty Mutual Fire <br />WorkefsCompsnsatlon OG017049-06 06/90/03- WC StatutoryEL• <br />Employer's Liability 06/30/04 <br /> 51,000,000 Each Accident <br /> $7,000,000 Disease -Policy Limll <br /> $1,000,000 Disease -Each Lrmh <br />utrutma - 7iT,vuu,uuu racn wsa anp m to <br />O1ro1Po5 as per Fonn, a><oase achetluled <br />Insurance Company(teal Insurance Corporation of Hannover <br />The Certificate Holder and its Affiliates and the Lessors and Sublessors untler the Prime Leases are hereby added as <br />additional Insureds ea their interests may appear. <br />ino v~PpC/ICHd Iru9WBre' ebBye6anp udw ravpN a vrtvlDtee Ia ebloh Ymy a1MWC+IDe ero swats! end lttp/dou w!d ere BMteUadeN~ b the avert alrpAMdNprd <br />subec.,Plimu. ThesrmreMlip lneurdp are Mr rospp~dde Map eWgglpppndmy emubec&IggbWrBl MprdMy reeSm dmsnoreY4rryap apprtdM ebVpoNaa, <br />ThN'.erullmre b bPUCe w a muter d inbnrolbn are? art WNae n0 pdrmp Ypar IAe rnnMyro IpNen Tae arehah deep ml errata, eaend or elkr do aoveeep <br />oiropoe M u'e pperypee) ehwm berme. &pvW enY d do shave desaLe6 pperies YY cYnOae0 balers dr esplrapin eYle eRred, We epenpy, pn ppMp YI Ne aYdnp <br />Ne,yM„YGw), wIY anOOavw b mpY 90 Mye MSYen mew m Ole gea+9 nBMBd CONNc~hr hdeer, ml IPNWe W mpY BIeJI ndke shit YnppgB m OYI9911pn w YMIq d olio <br />land uPm Ue cwnPNYOae a rlrl eeenaY <br />Aon Risk Services oT Illinois, Ina <br />Date: December 31, 2009 ey: ~'e'~°~~ <br />P.03i03 <br />TOTAL P.03 <br />
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