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GENERAL49954
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Entry Properties
Last modified
8/24/2016 8:29:51 PM
Creation date
11/23/2007 5:33:21 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981023
IBM Index Class Name
General Documents
Doc Date
6/4/2004
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br />LOS-000110026-07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />Marsh Risk & Insurance Services NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />777 South Figueroa Street POLICY. THIS CERTIFICATE DOES NOT AMEND, E%7END OR ALTER THE COVERAGE <br />CA License #0437153 AFFORDED 6r THE POLICIES DESCRIBED HEREIN. <br />Los Angeles <br />CA 90017 <br />, <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />54222-IS-04/05 A American International Specialty Lines Insurance Co. <br />INSURED COMPANY <br />Kaiser Ventures, Inc., Etal B N/A <br />~'Att <br />P <br />l Sh <br />Vi <br />P <br />id <br />Fi <br />n:• <br />au <br />ampay, <br />ce <br />res <br />ent, <br />nance <br />3633 E. Inland Empire Blvd., Suite 480 COMPANY <br />Ontario, CA 91764 C N/A <br /> COMPANY <br /> D N/A <br />COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 4 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAV <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMBS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TypE OFINSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION OMITS ' <br />LTR DATE (MMA)D/YY) DATE (MMIDD/YY) <br />(~ GE NERAL LUU7OTV 1950494 06/30/01 06/30/13 <br />000 <br />000 <br />$ 2 <br /> GENERAL AGGREGATE , <br />, <br /> X COMMERCNL GENERAL LIABILITY PRODUCTS-COMP/OP AGG § 2,000,000 <br /> CLAIMS MADE OCCUR PERSONALB ADV INJURY $ 1,000,000 <br /> OWNER'SB CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> FIRE DAMAGE (Any one lire) $ 50,000 <br /> <br /> MED EXP (An one rson) $ <br /> AUT OMOBILE IIABIOTY <br /> COMBINED SINGLE LIMIT $ <br /> ANV AUTO "c,. - - ~ - ~ - - ' <br /> ALL OWNED AUTOS ~ BODILY INJURY § <br /> (Per person) <br /> SCHEDULED AUTOS ~ <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accitlent) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE § <br /> <br /> GARAGE UABIOTY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> E% CESS OABIOTY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELUI FORM $ <br /> ORKERS LOMPENSATONAND~ -. - --_._ ---_- --- - - <br /> EMPLOVERS'LIABILITY TORY LIMITS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT $ <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />$ <br /> RECEIV D <br />DESCRIPTION OF OPERATONS/LOCATIONBNEHICLES/SPECIAL ITEMS <br />Evitlence of Insurance - RE: Chimney Rock Coal (Mine Permit No. C-81-023) - <br />Oivisien of Minerals and Geology <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATION GATE THEREOF, <br /> THE INSURER AFFORDING COVERAGE W,LL EYL~SiU6f?<%YJ MAIL ~{' Q GAYS WRITTEN NOTICE TO THE <br />State of Colorado CERTIFICATE HOLDER NAMED HEREIN. R <br />Department of Natural Resources <br />Mined Land Reclamation Division E <br />1313 Sherman Street <br />D <br />CO 80203 <br />enver, MARSH USA INC <br /> . <br />aY: Dan Johnson ~- <br />' MMt(3/02) VALID AS OF: 06/01/04 <br />
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