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GENERAL51667
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GENERAL51667
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Entry Properties
Last modified
8/24/2016 8:37:50 PM
Creation date
11/23/2007 6:59:39 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
7/18/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIIIIII ~~~~u~~® <br />~i ~ <br />AI-//1;11. CER ~ ~rnr; i ~ yr ISSUE DATE (MMIDDIYV) <br />INSURANCE <br /> <br />1 A Q <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATT INFORMATION ONLY AND <br />S ed gluiCk .James CONFERS NO RIGHTS UPON TH~CERTIFICATE HOLDER. THIS CERTIFICATE <br />IC1@~ ~H~lC1]VERAGE AFFORDED BY THE <br />R <br /> ~ <br />DOES NOT AMEND, EXTEND O <br />of Vem Englandi InC. POLLCIES BELOW. onl '~ ' <br />~~ 0 croad Street <br />" COMPANIES AFFORDING COVERAGE <br />dostonr Ma. C <br />[109 <br /> COMPANY <br />A <br />Attn: Mary Carfagna LETTER <br />\ationel Union Tire :ns. Co. <br /> COMPANY B <br />INSURED LETTER - <br />3irmincham ~irz _ns. Co. <br />Peabody Goal Company ooMEA <br />NYC <br />Suzanne Luepke R <br />Landmark Insurance Co. <br />301 North Memorial Drive COMPANY <br />D <br />St. Louis MO 6316ti LETTER <br /> COMPANY E <br /> LETTER <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 ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSU RANCE AFFORDED RV 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 />n n CC ,, <br />CO TYPE OF INSURANCE POLICY NUl.1SEA POLICY EFFECTIVE POLICY E%PIRATION ~ C V G ,LfMFfS <br />LTA DATE (MMIDD/YYI GATE (MM/OD/YVI <br />A GENERAL LIABILITY G L <br />3 7 U 7 <br />2 4 <br />S 1~ ^.1 / 91 1 V~ 01 ~ 91 GENERAL AGGREGATE f 1 D ~'. D <br />o <br />( c <br />u <br />X COMMEPCIAI GENERAL LIABILITY G L G Y) O7 [} g ~ y J) PRODUCTS~COMP/OP AGG. f 1 S C O <br />CLAIMS MADE X DccuR. RLTX249B709 (TX) PERSONAId ADV INJURY f '~ODO <br />OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE f '~ QCi <br />X Broad 'rorm Vendors Coverage Included FIRE DAMAGE IAny oue lire) S Sn <br />' MED EXPENSE IAny one p...cnl f <br />A AUTOMOBILE LIABILITY CASb29b23 1/C1/91 10~u1 /a1 COMBINED SINGLE <br />f <br />I <br />~( ANY AUTO CAi62~624 ( c <br />NJi NY i'aA) LIMIT <br />150D <br />~~ X ALL OWNED AUTOS CA7X 5629625 CTX) BODILY /NJURV <br />5 <br />I X SCHEDULED AUTOS (Per Peieanl <br />X HIRED AUTOS BODILY INJURY S <br />X NON-OWNED AUTOS IPer acnaonll <br />GARAGE LIABILITY <br />PROPERTY DAMAGE S <br />EXCESS LIABILITY EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE S <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION STATUTORY LIMITS <br /> EACH ACCIDENT S <br />ANO <br />DISEASE-POLICY LIMIT S <br />EMPLOYERS' LIABILITY <br />DISEASE-EACH EMPLOYEE f <br />OTHER <br />DESCRIPTION OF OPERATIONS/LOCPTIONS/VEHICLES/SPECIAL ITEMS C O V E R S ALL O P E R A T I O N S I N C G L C R A D C. <br />INCLUDING SENECA II-u MINE AND INCLI•DI~G DAMAGE FROM SURFACE COAL <br />MINI OPERATIOIVSi THE USc J= EX PLOSIVc$ AND DAMAGE TO HATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOUlO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE (U <br />DIVISION OF MINED LAND REC. N DATE THEREOF, THE ISSUING COMPANY WILL ~F7BX®iIXAX' <br />EXPIRAT <br />IO <br />CGLCRA00 DEPT. OF NAT. RCS. ~~ <br />~~II <br />MAILi1DAVSWRITTENNOTICETOTHECERTIFICATEHOLOERNAMEDTOTHE <br />~~ S CcNTENNiAL BLDG. NO.OBLIGATION OR <br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE <br />LEFT <br />1313 ~HcRMAN STREET , <br />, <br />"'"' <br />LIABILITY OF ANV KIND UPON THE C6MFwrw' ~TS~AGENTS OR REPRESENTATIVES. <br />'f r- <br />OCNVcRi CO 3OZ3C AUiNORI2E0REPRESENTATIVE <br />L~~~<D~., <br /> 13~ <br /> ~ Ala al <br />ACOR6 25.5 fA90f C•ACORD CORRPORATION 1990 <br />~5- ;' <br />
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