My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL51822
DRMS
>
Back File Migration
>
General Documents
>
GENERAL51822
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:37:56 PM
Creation date
11/23/2007 7:10:46 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
General Documents
Doc Date
10/4/1993
Doc Name
CERTIFICATE OF INSURANCE
From
PEABODY WESTERN COAL CO
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
<br />PRODUCER <br />CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) <br />14-Sen-93 <br />SEDGWICK JAMES OF NJ, INC. G-04A <br />830 MORRIS TURNPIKE <br />SHORT HILLS, NJ 07078 <br />~~i~~ODY COAL COMPANY <br />701 MARKET STREET. SUITE 700 <br />ST. LOUIS MO 63101-1826 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. <br />COMPANIES AFFORDING COVERAGE <br />LETTERNV A INSURANCE CO. OF NORTH AMERICA <br />COMPANY B <br />LETTER <br />COMPANY n <br />LETTER y <br />COMPANY D <br />LETTER <br />COMPANY E <br />LETTER <br />-. <br />:1L'~f ~ a 1~9:' <br />i <br />COVERAGES -'- --._ _...... . __ ..__ ~ .,_y~-- <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 MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, I <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLILY EFFECTIVE POLICY EXPIRATION LIMITS I <br />LTq DATE (MMIDDIYY) DATE (MMIDDIYV) <br />GENERAL LIABILITY <br />A X COMMERCIAL GENERAL LIABILITY CGO G1 658513-0 lO/O1/93 <br />CLAIMS MADEXX OCCUR. <br />OWNER'S 8 CONTRACTOR'S PROT. <br />X Broad Form Vendors Coverage Included <br />DTDMOBILE LIABILITY <br />A X <br /> ANY AUTO <br />X <br /> ALL OWNED AUTOS <br />X <br /> SCHEDULED AUTOS <br />X <br /> HIRED AUTOS <br />X <br /> NON-OWNED AUTOS <br /> GARAGE LIABILITY <br />SCA HO 502377-4 10/01/93 <br />GENERAL AGGREGATE E ~~' <br />10/01/94 PRODUCTS-COMPIOPAGG. E 2 • OOO .OOO <br />PERSONALBADV. INJURY E 1 OOO UOO <br />EACH OCCURRENCE E 1 , OOO . OOO . <br />FIRE DAMAGE (Any one lire) E S O r O I) O' <br />MED. EXPENSE (Any one person) E <br />~ S. 0 0 0 <br />lO/O1/94 LIOIMBINEDSINGLE E1 _ <br />,000,OOO <br />BODILY INJURY E <br />(Per Person) <br />BODILY INJURY E <br />IPer ecclEenp <br />PROPERTY DAMAGE E <br />E%CE55 LIABILITY <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />EACH OCCURRENCE E <br />AGGREGATE E <br />STATUTORY LIMITS <br />EACH ACCIDENT f <br />DISEASE-POLICY LIMIT E <br />DISEASE-EACH EMPLOYEE E <br />OTHER <br />P N F OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS <br />~~~'~,~~19NG DAMAGE FROM SURFACE COAL MINE OPERATIONS, THE USE OF EXPLOSIVES AND <br />DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />COLORADO DEPARTMENT OF NATURAL RE SOUREXPI~~IGN DATE THEREOF, THE ISSUING COMPANY ~xXX~KlEXX00X XCCD( <br />OIV . OF MINED LAND RECLAMATION MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />2Ck51Xt~k7NN(I(RXJ(~B(Q(~!H Room 2~ 5 LEFT. eUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />1313 SHERMAN STREET LIABILITY OF ANV KIND UPON THQCOM PANY, ITS AGENTS OR REPRESENTATIVES _ <br />DENVER, CO 80203 AUTHORIZED REPRESENTATIVE ~~Y <br />
The URL can be used to link to this page
Your browser does not support the video tag.