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GENERAL51822
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GENERAL51822
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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
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-, <br />`AI:111:11. CERTIFICATE OF INSURANCE IBSUE°iq'M~eAy <br />• Gs <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEA. THIS CERTIFICATE <br />SEDGWICK JAMES OF NJ, INC. G-04B DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />830 MORRIS TURNPIKE POLICIES BELOW. <br />SHORT HILLS, NJ 07078 COMPANIES AFFORDING COVERAGE <br /> LETTERNY A INSURANCE CO. OF NORTH AMERICA ~ <br /> COMPANY <br />B <br />INSURED LETTER <br />PEABODY COAL COMPANY <br />7U1 MARKET STREET, SUITE 700 LETTERrIYC <br />ST. LOUIS MO 63101-1826 <br /> COMPANY D I <br /> LETTER <br /> COMPANY E <br /> LETTER <br />COVERAGES ~- '--~ -~-- '- - ... __.. _..-- .~.~ ._. I <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV 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 <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION <br />DATE (MM/DD/YYI DATE IMM/ODIVY) LIMITS <br />GENERAL LIABILITY - GENERAL AGGREGATE 5 N/A <br />A X COMMERCIAL GENERAL LIABILITY CGO Gl 658513-0 10/01/93 lO/O1/94 pR000CT5-COMPIOPAGG. E2,000.OOO <br />CLAIMS MADEXX OCCUR PERSONAL B ADV. INJURY S 1 , U U O . OOO ' <br />OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE E 1 , OOO , OOU <br />X Broad Form Vendors Coverage Included FIRE DAMAGEIAnyonelire) f SO,OI)O <br /> MED. EXPENSE (Any one parson) S 5.000 <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />P' X ANVAUTO SCA HO 502377-4 10/01/93 10/01/94 LIMIT ° 1 , 000 .000 <br />X <br />ALL OWNED AUTOS <br /> <br />X <br />BODILY INJURY t <br />SCHEDULED AUTOS (Per parapn) <br /> <br />X HIRED AUTOS BODILY INJURY <br />$ <br />NON~OWNED AUTOS (Per accitlant) <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE S <br />EXCESS LIABILITY EACH OCCURRENCE f ' <br />UMBRELLA FORM AGGREGATE S <br />OTHER THAN UMBRELLA FORM <br /> ~` STATUTORY LIMITS <br />WORKER'S COMPENSATION <br /> EACH ACCIDENT S I <br />AND <br /> DISEASE-POLICY LIMIT 5 <br />EMPLOYERS' LIABILITY <br />DISEASE-EACH EMPLOYEE S <br />OTHER <br />D SCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />~ <br />A <br />T,L LOCATIONS. COVERS OPERATIONS AT SENECA II-W MINE INCLUDING DAMAGE FROM <br />SURFACE COAL MINE OPERATIONS. THE USE OF EXPLOSIVES AND DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T <br />H <br />E ; <br />7( <br />y <br />COLORADO DEPARTMENT OF NATURAL RESGUF~xPI~ION DATE THEREOF, THE ISSUING COMPANY X~~S~'TO <br />DIV. OF MINED LAND RECLAMATION MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />8Y$~XXB~DE%X9I7(Xl$$70~DC Room Z15 LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />1313 SHERMAN S <br />TREET LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />o <br />Denver, CO HO2O3 AUTHORIZED REPRESENTATIVE j <br />. . J ~\.l'~""'~ J, tom, I <br />' <br />( <br />` <br />ACORD 25.8 (7/90) i~~ <br />R <br />i~ mACO <br />D <br />CORPORATION 19901 <br />
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