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GENERAL52174
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Entry Properties
Last modified
8/24/2016 8:38:09 PM
Creation date
11/23/2007 7:30:56 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/25/1988
Doc Name
CERTIFICATE OF INSURANCE
From
MARSH & MCLENNAN INC
To
DNR
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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\ _ <br />"~r~e ~ ~ 88 - 009 <br />CERTIFICATE OF INSURANCE ISSUEOATEIMM/DD <br />02-22-88 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />Marsh & McLennan, Incorporated EIREND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Three Embarcadero Center COMPANIES AFFORDING COVERAGE <br />San Francisco, CA 94111 <br />COMPANY <br />LETTER A INSURANCE COMPANY OF NORTH AMERICA <br />COMPANY <br />INSURED LETTER B INA OF TEXAS <br />COMPANY C <br />Pittsburg & Midway Coal Mining Co. LETTER <br />6400 S. Fiddlers Green Circle <br />COMPANY <br />Englewood, CO. 80111 LETTER ~ <br />COMPANY E <br />LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF :.t:Y~CONTRACi CR OTHER DOCUSIENT WITH RESPECT TO WHICH. THIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONS, AND CONDH <br />TIONS OF SUCH POLICIES. <br />CO PoLILV EFFECTIVE POLICY E%PIRATION LIABILITY LIMITS IN THOUSANDS <br />LTR rypE OF INSURANCE POLICY NUMBER DAZE IMMADNY) PATE IMMADNVI EACH AGGREGATE <br /> OCCURRENCE <br /> G ENERAL LIABILITY BOpILY <br />E <br />S <br /> X WMPREHENSIVE FORM If11URY <br /> X PgEM15EGAPERAT10N5 <br />PPOPERTV <br /> <br />S <br /> <br />S <br />A X E%PLOSION 8 COLLAPSE HAZARD HDC GO 569796-7 3/1 /88 3/1 /89 DANUGE <br /> X PPODUCT$/COMPLETED ODERATIONB <br /> X COMgACfUAL BI 8 PD E 300 s <br />500 <br /> COMBINED . <br /> X wDEPENDEM CONTRACTORS <br /> X BROAD FORM PPOPERTV DAMAGE <br /> X PEPSONAL IWURV PEPSONAL INJURY s <br /> AUTOMOBILE LIABILITY BoOiu <br /> <br />1111UBY E <br /> ANV AUTO IoEB PEa50HI <br /> ALL OWNED AUTOS IPRIV PA55) Bp~ILY <br /> <br /> <br />ALL OWNED AUTOS BOTHER THAN <br />INIURI <br />IoEB A[opENrl S <br /> RIV. PA55) <br /> HIDED AUTOS PPOPERTY <br />S <br /> NONUWNEO AUTOS pAMAGE ` <br /> GAMGE LIABILITY B18 PD <br />s <br /> COMBINED <br /> E%CESS LIABILITY <br /> UMBRELL4 FORM RI 6 PD <br />S <br />E <br /> COMBINEp <br /> OTHER THAN UMBRELLA FOPM <br /> 03069210-A (New Jersey) $TATUrogv <br />A WORKERS'COMPENSATION 03069209.3 (Kansas) <br />51,000 (EACH ACCIDENrI <br /> AHD 03069205-6 (All Other States) 3/1/88 3/1/89 1.000 (DISE45E~000V LIMI71 <br /> EMPLOYERS' LIABILITY C3069207-A (California) <br />8 0306920 -1 Texas & Oklahoma 51,000 ID15EA5EfAtH EMPLOYEE) <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMB <br />Re: Edna Mine. The issuing Company shall notify the below named certificate holder <br />whenever substantive changes are made in the above described policy including termination <br />or failure to renew. <br />CERTIFICATE HOLDER <br />David Shelton <br />Department of Natural Resources <br />1313 Sherman Street <br />Denver, CO. 80203 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%~~ <br />PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAID-DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUi FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILI~ <br />TY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br />
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