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GENERAL52419
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Entry Properties
Last modified
8/24/2016 8:38:18 PM
Creation date
11/23/2007 7:44:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
7/12/2004
Doc Name
Certificate of Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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FtECEI\/~® <br />/~ ~Prtf f iCAte of ~t~~ur~ttce JUL 12 2004 <br />~'l~ Aon Rd~3iel~oTTvtirfeF315andGeology <br />To: Division of Minerals & Geology Re: <br />Department of Natural Resources <br />Attn: Janet H. Binns <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Assured: RAG American Coal Holding, inc. _ <br />999 Corporate Blvd. <br />Linthicum Heights, MD 21090 <br />This is to certify that the policies of insurence listed below have been issued to the Insured named above far the po/icy period intlicated, notwithstanding any requirement, term. <br />or condition of any contract or other document with respect to which this certificate may be issued or may pertain. The insurance al/orded by the policies described herein is <br />subject to all the terms. exclusions and conditions of such po/icies. Limits shown may have been reduced by paid claims. - <br />Type of Policy Policy Policy <br />Insurance No. Period Limits/Values <br />Commercial General ICH GL 137-04 01/01/04 - $ 6,000,000 General Aggregate <br />Liability 01/01/05 $ 6,000,000 Products/Completed Operations <br />Aggregate <br />$ 1,000,000 Personal and Advertising Injury <br />$ 1,000,000 Each Occurrence <br />$ 1,000,000 Fire Damage (Any One Fire) <br />$ 10,000 Medical Expense (Any One Person) <br />Insurance Company(ies) Insurance Corporation of Hanover <br />Automobile Liability AS2-641-004364-114 <br />01/01/04- $ 1,000,000 CSL Each Occurrence <br />01/01/05 <br />Insurance Company(ies) Liberty Mutual Fire <br />Excess Worker's OEX 000363 04 <br />Compensation/ <br />Employer's Liability <br />Insurance Company(ies) -Old Republic Insurance <br />Excess Liability ICH CU 231-04 <br />06/30/04 - WC: <br />06/30/05 Statutory <br />EL: <br />$ 1,000,000 Each Accident <br />$1,000,000 Disease-Policy Limit <br />$ 1,000,000 Disease -Each Limit <br />U7/U7/U4 - ~ I,000,UUU tacn toss aria In the aggregate as per <br />01!01!05 Form, excess scheduled underlying. <br />Insurance Company(ies) Insurance Corporation of Hanover <br />RAG Empire Coporation including Permit #C-t11-044, Twentymile Coal Company including Permit #C-82-056. The insurer will notify the <br />division of substantive changes in policy, including termination or failure to renew. <br />The subscnbing insurers obligations under contracts of insurance to which they subscribe are several and not joint antl are limited solely to the extent of their individual <br />subscriptions. The subscribing insurers are not responsib/e for the subscription o/ any cosubscdbing insurer who /or any reason does not satisfy all or part of its obligations. <br />This certificate is issued as a matter of information only and confers no rights upon the certificete holder. This certificate does not amend, extend or after the arverage afforded by <br />the policy(ies) shown hereon. Shoultl any of the above tlescnbed policies be canceletl before the expiration tlate thereof, this agency, on behalf of the issuing company(ies), will <br />endeavor to mail 60 days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the <br />wmpany(ies) or this agency. <br />Aon Risk Services of Illinois, Inc. <br />Date: July 8, 2004 <br /> <br />Aon Rirk Seroicer of Texat, Inc. <br />1330 Post Oak Blvd., Suite 900 • Houston, Texaz 77056 • tel: (832) 476-6000 • faz: (832) 476-6590 <br />
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