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GENERAL52993
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Entry Properties
Last modified
8/24/2016 8:38:41 PM
Creation date
11/23/2007 8:14:23 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
7/2/1999
Doc Name
Certificate of Insurance
From
CYPRUS EMPIRE CORP
To
DMG
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~ertif f cite of ~1u~ur~uce <br />To: Division of Minerals and Geology Re: <br />Colorado Department of Natural Resources <br />Attn: Mr. Michael Long, Director <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Assured: <br />RAG American Coal Holding Inc. et al <br />Including Colorado Yampa Coal Company, RAG Empire Corporation and <br />Twentymile Coal Company <br />1520 Kanawha Boulevard East <br />Charleston, WV 25311 <br />This is to cenily Thar the policies of insuance listed below have been issued to the Insured named above !or the policy period indicated, notwithstanding any <br />requirement, term, or condition of any ronfract or other document with respect ro which this certilicafe may be issued or may pertain. The insurance aNorded by <br />the policies described herein is subjec( roe/1 the farms, exclusions end conditions of such policies. Limits shown may have been reduced by paid claims. <br />Type of Policy Policy Policy <br />Insurance No. Period LimitsNalues <br />Commercial General Liability 06-30-99/00 $ 6,000,000 General Aggregate <br />Other States 6122944 $ 6,000,000 Products/Completed <br />Wyoming 6122945 Operations Aggregate <br /> $ 1,000,000 Personal and Advertising <br /> Injury <br /> $ 1,000,000 Each Occurrence <br /> $ 1,000,000 Fire Damage (Any One <br /> Fire) <br /> $ 10,000 Medical Expense (Any <br /> One Person) <br />Insurance Company(ies) American Home Assurance <br />Auto Liability 06-30-99/00 $ 1,000,000 CSL Each Occurrence <br />Other States 5347309 <br />Wyoming 5347310 <br />Insurance Company(ies) American Home Assurance <br />Workers'Compensation 00017049-02 06-30-99/00 WC: Statutory <br />Employers' Liability EL: $1,000,000 Each Accident <br /> $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />Insurance Company(ies) Old Republic Insurance Co. <br />Excess Workers' EX360 06-30-99/00 Statutory Excess of a Selt Insured <br />Compensation Retention: $1,000,000 any one <br /> occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscribing insurers' obligations under contracts o/ insurance to which they subscribe ere severe) antl not joint and ere limited solely to the extent o/ Iheir <br />individual subscriptions. The subscdbing insurers are not responsible /or rho 5ubscdpfion of any cosubscdbing insurer who for any reason does not saristy all or <br />pan o/its obligations. <br />This cenilicata is issuetl as a mailer of inlonnalion only antl coolers no rights upon the cenilicale holder. This cenihcate does not amend, exlentl or alter Iha <br />coverage aNorded by the poliry(ies) shown hereon. Should any of Iha above tlescdbed policies be canceled belore the exp,rahon dale thereat, th,s agency, on <br />behall of the Issuing company(ies), will antleavor to mail 60 days written notice to the above named cenilicale holder, Dul la+lure to mail such notice shall <br />impose no obligation or I+ahiliry of any kind upon the company(ies) or this agency. <br />Aon Risk Services of Texas, Inc. <br />Date: June 30, 1999 <br /> <br />;~,=CEIVED <br />1JUL 02 1999 <br />Division of Minerab 8 Geology <br />rl nu ILrk .Scrrirtr n~'(rsar. Inc <br />'1111(1 neriny Drive, Suite 900 • Flausrnn, Texas 77057-37')0 • [rl: (713) 4311-6110(1 • fax: (711) ~i ill-65911 <br />F:\CLIENTSUOn\RAGlpol+cies\O6-I'0-99-bo.ws\273~4.clg.doc-8 <br />06'30.99 3:13 PM <br />
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