Laserfiche WebLink
<br />MARSH l1SA fNC. E CERTIFICATE NUMBER <br />CERTIFICATE QF INSURANG <br />..•...~ . , ~ , <br />,-;. ,-. -...- CHI-000178471-00 <br />PRO 1CER iH1G CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />MarSll USA IDC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />800 Market Street, Suite 2600 POLICY. TNIa CERTIFICATE DOES NOT AMEND, EXTENp OR ALTER THE COVERAGE <br />St. Louis, MO 63101-2500 AFFORDED 6Y THE POLICIES DESCRIBED HEREIN. <br /> COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />01950-state-GL9-02-03 Y N A FEDERAL INSURANCE CO ,^~ __, l <br />INSURED COMPANY .Y_ ~ a <br />Mountain Coal Company, L.L.C. B <br />P.O. Box 591 <br />1 Mile East of Somerset -Hwy 133 COMPANY <br />Somerset, CO 81434 C <br /> COMPANY Division of Minerals and GeoloAY <br /> D <br />-~, ,. u <br />COVERAGES"`'- -_h This certlficale:supersetle's and replaces"any previously issued <br />cerfifca~te for ttie:pollcy period hoted~below. ~.6- <br />„ <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT VATH RESPECT TO VvHICH THE CERTIFICATE MAV BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S UBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION <br />LIMITS <br />LTR GATE IMM/DOIYYJ DATE (MMIOD/YY) <br />p~ GE NERAL LIABILITY g7j j-DD-jO D7(31(D2 D7(31(D3 <br />000 <br />~ SOD <br /> GENERAL AGGREGATE , <br /> X COMMERCIAL GENERAL LIABILITY "$SOO <br />D00 genafal aggregate DDD <br />$ SDD <br /> , PRODUCTS-COMPIOP AGG , <br /> _ CLAIMS MADE ~ OCCUR aPPIIes per IOGatIOn~ PERSONALBADV INJURY $ 300,000 <br /> OVa7JER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE S 300,000 <br /> X FIRE DAMAGE (Arty metira) $ 5D,DOU <br /> <br /> MED EXP (Any one person) $ 5,000 <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO <br /> ALL OWNED AU70S BODILY INJURY <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br /> NON-0NMED AUTOS <br />(Per acpdenl) <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE LIABILITY <br /> AUTO ONLY-EA ACCIDENT S <br /> ANV AUTO OTHER THAN AUTO ONLY _- <br /> EACH ACCIDENT <br /> AGGREGATE <br /> EXCESS LIABIUTY EACH OCCURRENCE <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION ANO T - <br /> EMPLOYERS'LIABILITV TORY LIMITS ER . <br /> EL EACH ACCIDENT <br /> THE PROPRIETOR/ <br />E INCL EL DISEASE-POLICY LIMIT <br /> PARTNERS/ <br />XECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />S <br /> TH <br />ESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS (LIMITS MAV BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) <br />overage is included for surtace coal mining and reclamation operations including the use of explosives. C-80-007 West EIk Mine <br />ER711~1CTEHOLDER=~ ~ ~ <br />~ <br />~ <br />~ ~ CANCELLAT{ON <br />>,~ <br />. ; <br />„ , <br />n <br /> SHOULD qNY OF THE POUCIES GESCFUBEO HEREIN 8E CANCEILEU 6EFOHE THE EXPIRATION DATE THEREOF, <br /> THE INSOREft AFPORdNG COVEMGE HALL EM~1gL MAIL _ 4g DAYS WRITTEN NOTICE t0 THE <br />Colorado Dept. Of Natural Resources <br /> <br />Division of Minerals 8 Geology CERTIFICATE HOLDER NAMED HEREIN. <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 xxzxxxxxxxxxxxxxxxxxxxxzzxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx <br /> MARSH USA INC. yy~~ <br />BY~. Alfred A. Peterteso ~{,,y_Jp, (~, , Y ~JL~J~' <br /> <br />