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GENERAL53671
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Entry Properties
Last modified
8/24/2016 8:39:08 PM
Creation date
11/23/2007 8:50:19 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981024
IBM Index Class Name
General Documents
Doc Date
9/23/1981
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIII III <br />mad 999 <br />I f. <br />NAME AND ADDRESS Oi AGENCY <br />COMPANIES AFFORDING COVERAGES <br />Alexander & Alexander, Inc. <br />650 South Cherry Suite 1100 LE,MrER"Y A Hartford Insurance Co. <br />Denver, Colorado 80222 p <br />I~TTERNY B National Indemnity Co. <br />NAME AND ADDRESS OF INSURED /~- <br />Colorado Coal Mining Company crrEeNY C <br />105 E. Kiowa Street Suite 200 <br />Colorado Springs, Colorado 80903 LETTER"Y <br />COMPANY C <br />LETTER G <br />This is to certity that policies o1 insurance listed below have been issued to the insured named above and are in torte at this time. Notwithstanding any requirement. term or conditlol~ <br />of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance aHOrded by the policies described herein Is sublect to all thI <br />terms, exclusions and conditions of such oolicies. <br />COMPANY POLICY Limits of Liability in Thousan 5 OOO) <br />LFiTfR TYPE OF INSURANCE POIICY NUMBCR EXPIRATION GATE EACH AGGREGAiI <br /> OCCURRENCE <br /> GENERAL LIABILITY <br /> BODILY INJURY S E <br /> I~T <br />~(COMPRE HE NSIVE FORM <br />L <br /> I~~ <br />I <br />L](PREMISCS OPERATIONS PROPf RTY DAMAGE S S <br />A ^ ExPL0510N AND COLLPPSE 34 C 71 18 29 12-1-81 <br /> HAZARD <br /> ^ UNDERGROUND HAZARD <br /> PRODUCTS/COMPLETED <br /> i~ OPERATIONS HAZARD BODILY INJURY AND <br /> L,L CONTRACTUAL INSURANCE PROPERTY DAMAGE S 3OO S3OO <br /> BROAD FORM PROPERTY COMBINED <br /> Ef~~ DAMAGE <br />L <br />)(INDEPENDENT CONTRACTORS <br /> ., <br />^j PERSONAL INJURY PERSONAL IN JURY S <br /> AUTOMOBILE LIABILITY BODILY INJURY <br /> (E ACH Pf RSONI s <br /> <br />$ x COMPREHENSIVE FORM <br />L BODILY INJURY S <br /> l <br />~ (EACH ACCIDENT) <br /> L)( OWNED 34C 71 18 29 12-1-81 <br /> C~ HIREO PROPERTY DAMAGE 5 <br /> n BODILY INJURY ANO <br /> L <br />H <br />NON~OWNEO PROPERTY DAMAGE s SOO <br /> COMBINCD <br /> EXCESS LIABILITY <br /> BODILY INJURY AND <br />B ® UMBRELLA FORM CBX 7354 12-1-81 s 5 000 s 5 OOO <br /> PROPERTY DAMAGE f f <br /> ^ OTHER THAN UMBRELLA COMBINED <br /> FORM <br /> WORKERS' COMPENSATION <br /> sTAruTORr <br /> and <br /> EMPLOYERS'LIABILITY s <br /> ,xwa~m, •,, <br /> OTHER S E P 2 3 1981 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES Cole. Dept. 01 Natural Resources <br />This certificate replaces the one previously issued. <br />Cancellation: Should any of the above described policies be cancelled before the expiration date thereof. the issuing tom <br />pany will endeavor to mail ..lA_ days written notice to the below named certificate holder. but failure to <br />mail such notice shall impose no obligation or liability of any kind upon the company. <br />NAME AND ADDRESS OF CERT IFICAI E HOLDE R <br />Mined Land REclamation Board <br />1313 Sherman 13n 423 <br />Denver, Colorado 80203 <br />DATE IssufD~~r_~2.r~gg1 <br />Alexande rend Inc. <br />ryyry ~~ fr <br />AUT ORIZED REPRE$F Ni <br />ALORD 1$ f I ~)a) <br />
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