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GENERAL54002
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GENERAL54002
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Entry Properties
Last modified
8/24/2016 8:39:22 PM
Creation date
11/23/2007 9:09:01 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981071
IBM Index Class Name
General Documents
Doc Date
7/18/2000
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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, ~ <br />~ III IIIII <br />~ IIIIIIII III <br /> <br />~ertfttc~te of <br />~ugur~ruce <br />~ , <br />~ Aon Risk Services <br />To: Division of Minerals & Geology Re: Attachment <br />Department of Natural Resources Fax to: <br />Attention: Janet H. Binns Rick Mills at Twentymile <br />1313 Sherman St. Rm. 216 970-879-8050 <br />Denver, CO 80203 <br />Assured: RAG American Coat Holding, Inc. RE <br />CE <br />999 Corporate Blvd. ~V~D <br />Zi1 <br />t9i <br />CUm Heights, MD C <br />0 <br />0 18? <br />J <br /> Op0 <br />oiyrsio <br />U <br /> Migeral <br />s d <br />This is fo certiry that the policies o! insu2nce Irsfetl Delow have been issued to the Insured named above /or the policy period indr fwrthsfantling any <br />regwremenC term <br />or condition of an <br />confrecf or other document with res <br />ect fa which this certif <br />cafe ma <br />ertain <br />be issued or ma <br />Th <br />in~ren <br />H <br />rtled b <br />, <br />y <br />p r <br />y <br />y p <br />. <br />e <br />ce a <br />O <br />y <br />the policies descnbed herein rs subject to all the fertns, exclusions antl conditions o/such policies Limits shown may have been reducetl by paitl claims. <br />Type of Policy Policy Policy <br />Insurance No. Period LimitsNalues <br />Commercial General Liability 06/30/00 - $ 6,000,000 General Aggregate <br />Other States RMGL 6123905 06/30101 $ 6,000,000 Products/Completed <br />Wyoming RMGL 6123904 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 06/30/00 - $ 1,000,000 CSL Each Occurrence <br />Other States RMCA 5348027 06/30/01 <br />Wyoming RMCA 5348026 <br />Insurance Comaanv(iesl American Home Assurance <br />Workers' Compensation OC 01704903 06/30/00 - WC: Statutory <br />Employers' Liability 06/30101 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' EX363 06130/00 - Statutory Excess of a Self Insured <br />Compensation 06130101 Retention: $1,000,000 any one <br />occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscribing insurers' obligations under conf2cts or insurance fo which they subscribe are several and not joint and are Irmr(ed solely fo the extent o! their <br />intlividua/ subscriptions. The subschbing insurers are not responsible for the subscnpfion o! any cosubscr~bing insurer who for any reason does not sabsly all or <br />part o/its obligations. <br />This certiriWte is issued as a matter of in(onnalion only and confers no rights upon the certificate holder. This cerliLrate tlce5 not amend. extend or alter the <br />coverage aflordetl Dy the pclicy(ies) shown hereon. Should any of the aDOVe described policies he canceletl helore the expiration tlate thefeol, this agency, on <br />Oehall of the issuing cpmpany(ies), will eorma>®6oc mail 60 tlays written notice to the above named certibcale holder,xt,y00e6cxvgrmeiksuotxxxnroegaall <br />NWlarrldilo9eoorx <br />Date: July 13, 2000 <br />Aon Risk Services of Texas, Inc. <br />.~• m.~~ -~.m-- <br />By~ ~R, ..~' `~slsK~,,,. <br />Aon Rilk Servii r~ of Trrar, Lrr. <br />2000 Bering Drive, Suite 900 • Housron, Texss 77057-3790 • rrl: (71 3) 430-6000 • fax: (713) 430-6590 <br />F.ICLIENTSl4onV7AGVtoben5 F,Ie512006 Cen FilerDivision Of Min 8 Geo Cert loot <br />
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