My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL54361
DRMS
>
Back File Migration
>
General Documents
>
GENERAL54361
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:39:38 PM
Creation date
11/23/2007 9:25:12 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980003
IBM Index Class Name
General Documents
Doc Date
7/15/2002
Doc Name
Certificate of Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
MARSH USA <br />ING, CERTIFICATE OF INSURANCE `ERT""IGATE "NOMI]Ek <br />m <br />- ~~ - - - - NYC-001141578-02 <br />PRODUCER TNIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />Marsh USA, IOC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER TXAN TNOSE PROVIDED IN THE <br />1766 Avenue of Americas POLICY. THIS CERTIFICATE DOES NOT AMEND, E%TEND OR ALTER THE COVERAGE <br /> AFFORDED BY 7NE POLICIES DESCRIBED HEREIN. <br />New York, NY 10036 4o COMPANIES AFFORDING COVERAGE <br />v <br />~~ COMPANY <br />08046-AIlxs-zs-01-02 ~ A Evanston Insurance Company <br />INSUaeD <br />0~o9 <br />~ ~~ GD B ANY <br />G <br />H-G Coal Company <br />a 0 HARTFORD FIRE INSURANCE CO <br />Go W.R. Grace & Co. J~ Bo <br />1 <br />ogr,0\S <br />~~ <br />r1 <br />~ co C ANY <br />`~` <br />Co <br />mbia <br />MD <br />21044 HARTFORD INSURANCE CO OF MW <br />o <br />°~sXOC co D ANY <br />0Y N/A <br />COVERAGES `: This.certificafe supersetles and~reptaces any previously issued certificate for the, pgligy_period noted below _.y __3 --; '_ <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED NEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REpUIREMENT, TERM OR Q7NDITION OF ANY CONTRACT Oft OTNER pOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MMIDDIYY) DATE (MMIDDIYY) <br />A OEN ERAL Unelurv 02GLP1005479 06130/02 06130/03 GENERAL AGGREGATE $ 2.000,000 <br /> X COMMERCIAL GENERAL LIABILITY PROWCTS-COMP/OP AGG $ 2.000,000 <br /> CLAIMS MADE OCCUR PERSONALB ADV INJURV $ 2,000,000 <br /> OWNER'S B CONTRACTOR'S PROT EACH OCCURRENCE $ 2000,000 <br /> FIRE DAMAGE (Any ane Rre} $ <br /> <br /> MED EXP An one rson $ <br />B AUT OMOBILE LIABILITY 10ABRC47901 (All Other) 06/30/02 06/30/03 <br />000 <br />000 <br />2 <br /> COMBINED SINGLE LIMIT . <br />. <br />$ <br />C X ANV AUro 70ABRC47903 (TX) 06/30!02 06/30/03 <br /> ALL OWNED AUTOS 10MCPC47902 (MA) 06/30/02 O6/30I03 BODILY INJURV $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accitlent) <br /> NONAWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE LIABILITY <br />AUTO ONLY-EA ACCIDENT <br />$ <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCI ENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br />C WORRERS COMPENSATION AND 1OWBRC479OO <br />06/30/02 <br />O6/30/O3 WCS A U- H ;;, ~.,,,W sin •' <br /> EMBLOYERSSLIABILJTY _ X TORYLIMITS ER :: ~..:.:-~*...:': <br /> , - _ _ _ _ _ EL EACN ACCIDENT $ 2.000.000 <br /> THE PROPRIETOIL INCL EL DISEASE-POLICY LIMIT $ 5,000,000 <br /> PARTNERSIFJ(ECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASEEACH EMPLOYEE <br />$ 2,000,000 <br /> HER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS ILIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS) <br />The coverage and limits stated above apply to Permit #C80-003 <br />The General Liability policy is excess of a $500,000 self insured retention . <br />CERTIFICATE HOLDER - CANCELLATION ~ -~ `~ <br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE GNCELLED BEFORE TIE EXPIMTON DALE THEREOF. <br /> THE INSURER AFFORDING CWERAGE WILI, BDVEA.RvBCAI MAIL _ _3!! MYS WRITTEN NOTICE TO THE <br />Colorado Division of Minerals and LERTIFIGTE HOLDER NAMED HEREIN, 6}[¢(j~L4BEJ[D[~$a~RrXBL1RCFRl}{L[]{VIRBV7Q-$DL~NR <br />Geology <br />Attn: Jim Stark ffiA~11Ni#ffi'td~BBtOSDS7dl1&AF3¢9GBk7ESEK94DGSFNd4i67C3CD5Ya4`~[S'DlbiCtd-6X~T3'iAFffiPf <br />1313 Sherman Street -Room 215 <br />D <br />CO 80203 <br />enver, MARSH USA INC, <br /> ev: John J. Lyons ~p~°e <br />.-...~si'.; ..'.. - MM1(9198) -~. ~ VALID-AS OF:07/02/02 <br />
The URL can be used to link to this page
Your browser does not support the video tag.