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GENERAL54552
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Entry Properties
Last modified
8/24/2016 8:39:47 PM
Creation date
11/23/2007 9:37:32 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
1/16/2004
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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Certificate of Insurance <br />To: Division of Minerals & Geology <br />Department of Natural Resources <br />Attn: Janet H. Binns <br />1313 Sherman St. Rm 215 <br />Denver, CO 80203 <br />Assured: RAG American Coal Hodling, Inc. <br />999 Corporate Blvd. <br />Linthicum Heights, MD 21090 <br />Re: <br />REC~~~[~® <br />JAN 1 6 2004 <br />Division of Minerals and Geolbov <br />This is to certify that the poNcies of insurance //sled below have been /ssued to the /nsured named above For the policy pertad /nd/cated, rronn~thstanding any requiremen( term, <br />or condition o(any contract or other document with respect to which th(s ceMRcate may be issued or may pertain. The Insurance eflarded by the policies descdbed herein (s <br />subject fo all the terms, exclusions and conditions o/such policies. L/mlfs shown may have been reduced by pall clams. <br />Type of Policy Policy Policy <br />Insurance No. Period LimitsNalues <br />Commercial General ICH GL 137-04 01/01/04 - $ 6,000,000 <br />Liability 01101105 $ 6,000,000 <br />$ 1,000,000 <br />$ 1,000,000 <br />$ 1,000,000 <br />$ 10,000 <br />General Aggregate <br />ProductslCompleted Operations <br />Aggregate <br />Personal and Advertising Injury <br />Each Occurrence <br />Fire Damage (Any One Fire) <br />Medical Expense (Any One Person <br />Insurance Company(ies) Insurance Corporation of Hanover <br />Automobile Liability AS2-641-004364-114 01/01/04 - $ 1,000,000 CSL Each Occurrence <br />01/01/05 <br />Insurance Company(les) Liberty Mutual Fire <br />Worker's Compensation OC 017049-06 06/30/03 - WC Statutory EL: <br />Employer's Liability 06/30/04 <br />$ 1,000,000 Each Accident <br />$1,000,000 Disease-Policy Limit <br />$ 1,OOD,000 Disease- Each Limit <br />Insurance Company(ies) Old Republic Insurence <br />_ Company <br />Excess Liability ICH CU 231-04 01/01/04 - $ 1,000,000 Each Loss and in the aggregate as per <br />01!01!05 Form, excess scheduled underlying. <br />Insurance Company(ies) Insurance Corporation of Hanover <br />RAG Empire corporation including permit #C-81-044, Twentymile Coal Company -including permit #C-82-056. The insurer <br />will notify the Division of substantive changes in policy, including termination or failure to renew. <br />The subscnbing insurers obligadons under contracts of insurance to which they subscribe are sevarol and npt )olnt and are //m/ted solely to the extent of their individual <br />subscdpdons. The subscdbing insurers are riot responsible For the subscdption of any cosubscribing Insurer who For any reason does not satisfy all or part of its ob)igations. <br />This certificate is issued as a matter of Information only and confers no fights upon the cenificate holder. This certificate does not amend, extend or alter the coverage afforded by <br />the policy(ies) shown hereon. Should any of the above described policies be canceled before the expiration date thereof, this agency, on behalf of the Issuing wmpany(ies), will <br />mail 60 days written notice to the above certificate holder. <br />Aon Risk Services of Illinois, Inc. <br />Date: January 15, 2004 By: "`-~,~~~ <br />
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