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CERTIFICATE OF INSURANCE III IIIIIIilllllllll Issu <br />ac~:i:n <br />1 <br />M <br />YI <br />. 0711 <br />3 <br />/92 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />S E D G W I C K JAMES O F T N, I N C. POLICIES BELOW. I <br />P. 0. BOX 19810 <br /> COMPANIES AFFORDING COVERAGE ' <br />KNOXVILLE,TN 37939 <br />(615)584-9101 COMPANY A: OLD REPUBLIC INSURANCE CO. ~ <br /> LETTER A <br />i <br /> COMPANY B <br /> <br />LETTER ~ J C <br />~ <br />'.• <br />B ~~ <br />INSURED ~ ~ ~ ~ <br />~ f <br />r <br />1"1 <br />f VDRIIC MTNFRBI C f`f1MDGNV C e 1 <br />'C ~ <br />__.___ ___.. _._..__ __... _.. wmrnm <br />AND ITS SUBSIDIARY CO. LETTER <br />P. 0. BOX 3299 coMPANYD D: ^JUL201992 -- i <br />ENGLEWOOD,CO 80155 LETTER r,~ <br />COMPANY E' DIVISION OF <br />LETTER E newFanl R .R ~,Eu~_r, ~\, <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ~ <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. i <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MMIDD/YY) DATE (MM/DO/YY) <br />GENERAL LIABILITY GENERAL AGGREGATE S d <br />COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG. S 0 <br />_~ CLAIMS MADE OCCUR. PERSONAL 8 ADV. INJURY S 0 , <br />OWNER'S d CONTRACTOR'S PROT. / / / / EACH OCCURRENCE S 9 <br /> EIRE DAMAGE (Any ane nre) S 9 i <br /> MED. E%PENSE (Any one person) S 9 ' <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE I <br />___ <br />ANY AUTO S <br />LIMIT <br />9 <br />ALL OWNED AUTOS <br />BODILY INJURY ~ <br />I <br />__ <br />SCHEDULED AUTOS / / / / S <br />(Per person) 9 ' <br />HIRED AUTOS BODILY INJURY <br /> <br />NON~OWNED AUTOS IPar eccieenU S <br />9 <br />GARAGE LIABILITY , <br /> PROPERTY DAMAGE S 9 , <br />EXCESS LIABILITY EACH OCCURRENCE S 9 ~ <br />UMBRELLA FORM / / / / AGGREGATE S 9 ' <br />OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br />WORKER'S COMPENSATION EACH ACCIDENT Sl . 0 0 0, 0 9 0, i <br />A ANO 0000404605 97/91/92 07/01/93 DISEASE-POLICY LIMIT 51,080.000 I ' <br />EMPLOYERS' LIABILITY ' <br />DISEASE-EACH EMPLOYEE 51 , 9 9 9, 9 9 9 ' <br />OTHER <br />A EXCESS W.C. EX286 07/01/92 07/01/93 STATUTORY <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS i <br />EXCESS W.C. APPLIES T0: AZ,CO,GA,ID,IL,KY,MN,MO,NV,NJ,NM,NC,PA,UT,VA,WV I <br />TWENTYMILE COAL CO., FOIDEL CREED MINE PERMIT MC-82-056, COLORADO I <br />YAMPA COAL CO., MINE N3 PERMIT NC-84-062, MINES 152 & ECKMAN PARK MC-81-071 I <br />I CERTIFICATE.HOLDER, . _ - _ ~ _ ~ _ _ , - CANCELLATION I <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE ~ <br /> ~ EXPIR~T~ON DATE THEREOF, THE ISSUING COMPANY WILL }~}QfYFX1Y0'bX3f~'{ . <br />5 TA TE O F C O l O R A 0 0 <br />MINE LAND RECLAMATION DEPT. ~ MAIL_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE , <br />1313 S H E R M A N STREET , SUITE 21 5 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />O E N V E R, C O 8 0 2 03 LIABILITY OF ANY.KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORI2E0 REPRESENTATIVE - - -- <br /> <br />ACORD 25-5 (7/90) Y/ ~~ ~2JACORD CORPORATION 1990 <br /> <br />