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PERMFILE137686
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PERMFILE137686
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Entry Properties
Last modified
8/24/2016 10:38:18 PM
Creation date
11/26/2007 6:22:26 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Doc Name
INSURANCE CERTIFICATE
Section_Exhibit Name
TAB 03 ATTACHMENT 3-6
Media Type
D
Archive
No
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:~ <br />/D'\"~ ~ ; 4 ~ ~t~ jJ~ •r - ~ DATE PpLDNYT7 r <br />_ ~~.~. _.~...~..• ~~OF S -ONCE :'-. r°~_ ._~~ ; , „-sp~_gF <br />_ .ni ~~ .. h..f. <br />-oucEA THIS CERTIFCATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />SEDGWICK JAMES OF NJ, INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />BECKER FARM ROAD COMPANIES AFFORDING COVERAGE <br />SELAND, NJ 07068 G-04A I coMPANr <br />___ <br />-_ A INDEMNITY INS.CO. OF N. AMERICA <br />__. <br />INSURED -_. .-_- __ _ _.__ I .__ --_ .. .. <br />COMPANY <br /> B <br />SENECA COAL COMPANY ~r <br /> ~pµy <br />1300 SOUTH YALE j C <br />FLAGSTAFF, AZ 86001 COMPANY <br /> D <br />COVERAGES rrs}'_f.^;'=.;'~.'.. <br />rC.t. .. cs A -. . <br />. -.. .. ... <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 REQU IREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY RE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDRIONS OF <br />SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS <br />_ <br />T( <br />CO~ POUCY EFFECTIVE POUCY EXPIRAAON' <br />~ <br />TYPE OF INSURANCE I <br />LTA I POLICY NUMBER <br />UMfTS <br /> DATE (YMIDO/YT~ DATE (YMIDD/YY) <br />A GEN ERALUABIUIY 'GENERAL AGGREGATE ~S <br />NSA <br /> I C <br />OMMERCIALGENERAL LIABILITY CGO n <br />G1 423000-2 _ <br />10/01/95 1O/1 /96 'PRODUCTSCOMPAP AGG ~if 2,000,000 <br /> ~ <br />I I <br />~ <br />I CUIMS MADE ~ OCCUR PERSONAL 6 ADV INJURY f 1 , OOO , OOO <br /> OWNER'S6 CANT PROT LEACH OCCURRENCE lE 1,0007 OOO <br /> BROAD FORM VEN DORS COVERAGE INCL DED IFIREDAAIAGEIAnyonelnel <br />~s <br />50,000 <br /> - _ <br />. <br />--- - <br />MED E%P IMy one persanl I f 5 000 <br />AUT OMOBILE UABILfTY <br />A ~ ANY AUTO <br />SCA <br />HO 187821-9 :COMBINED SINGLE LIMIT f <br />10/01/95 10/1/96 1,000,.000 <br />J( ALL OWNED AUTOS I BODILY INUURY <br />S <br /> SCHEDULED AUTOS ~ (PQ`P,"°") ' <br />~,X HIRED AUTOS (BODILY INJURY <br />f <br /> NON~OWNED AUTOS I i I ~ (Pr a¢+aenD - <br /> I <br /> - ', PROPERtt DAMAGE E <br />i <br />'GARAGE LIABILTY ~ AUTOONLY EA ACCIDENT f <br />j ] ANY AUTO ~ OTHER THAN AUTO ONLY -_ _- _--__ <br />I ~ ~ EACH ACCIDENT E <br />_- _ <br />i 1 AGGREGATE f <br />~E%CE55 UABIUTY j ;EACH OCCURRENCE E <br /> <br />`J UMBRELLA FORM ~ <br />1 <br />- I AGGREGATE _ f _ <br />I <br />OTHER THAN UMURELLA FORIT ~ I f <br />(WORKERS COMPENSATION AND '~ ~ ;STATUTORY LIMITS ' <br />EMPLOYERS' WBILITY ~ <br />I ~~ -- ----- - ~ --~ <br />EACH apC1DENT <br />S <br />I <br />I THE PROPRIETOfL ~ INCL _ <br />i <br />DISEASE ~ POLICY LIMIT E <br /> <br />~ PARTNER$lEXECUTIVE <br />i <br />I i <br />~ - ------- - <br />OFFICERBARE E%CL DISEASE EACH EMPLOYEE f _ <br />OTHER <br />I <br />DESCAIPRON OF OPERATIOH540CATK)NSNEHICLE55PECIAL REMS COVERS OPERATIONS AT SENECA II MINE <br />INCLUDING DAMAGE FROM SURFACE COAL MINE OPERATIONS, THE USE OF EXPLOSIVES AND <br />DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION ~ <br />COLORADO DEPT. OF NATURAL RESOURCES SHOULD AMY OF THE ABOVE DESCRIBED POUGIES BE CAHGELIED BEFORE THE <br />DIV. OF MINERALS 8 GEOLOGY I ExPIAAnoN DATE THEREOF, THE IssulNC COMPANY WILL ~I~y€RV~~ MAIL <br />3 SHERMAN STREET , ROOM 21 5 I O DAYS WRITTEN NOTICE TO THE CEBTIFlCATE HOLDER NAMED TO THE LEFT, <br />~JVER, CO 80203-2273 XR`ks~f'kLA`~~FRA"R'kRX9t'kiPR4~tn~sFHlla~oxace~X%~Ixdcdc <br />OF./W14..K1Nd JlIXVId.]L6 TG0NMVV YRK YAGbifY XDEM XIXA{TX9E]IYAXiYdfXX I <br />ACORD 25-S (3193) ®ACORD CORPORATION 1993 <br />
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