Laserfiche WebLink
i <br /> <br /> <br />,•~ ~ °I -~? IssuE° <br />alaliai CERTIFICATE~OF INSURANCE ` <br />( <br />9 <br /> <br />' . <br />14 <br />Sep <br />3 <br />PRODUCER THIS CEATIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />SEDGWICK JAMES OF NJ, INC. G-04A DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />30 MORRIS TURNPIKE POLICIES BELOW. <br />SHORT HILLS, NJ 07078 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />LETTER A INSURANCE CO. OF NORTH AMERICA <br /> COMPANY B <br /> <br />~~~~ODY COAL COMPANY LETTER <br />~r:~ ;- <br />'' <br />" <br />701 MARKET STREET <br />SUITE 70U COMPANYC ,. <br />.i ' <br />L, <br />. LETTER <br />ST. LOUIS MO 63101-1826 <br /> LETTERNY D JCT p 4 1993 <br /> <br /> COMPANY <br />LETTER E n;,,,,.~_;, <br /> ,,:,. -„ <br />_. <br />C_O_ VER_AGES _ ~ _ _ <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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANC E AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%GLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />DATE (MMIDD/YV) DATE (MMIDD/YVI <br />ENERAL LIABILITY GENERAL AGGREGATE S <br />_ <br />CGO GI 65851.3-0 10/01/93 10/01/44 paooucrs <br />A ~ <br />s2.000 <br />000 <br />COMPIOPAGG <br />COMMERLIALGENE~R(ALLIABILITV <br />CLAIMS MADE-X OCCUR. , <br />. <br />- <br />PERSONAL 6 ADV. INJURY S 1 OOO OOO <br />OWNER' A CONTRACTOR'S PROT. EACH OCCURRENCE S 1 , OOO , OOO <br />X Broad Form V2RC10 L'S Covera4e inc luded <br />1)Q1~ <br />SO <br /> . <br />FIRE DAMAGE (Any ona file) S <br /> MED. IXPENSE (My ane Pxfe^) S S. 0 0 0 <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />~A:X <br />SCA HO 502377-4 10/01/93 10/01/94 LIMIT f1 <br />000 <br />000 <br />ANY AUTO <br />'X , <br />, <br />,ALL OWNED AUTOS <br />X BODILY INJURY <br />S <br />SCHEDULED AUTOS (Per person) <br />X <br />HIRED AUTOS <br />X BODILY INJURY <br />S <br />NON-OWNED AUTOS IPer ecciEenl) <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE S <br />E%CESS LIABILITY ~ EACH OCCURRENCE f <br />UMBRELLA FORM AGGREGATE S <br />OTHER THAN UMBRELLA FORM <br /> <br />WORKER'S COMPENSATION ' STATUTORY LIMITS <br />~ -+--- ---- ~ - <br /> EACH ACCIDENT S <br />AND <br /> DISEASE-POLICY LIMIT E <br />EMPLOYERS' LIABILITY <br />DISEASE-EACH EMPLOYEE S <br />OTHER <br />P~}~N~N~PE~S~1MAi;EATIFROMIDSURFACEEMC <br />~~~ <br />, <br />OAL MINE OPERATIONS. THE USE OF EXPLGSIVES AND <br />DAMAGE TO WATER WELLS. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />COLORADO DEPARTMENT OF NATURAL RE SOU RE%Pl~rdloN DATE THEREOF, THE ISSUING COMPANY ~1CXXlfNDt70X00X XOCD( <br />IV . OF MINED LAND RECLAMATION MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />2(}(AXSCk~t~k52Jt>?cY(~Xx3BmC1lH Room Z15 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />1313 SHERMAN STREET 11A811ITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />DENVER, CO HO2O3 AUTHORIZED REPRESENTATIVE ~~ f~ <br />` <br />' <br />~J-~~J y <br />f <br />, <br />ACORD~25-S 7190 ~ OOv <br />B,D CORPORATION 1990 <br />® <br />. <br />A <br />