PERMFILE139043

• Permit No: C1980005
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: INSURANCE CERTIFICATE
• Section_Exhibit Name: TAB 03 ATTACHMENT 3-10
• Media Type: D
• Archive: No

CERTIFICATE OF INSURANCE ~ . • ~ ISSDE DATE IMM/00/Yq
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6/12/92
PRODUCER ~ ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
SEDGWICK JAMES CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
OF NEW JERSEY. INC. POLICIES BELOW.
30 MORRIS TURNPIKE COMPANIES AFFORDING COVERAGE
HORT HILLS. NJ 07078
COMPANY
A
LETTER
National Union Fire Ins. Go.

_ .__.... _..- _.. ...... _._. .. .. _ _...._.. ..._.._
INSURED COMPANY !~-'.j }r.. ~ J/

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LETTER B 1 1 T , 1j. ~ ~
PeabGdy CGaI CGmpany LERERNY `+ .
301 North Memorial Drive
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UN2619
MO 63166
St. Louis COMPANYD
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COMPANY E
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LETTER :'le[,'~ rnatir,n '~~• •~c~n .
COYERAGES'~- - ~ ~r_. ~ ~ _~. ~----~_.- '-.-'- .. ~._
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CO NDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAV BE ISSUED OR MAV PERTAIN. THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER
LTR POLICY EFFECTIVE POLICY E%PIRATION. LIMITS
GATE IMM/DD/YY) DATE IMM/DO/YY)
A GENERAL LIABILITY GLTX3258233 TA S
~ 1 O O1 91 1 O O1 92 GENERAL AGGREGATE
SOD, OO
1
X COMMERCIAL GENERAL LIABILITY GL 3258234 A O/ ~ -_
_
_,
PRODUCTS~COMP/OP AGG. 5 1 , SOD, OOO
'CLAIMS MADE X~ OCCUR. PERSONALdADV.INJURY S 1,000,000 ~
-
OWNEP'S d CONTRACTOR'S PROT EACH OCCURRENCE
S 1 ,
OQO , OOO
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Form
Vendors CGYerage Included
X Broad -
_
FIRE DAMAGE (Any one lire) 3 SO,000
_
_ MED. E%PENSE (Arty one pwvn) S 5 OOO
/~ p y
A AUTOMOBILE LIABILITY CA1428000 TX 1 O O1 91 1 O O1 92 COMBINED SINGLE
ANY AUTO
(NJ,NY,
X
C
A14279
99 'LIMIT
MA)
t,500,000
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_
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p
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X ALL OWNED AUTOS CA1427998 (A/O/S) ._
__-_____ __
_
BODILY INJURY
X SCHEDULED AUTOS (Per peraonl S
x HIRED AUTOS BODILY INJURY
S
X NON-OWNED AUTOS IPer acci0enq
GARAGE LIABILITY
- ~ PROPERTY DAMAGE S
E%CESS LIABILITY EACH OCCURRENCE S
i
UMBRELLA FORM _
AGGREGATE S
_.. _.
OTHER THAN UMBRELIA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
EACH ACCIDENT S
ANO -_ __.... . _. _..__ _ ... _-__.-_-.._._ _ ... I
DISEASE-POLICY LIMIT S '
EMPLOYERS' LIABILITY
DISEASE-EACH EMPLOYEE S I
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEM$
ALL OPERATIONS OF THE INSURED AT ALL LOCATIONS. Covers Operations at Seneca II Mine
Including Damage From Surface Coal Mine Operations, the Use of Explosives and Damage to
i
WRtar WPllc_
Division of Mined Land Reclamation
Colorado Division of Natural Resources
215 Centennial Blvd.
1313 Sherman Street
Denver, CO 80203 _ -
J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEyyDyyByyEyyFyyOyyREyy TyyHEyy
', EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL rE1~pEXVORX TO
MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
{~ LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
I LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
~!'~•.Y
Laurel H. Stone
ACORD 25•S (7/90) / / ~ACORD CORPORATION 1