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2008-02-19_GENERAL DOCUMENTS - C1980001
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2008-02-19_GENERAL DOCUMENTS - C1980001
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Last modified
8/24/2016 3:22:57 PM
Creation date
2/20/2008 12:04:16 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
2/19/2008
Doc Name
Certificate of Insurance
From
Marsh Risk & Insurance Services
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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<br />A~ H CERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br />__ _ _. _ SEA-000235038-16 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />P. O. BOX 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />CALIFORNIA LICENSE NO. 0437153 AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />SAN FRANCISC094119-38E30 <br /> COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />25158-003-003- 0070 A ACE AMERICAN INS CO <br />INSURED COMPANY <br />CHEVRON MINING, INC. B <br />116 INVERNESS DRIVE <br /> <br />SUITE 207 COMPANY <br />ENGLEWOOD, CO 80112 C <br /> COMPANY <br /> D <br />COVERAGES This certificate supersedes and replaces anyprgyiously,lssued certificate for the policy,period noted below. 13 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MM/DD/YY) DATE (MM/DD/YY) <br />A GE NERAL LIABILITY CMRG21703023 03/01/08 03/01/09 <br />000 <br />00 <br />$ 1 <br /> GENERAL AGGREGATE , <br />, <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG $ 1 ~~~~~~~~ <br /> X CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1 ~~~~~~~~ <br /> OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> X RETRn HATE • MARCH 1 <br />19E 36 FIRE DAMAGE (Any one fire) $ <br /> , <br /> MED EXP An one erson $ <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> <br /> GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br />A EXCESS LIABILITY XLXG21703047 03/01/08 03/01/09 EACH OCCURRENCE $ 3,500,000 <br /> UMBRELLA FORM AGGREGATE $ 6,500,000 <br /> X OTHER THAN UMBRELLA FORM $ <br /> WO RKERS COMPENSATION AND - <br /> EMP LOYERS' LIABILITY TORY LIMITS ER <br /> EL EACH ACCIDENT $ <br /> THE PROPRIETOR/ INCL ELDISEASE-POLICY LIMIT $ <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />$ <br /> THER <br />DESCRIP710N OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />This Certificate shall provide for personal injury and property damage as a result of surface coal mining and reclamation operations including arising from the <br />use of explosives at the Insured"s Edn:a Mine in Colorado. The issuing Company shall notify the below named Certificate Holder whenever substantive <br />changes are made in the above described policies including termination or failure to renew. <br />'CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, <br /> THE INSURER AFFORDING COVERAGE WILL EIG~~~ MAIL ~Q DAYS WRITTEN NOTICE TO THE <br />Division of Reclamation, CERTIFICATE HOLDER NAMED HEREIN, <br />Minerals and Saftey <br />Attn: Tom Kaldenbach E <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203-2273 <br /> AUTHORIZED REPRESENTATIVE <br />Marsh USA Inc. ~~(~ a, Q~s.~/ <br />~~ <br />~ <br /> BY: Wendy Sokol ~ <br />9 <br /> MM1(3/02) VALID AS OF:02/14/08 <br />
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