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2008-03-21_GENERAL DOCUMENTS - C1982056
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2008-03-21_GENERAL DOCUMENTS - C1982056
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Last modified
8/24/2016 3:25:37 PM
Creation date
3/24/2008 12:16:35 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
3/21/2008
Doc Name
Certificate of Liability Insurance (E-mailed)
To
DRMS
Permit Index Doc Type
Insurance
Email Name
DIH
Media Type
D
Archive
No
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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE <br />TM <br />page 1 of 2 Q3i2oi2oQ$ <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie North America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 <br />Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED peabody Snergy Corporatioa and 3ubaidiariee <br />Att <br />R INSURER A: National Uaion Fire Insurance Compare 19445-011 <br />n: <br />yan Brown <br />701 Market Street <br />INSURER B: <br />Suite 700 <br />St <br />Louis <br />MO 63101 <br />1826 INSURER C: <br />. <br />, <br />- INSURER D: <br /> INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />NOTWITHSTANDING <br />. <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />EXCLUSIONS AND CONDITI <br />, <br />ONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR DD' <br />NSR <br />TYPEOFINSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/OD/W POLICY EXPIRATION <br />DATE MM/DD/YY <br />LIMITS <br />A X GENERAL LIABILITY 4807243 11~1~2007 11~1~2 U08 EACH OCCURRENCE $ 2 QQQ QQQ <br /> X COMMERCIAL GENERAL LIABILITY PREMISES EaEoNCCUrence $ 5Q QQQ <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5 Q Q Q <br /> PERSONAL&ADVINJURY $ <br /> 1 QQQ QQQ <br /> GENERAL AGGREGATE <br /> $ 4 QQQ QQQ <br /> GEN'LAGGREGATELIMITAPPLIESPER: <br />P PRODUCTS-COMP/OPAGG $ 4 QQQ QQQ <br /> RO- <br />POLICY <br />JECT LOC <br />A AU TOMOBILE LIABILITY 4806729 11~1~2007 11~1~2008 <br /> <br />]( <br />ANY AUTO COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ 2 •QQQ • Q Q 0 <br /> ALL O WNED AUTOS <br /> BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON•OWNED AUTOS (Per accident) <br /> <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO <br />OTHER THAN EA ACC <br />$ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPEN3ATION AND WC STATU- OTH- <br /> EMPLOYERS'LIABILITY D TORY LIMITS ER <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE RAG' V <br />~~ E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED9 <br /> If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br /> <br /> pivistio d g ,7 <br /> an <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSE NT/SPECIAL PROVISIONS <br />Re: Foidel Creek Mine, C1982-056 <br />It is agreed that Colorado Division of Reclamation, Mining and Safety is included as an Additional <br />Insured as respects to General Liability, but solely in regards to work being performed by or on <br />behalf of the Named Insured. <br />--..... .-• • • - • •~~~~•• VNIYIiCLLl111Vry <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL 11iX~MAIL 3 D DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEF~1lfYr~ L <br />m>~ mx oc~x>lmmrs[m>I~c~axxam~lxxamc <br />Colorado Division of Reclamation, Mining and Safety <br />ROOM 215, 1313 ShermaA Street AU HORIZE PR E TATNE <br />Deaver, CO 80203-2273 <br />ACORD25(2001/08) Co11:2297657 Tp1:698972 Cert• 0419184 ©ACORDCORPORATI~NI9RR <br />
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