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2008-05-16_GENERAL DOCUMENTS - C1981019
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2008-05-16_GENERAL DOCUMENTS - C1981019
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Last modified
8/24/2016 3:31:37 PM
Creation date
5/16/2008 3:57:37 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
5/16/2008
Doc Name
Insurance Certificate
Permit Index Doc Type
Insurance
Email Name
JRS
Media Type
D
Archive
No
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CERTIf KATE OF INSURANCE ISSUE DATE: <br />5 <br />15 <br />08 <br />~~i~R~® / <br />/ <br />PRODUCER: THIS CERTIFICATE LS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />Wells Fargo of California Insurance Services, InC. DOES NOT AMEND, EXTEND OR ALTER OTHER COVERAGE AFFORDED BY THE <br /> POLICIES BELOW. <br />45 Fremont Street, Suite 800 COMPANIES AFFORDING COVERAGE <br />San Francisco CA 94105 COMPANY Zurich American Insurance <br /> LETTER A <br />CA DOI License #0352275 <br /> COMPANY Insurance Company of the State of PA <br />phone: 415.541.7900 fax: 415.541.7195 LETTER B <br />INSURED: RECEIV coMPANY Insurance Company of the State of PA <br />ED LETTER C <br />Rio Tinto Ener America, Inc. and COMPANY <br /> LETTER D <br />Colowyo Coal Company, L.P. MAY 16 2008 COMPANY <br />LETTER E <br />5731 State Highway 13 <br />Meeker CO 81641 Division of Reclamati <br />i~~~~~~ES AND LIMITS <br />THIS is TO CERTIFY THAT THE POLICIES OF INSURANCE LLSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWTTHSTANDING ANY REQUIREMENT, TERM OR CONDTTION OF ANY CONTRACT OR OTHER DOCUMENT WTIT-I RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN LS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDTTIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO. TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. DESCRIPTION LIMITS <br />LTR DATE DATE <br />A GENERAL LIABILITY GL08210196-11 5/31/2008 5/31/2009 GENERAL AGGREGATE $ 2,000,000 <br /> COMM. GENERAL LIAB. PROD-COMP/OP AGG. $ 2,000,000 <br /> CLAIMS MADE PERS & ADV. INJURY $ 2,000,000 <br /> OCCURRENCE EACH OCCURRENCE $ 2,000,000 <br /> OWNER'S & CONTRACT'S PROT FIRE DAMAGE (One Fire) $ 10Q000 <br /> ^ MEDICAL EXPENSE (One Per) $ 5,000 <br />B AUTOMOBILE LIABILIYTY CA7204495 5/31/2008 5/31/2009 <br /> ANY AUTO COMBINED SINGLE LIMIT $ 1,000,000 <br /> ALL OW NED AUTOS BODILY INJURY (Per Person) <br /> SCHEDULED AUTOS BODILY INJURY (Per Accident) <br /> HIRED AUTOS PROPERTY DAMAGE <br /> NON-0WNED AUTOS <br /> GARAGE LIABILITY <br /> <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> UMBRELLA FORM AGGREGATE <br /> OTHER THAN UMBRELLA FORM <br />C WORKERS' COMPENSATION AND WC7208192 5/31/2008 5/31/2009 x~ STATUTORY LIMITS <br /> EMPLOYER'S LIABILITY EACH ACCIDENT $ 1,000,000 <br /> DISEASE -POLICY LIMTT $ 1,000,000 <br /> DLSEASE -EACH EMPLOYEE $ 1,000,000 <br /> OTHER INSURANCE <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS: <br />Re: Mining Permit C-81-019, See Attached Addendum. <br />NAME AND ADDRESS OF CERTIFICATE HOLDER: 110 CANCELLATION: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE LSSUING COMPANY WILL MAIL 30 DAYS WRITTEN NOTICE TO THE <br />COlOradO DiVislon Of R2ClamatlOri Mining and Safety CERTIFICATE HOLDER NAMED TO THE LEFT. <br />attn: James Stark V <br />E: <br />AUTHORIZED REPRESENTATI <br />1313 Sherman Street, 215 Centennial Building <br /> <br />Denver CO 80203 `.L'~ <br />~ <br />~ <br />Rio Tinto Certificate 0809:5/15/2008 <br />
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