My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2009-12-28_GENERAL DOCUMENTS - C1981008
DRMS
>
Day Forward
>
General Documents
>
Coal
>
C1981008
>
2009-12-28_GENERAL DOCUMENTS - C1981008
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 3:58:07 PM
Creation date
12/28/2009 1:06:24 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/28/2009
Doc Name
Insurance Document
Permit Index Doc Type
Insurance
Email Name
MLT
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
. ? ®q +"-' - <br />ORS CERTIFICATE OF <br />LIABILITY INSURANCE IF?STE ..DATE (MMIDDIYYYY) <br />12/23/09 <br />`. THIS CERTIFICATE IS ISSUED AS A MATTER OF IN FORMATION <br />PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />HOLDER <br />Hays Companies . <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />80 South 8th Street #700 <br />Minneapolis MN 55402 <br />NAIC # <br />Phone: 612-333-3323 Fax: 612-373-7270 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Lexington Insurance Co., 19437 <br /> INSURER B: National Union Fire Ina. Co. <br />-19445 <br />Western Fuels Association,Inc. <br />i• ,° <br />INSURER C: <br />Attn: Nancy Kelly <br />33424 -?v -?• <br />INSURER D: - - -- " <br />P. O. BOX <br />Denver CO 80233 INSURER E: I??SIUi <br /> <br />COVERAGES <br /> <br />•• •.. _.?`? <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FUR I Ht VULIL.T rMMIVu pvuwn 1 - -- ..,,, -1, - <br />NTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CO <br />CRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DES <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />L Y E IV P 1 XPIR TI <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDDrCM DATE M IIDDIYYYY LIMITS <br /> <br />000 <br />000 <br />CCURRENCE $1 <br />GENERAL LIABILITY <br />ITY 008844193 01/01/10 01101111 EACH O <br />PREMISES (Ea occurence) , <br />, <br />$100,000 <br />A X COMMERCIAL GENERAL LIABIL <br />CLAIMS MADE F x MED EXP (Any one person) $ <br /> PERSONAL BADVINJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000, 000 <br /> PRODUCTS - COMP/OP AGG s2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: B <br />E 000 <br />000 <br />1 <br />POLICY JE? LOC en. <br />m , <br />, <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />(Ea accident) $ <br /> <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br />(Per person) $ <br /> <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br />(Per accident) $ <br /> <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE <br />(Per accident) $ <br /> <br /> AUTO ONLY - EA ACCIDENT $ <br /> GA RAGE LIABILITY <br /> OTHER THAN EA ACC $ + <br /> ANY AUTO - AUTO ONLY: <br />AGG <br />$ <br /> LA LIABILITY EACH OCCURRENCE $ 20 , 000 , 000 <br /> EXCESS I UMBREL <br />FCLAIMSMADE BE4695899 01/01/10 01/01/11 AGGREGATE $20,000,000 <br />B X OCCUR <br /> <br /> <br /> DEDUCTIBLE <br />X RETENTION $50,000 <br />_ <br />$ <br /> WORKERS COMPENSATION TORY LIMITS ER <br /> AND EMPLOYERS' LIABILITY Y I N <br />ETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> D <br />ANY PROPRI <br />OFFICERIMEMBER EXCLUDED? <br />H <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> ) <br />(Mandatory in N <br /> If yes, describe under <br />' E.L,DISEASE?P-OLICY LIMIT _$----,._- . <br /> _SP_ECIALPROVISIONS.below.. _ - --- <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Evidence of Insurance as respects <br />New Horizon Mine in Nucla, CO (Permit #C-81-008) <br />Includes use of Explosives <br />rAMrFI I ATInN <br />%IMF%I IrIVf11 G fIVLYL?\ <br />Colorado Mined Land <br />Reclamation <br />Mined Land Division <br />1313 Sherman Street, RM 215 <br />enver CO 80203 <br />? /AAAA/rlA\ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />COLOR-2 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />ry (/'V - - <br />1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD
The URL can be used to link to this page
Your browser does not support the video tag.