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2010-02-09_GENERAL DOCUMENTS - C1980001
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2010-02-09_GENERAL DOCUMENTS - C1980001
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Last modified
8/24/2016 3:59:25 PM
Creation date
2/9/2010 1:36:43 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
2/9/2010
Doc Name
Certificate of Liability Insurance
From
Marsh Mercer
Permit Index Doc Type
Insurance
Email Name
JDM
Media Type
D
Archive
No
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DATE <br />M/DD/YYYY) <br />ACORDCERTIFICATE OF LIABILITY INSURANCE <br />0 <br />1/25/ <br />01/25/2010 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />MARSH RISK & INSURANCE SERVICES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />345 CALIFORNIA STREET, SUITE 1300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />CALIFORNIA LICENSE NO. 0437153 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />SAN FRANCISCO94104 <br />025158-003-003- 007C INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: ACE American Insurance Company 22667 <br />CHEVRON MINING <br />INC <br />. <br />, <br />116 INVERNESS DRIVE INSURER B: <br />SUITE 207 <br />ENGLEWOOD, CO 80112 INSURER C: <br /> INSURER D: <br /> INSURER E: <br />l.vvCMAUM0 I4 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />LTR ADD' <br />INSR TYPE OF INSURANCE POLICY NUMBER OLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> DATE (MM/DD/YY) DATE (MM/DD/YY) <br /> GENERAL LIABILITY EACH OCCURRENCE 1.000.000 <br />A CMR G23742457 03/01/10 03/01/11 DAMAGE TO RENTED <br /> X COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurence <br />$ <br /> X CLAIMS MADE O OCCUR MED EXP (Any one person) $ <br /> X RFTR0 DATE MARCH 1 19$ PERSONAL & ADV INJURY $ 1 <br />000 <br />00 <br /> , <br />, <br /> GENERAL AGGREGATE $ 1,000,00 <br /> <br /> GENERAL AGGREGATE <br /> <br />LIMIT APPLIES PER <br />PRO- <br /> <br />PRODUCTS - COMP/OP AG <br /> <br />1,000,000 <br /> POLICY JECT LOC <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br />$ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EAACC $ <br /> AUTO ONLY: $ <br /> AGG <br />A EXCESS/UMBRELLA LIABILITY XLX G23742470 03/01/10 03/01/11 EACH OCCURRENCE $ 3,500,00 <br /> OCCUR El CLAIMS MADE AGGREGATE $ 6,500,00 <br /> $ <br /> DEDUCTIBLE <br />$ <br /> RETENTION $ <br /> WORKERS COMPENSATION AND - WC STATU- 0TH- <br /> EMPLOYE RS' LIABILITY "M s <br /> ANY PROPRIETOR/PARTNER/EX <br />TIV L. EACH ACCIDENT I s <br /> ECU <br />E <br />OFFICER/MEMBER EXCLUDED? .L. DISEASE - EA EMPLOYE $ <br /> If yes, describe under <br />L <br />DISEASE -POLICY LIMIT <br />$ <br /> SPECIAL PROVISIONS below . <br />. <br /> OTHER <br />DESCRIPTION OF OPERATION S/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <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 Edna 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 SEA-001308892-27 CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Division of Reclamation, EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL FbqAX?W)p MAIL <br />Minerals and Safety 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Attn: Tom Kaldenbach <br />1313 Sherman Street, Room 215 0(AY?WKi?kiiK)eSXX):4)6aCCAt-0ir)QAt?6 <br />Denver, CO 80203-2273 KOMXXXMXX)Nk(NWXXXWXXXOMXXXWXXXI ExmlCvm. <br /> A <br /> <br />a -. 1 _ /. a pJ/(ai <br />ofMUTHORIZErs h UD SA Inc. J'l?lgLFs/ ?REPRESENTATIVE <br />i l <br /> Wendy Sokol <br />A(:UKU Z5 (ZUU1108) O ACORD CORPORATION 1988
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