My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2010-02-09_GENERAL DOCUMENTS - C1994082
DRMS
>
Day Forward
>
General Documents
>
Coal
>
C1994082
>
2010-02-09_GENERAL DOCUMENTS - C1994082
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 3:59:25 PM
Creation date
2/10/2010 8:10:45 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
2/9/2010
Doc Name
Certificate of Liability Insurance & Public Notice (RN3)
From
DRMS Grand Junction Field office
To
DRMS
Permit Index Doc Type
Insurance
Email Name
DTM
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.
/
2
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
G?-t?.q u-o8 2 <br />'4? °® CERTIFICATE OF LIABILITY INSURANCE WOO <br />02 <br />0 <br />01 <br />0 <br />page 1 of 2 1 <br />4// <br />20 <br />10 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis of Tennessee, 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 37230-5191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Peabody Energy Corporation and Subsidiaries INSURERA:National Union Fire insurance Compna 19445-011 <br />Attn: Ryan Brown <br /> <br />701 Market Street INSURER e: <br />- <br />------ <br /> <br />Suite 700 - <br />---- <br />INSURERC: <br />- -- - --- <br />St. Louie, NO 63101-1826 <br /> INSURER D: <br />v? <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <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, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />SR <br />LTR <br />It= <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />LICY EFFECTIVE <br />PODATE MffAqXVYYYY) <br />POLICY EXPIRATION <br />DATE (MMIQD1YYYY) <br />LIMITS <br />A GENERAL LIABILITY GL4807243 11/1/2009 11/1/2010 EACHOCCURRENCE $ 2,000,000 <br /> $ COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED <br />PREMISES Ea oaunxice <br />$ 100 000 <br /> CLAIMS MADE ®OCCUR MEDEXP(Any one person) $ 51000 <br /> PERSONAL &ADV INJURY $ 2 O 0 <br />000 <br /> GENERALAGGREGATE 1 <br />$ 2.000.000 <br /> <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OPAC- <br /> POLICY pJEa LOC <br />A AU TOMOBILE LIABILITY CA4806729 11/1/2009 11/1/2010 COMBINED SINGLE LIMIT <br /> 1[ ANYAUTO (Eaacadent) 1$ 2,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per Pin) $ <br /> <br />- HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNEDAUTOS Per accident) <br /> ?P <br /> ROPERTY <br />DAMAGE $ <br /> eracadent) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTOONLY: AGG $ <br /> EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR FICLAIMS MADE AGGREGATE $ <br /> I $ <br /> F1 DEDUCTIBLE - - $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION M <br />OE <br /> <br />AND EMPLOYERS' UABIUTY TORVLI <br />ITS <br />R <br /> <br />ANYPROPRIETOR/PARTNER/EXECUTIVEr? - <br />E.L_EACH ACCIDENT - <br />$ <br /> OFFICER/MEMBER EXCLUDED? (_J <br />(Mandatory In NH) 11 <br />E.L. DISEASE - EA EMPLOYEE <br />- - <br />$ <br /> M ,describe under <br /> SPE IAL tSlO ow E. L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 10/30/2009 WITH ID: 13317891 <br />Named Insured: Seneca Coal Co., a Subsidiary <br />Covers operations at Yoast Nine including damage form surface coal mine operations, the use of <br />explosives and damage to water wells. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP8tAT10N <br />DATE THEREOF, THE ISSUING INSURER WILL EMAIL 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L <br />Colorado Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 ORIZWREPR ,/, `, <br />Denver, CO 80203 I ., - J <br />ACORD 25 (2009101) Coll : 2928610 To1:1004416 Cart a l._ 7.16 ne IaRA-2nnA ArnRn rnRPnRdTinIU All Anh#a mawrvsarl <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.