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2010-07-30_GENERAL DOCUMENTS - C1980007
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2010-07-30_GENERAL DOCUMENTS - C1980007
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Last modified
8/24/2016 4:17:07 PM
Creation date
7/30/2010 2:02:33 PM
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Template:
DRMS Permit Index
Permit No
C1980007
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/30/2010
Doc Name
Certificate of Liability Insurance
From
DRMS
To
ARCH Coal, Inc
Email Name
TAK
Media Type
D
Archive
No
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<br />-?"?----- -- -- DATE (MM/DDIYYYY) <br />ACORO CERTIFICATE OF LIABILITY INSURANCE , 07/27/2010 <br />PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />701 Market Street, Suite 1100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />St. Louis, MO 63101-1830 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Attn: stlouis.certrequest@marsh.com; 212-948-0811 <br />001950--Reg-10-11 Y INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: National Union Fire Ins Co Pittsburgh PA R 5 <br />Mountain Coal Company, L.L.C. - - - - _--? <br />P.O. Box 591 INSURE- R B: <br />1 Mile East of Somerset - Hwy 133 INSURER C: J <br />Somerset, CO 81434 <br />INSURER D: <br />INSURER E: C(50 <br />GUVtKAUtb <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDI ATED. <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />NOTWITHSTANDING ANY REQUIREMENT <br />, <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 />NS R <br />'LTRI INM TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE (MMIDDNYYY) POUCYEXRRATION <br />DATE (MWDDIYYYY) LIMITS <br />GENERAL LIABILITY EACH OCCURRENCE 300,000 <br /> <br /> <br />? A <br />X <br />COMMERCIAL GENERAL LIABILITY GL 093 61 11 <br />+ <br />re <br />ate <br />eneral a <br />A $500 <br />000 07/31/2010 07/31/2011 DAMAGE TO RENTED <br /> <br />PREMISES Ea oo;urrence 50,000 <br />$ <br />? X <br />OX gg <br />g <br />, <br />g <br />"„' <br />per IOCatIOn MED EXP (Any one permn) $ 5,000 <br /> OCCUR <br />CLAIMS MADE <br />EXPIOSIOn LIabIIItyAXCU) PERSONAL & ADV NJURY $ 300,000 <br /> _ GENERAL AGGREGATE $ 500,000 <br /> GENERAL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AG $ 500,000 <br />- <br /> PRO- -- <br />POLICY JECT LOC -------- - <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> (Ea accident) <br /> ANY AUTO - <br /> ALL OWNED AUTOS `/ <br />/ /? A? BODILY INJURY $ <br /> ? <br />person) <br />(Per <br /> SCHEDULED AUTOS <br /> HIREDAUTOS BODILY INJURY $ <br /> OWNED AUTOS <br />NON EIK <br />ARY E EIER (Per accident) <br /> - . <br />M <br />Notary PUbliCIN ary Seal PROPERTY DAMAGE <br />(Per acc denQ <br />$ <br /> uri <br /> GARAGE LIABILITY St. Louis Unty AUTO ONLY - EA ACCIDENT $ <br /> COMMISSION 7504611. OTHER THAN EA ACC $ <br /> H ANY AUTO <br />sion Expi <br />i <br />:12'02'201 <br />AUTO ONLY: - <br />$ <br /> s <br />My comm AGG <br /> EXCESS/ UMBRELLA LIABILITY EACHOCCURRENCE $ <br /> OCCUR a CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> EMPLOYERS' LIABILITY <br />R/PARTNER/EXECUTIVE Y / N <br />L. EACH ACCIDENT <br />$ <br /> ANY PROPRIETO <br />OFFICER/MEMBER EXCLUDED? N? .L. DISEASE - EA EMPLOYE $ <br />i (Mandatory i NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Coverage is included for surface coal mining and reclamation operations including the use of explosives. C-80-007 West Elk Mine <br />I <br />CERTIFICATE HOLDER CHI-002370223-26 <br />Colorado Dept. Of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />I <br />ACORD 25 (2009/01) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 0%X#0Q4 p MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORD
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