My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2010-12-06_GENERAL DOCUMENTS - C1981041
>
Day Forward
>
General Documents
>
Coal
>
C1981041
>
2010-12-06_GENERAL DOCUMENTS - C1981041
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 4:27:36 PM
Creation date
12/6/2010 8:36:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981041
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/6/2010
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
MPB
SB1
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
<br /> <br />ACORO® <br />?- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) <br />11130/2010 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />NAME: <br />Aon Risk insurance services west, Inc. <br />i PHONE (559) 449-7200 FA <br />(AIC. No. Ext): (ACX. No.): (559) 439-0863 <br />ce <br />Fresno CA off <br />5260 North Palm Avenue E-MAIL <br />suite 400 <br />Fresno CA 93704 USA PRODUCER 570000031836 <br />CUS-OMERID#: <br /> INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: National Union Fire Ins CO of Pittsburgh 19445 <br />Mccl ane canyon mining LLC + INSURER B: <br />P.O. Box 1169 <br />l <br />Pikeville KY 41502 USA <br />ilp <br />INSURER C: <br />r? <br />:°x <br />+La\ <br />? INSURER D: <br />Y INSURER E: <br />I8?' <br />• 1? INSURER F: <br />m <br />Y <br />c <br />d <br />a <br />m <br />v <br />0 <br />2 <br />COVERAGES CERTIFICA. NU : 51U04U9ZU199 KtVI,IUN Ivumocrc: <br />THIS IS TO CERTIFY THAT THE POLICIES OF LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUI EM , TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested <br />1 R TYPE OF INSURANCE ADD SUBR POLICY NUMBER POLICY EFF POLICY P LIMITS <br />LTR INSR WVD MMIDD/YYYYI MMIDD <br />A GENERAL LIABILITY GL 4 2 0 0 0 0 012 EACH OCCURRENCE $1,000,000 <br />X COMMERCIAL GENERAL LIABILITY DAMAGE TO ENTED $1,000,000 <br />PREMISES Ea occurrence <br />CLAIMS-MADE X? OCCUR MED EXP (Any one person) $10,000 <br />PERSONAL &ADV INJURY $1,000,000 m <br />GENERAL AGGREGATE $2,000,000 N <br />PRODUCTS -COMP/OP AGG $2,000,000 0 <br />GEN'L AGGREGATE LIMIT APPLIES PER: o <br />POLICY PRO X LOC <br />JPCT r°. <br /> cA0935830 12/01/2010 06/01/2012 COMBINED SINGLE LIMIT <br />000 <br />$1 <br />000 <br />N <br />AUTOMOBILE LIABILITY Ea accident , <br />, <br /> <br />X ANY AUTO BODILY INJURY ( Per person) Z <br /> ALL OWNED AUTOS BODILY INJURY (Per accident) N <br /> SCHEDULED AUTOS PROPERTY DAMAGE <br />V <br /> Per accident w <br />X HIREDAUTOS <br /> d <br />X NON OWNED AUTOS () <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE <br /> <br /> DEDUCTIBLE <br /> <br /> RETENTION <br />WORKERS.COMP.FINSATION?AND- <br />' <br />j STATU- OTH- <br />TORY LIMITS ER <br />LIABILITY <br />EMPLOYERS <br />YIN <br />ANY PROPRIETOR / PARTNER I EXECUTIVE E.L. EACH ACCIDENT <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) NIA <br />E.L. DISEASE-EA EMPLOYEE <br />- <br />If yes, describe under <br />nPRCRIPTION OF OPERATIONS below <br />E.L. DISEASE-POLICY LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />RE: Coal Refuse Disposal <br />SnowCap coal company, Inc., a Delaware corporation, is included as Additional insured as respects general liability. <br />CERTIFICATE HOLDER CANCELLATION <br />r - <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />Division of Reclamation, AUTHORIZED REPRESENTATIVE <br />Mining and safety <br />1313 Sherman St., Room 215 <br />Denv t on <br />Denver CO 80203 USA <br />Y'Llili <br />©1988-2009 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) 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.