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2010-12-10_GENERAL DOCUMENTS - C1980005
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2010-12-10_GENERAL DOCUMENTS - C1980005
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Last modified
8/24/2016 4:27:48 PM
Creation date
12/10/2010 2:37:36 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/10/2010
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
SB1
SLB
Media Type
D
Archive
No
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c%-Nbu G PIE50 --005 <br />DEC 10 2U1o <br />.1 10?w <br />1!C R CERTIFICATE OF LIABILIT <br />I <br />' <br />'A <br />TE <br />Y <br />Y <br />NSURA <br />I <br />.-G page t oe 1 iO <br />/TS o <br />O <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 AM ENO. 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: Ifthe certificate holder is an ADDITIONAL INSURED, the policy(les)must be endorsed. It SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policlas may require an endorsament. A statement on this certificate does not confer rights to the <br />certificate holder In Itau of such endorsement(s). <br />PRODUCER CONTACT <br /> <br />Willis of Tennereee, Inc. PHONE FAX <br />26 Century Blvd. slyr877-945-3378 888-467-2378 <br />P. O. Box 305191 -AwL <br />ca tificatesewillis.001L <br />Nashville, TN 37230-5191 <br /> WSURE FOROINOCOVERAGE ?IAIC/ <br /> INSLRiERA: ACR American Insurance co?anr 22667-001 <br />RISUREO <br />Peabod <br />ener <br />Cor <br />oration and Bubsidiarisr OMMER87 <br />y <br />gy <br />p <br />Attnr Ryan Brown WaVRERC <br />701 Market street <br />suite 760 Rd <br />St. f'ouls' HO 63101-1926 INSURERS`. <br /> WSURER F. <br />cnv,•Qnr:F tG CF QT'F'C STF Yr?YQGQ• 1t•allalG eGV'a.nM wuMQGn. <br />- - ------------------ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT. 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 />EXCLUSIONSAND CONDITIONSOF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPEOPWSURANCE AM SM : POLTCYNUMBER POLICY EFF POUCYEXP llLai S -- <br />A G& MRALUABLITY N N HDOG2S52536A 1/1/2030 11/1/2011 EAACH000URRENCE 2-000-000 <br /> CO JERCIAL GENERAL LIABILITY S <br /> CLAM-LMDE51 OCCUR LEOEXP mr S 51000 <br /> PERSONALaADVTNAKY S 6,000 <br />000 <br /> GENERALAGGREOATE , <br />$ <br /> GENIAGGREGATEUMITAPPUESPER: PRODUCTS-OOMPIOPAGG S 6,000,000 <br /> PalcY = LOC s <br />A AUTOMOSURLIAMMr X N XSAN08631992 1/1/2010 11/1/2011 EDmNGLEL=r S 5, 000, 000 <br /> X ANYAUF0 DOWLYRIJURY(PUpelwo S <br /> AILL <br />TOED <br />SCHEDULED <br />80DLYRLIUfTY(POreoddenl) <br />S <br /> 1W1AUTOS NONN <br /> <br />4WNED <br />TOS <br /> <br />S <br /> i <br /> UMBRELLAL" OCCUR EACHOCCURRENCE S <br /> EXCE$$ LOUT CLAM-MADE AGGREGATE f <br /> DED RETENTaIIS S <br /> NfOMRSCONPENSATIOTJ <br />AND SMPLOYERVUABILITY <br />YuM <br /> y? <br />ANY PROPRIETOMPARTNER/EXECUTPM NfA EA.EACHA000ENT S <br /> OFFICEWNEMSEREXCLUDEOI LJ <br />?! nNH <br />E1.DISEASE •FJ?EMPLOYEE <br />s <br /> rNRS'TIONOFOPERANONSbe. El.DISEASE •P000YLIMIT S <br /> <br />DE40MPTWMOFOPBRATIONSILOCA7ION81VERN:LES(AUKhAeordlkl.Adtl0tenalReofth$aw;at ..."Mr. Q) <br />Named Tnsurede Seneca Coal Co., a Subsidiary <br />Covers operations at Seneca 21 Mine and Seneca XX-W Mine including damage from surface coal mine <br />operations, the use of explosives and dmage to water wells. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION OATS THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AVTHORIlED REPRUENTAM <br />Colorado Division of Reclamation, Mining Z Safety <br />1313 Sherman Street, Ronal 215 /'] ),'? i _-) <br />Denver, r, 00 CO 80203 , ' <br />( (/J <br />Coll:3169066 TTalti174341 CerttldM69469198"10ACnRDrnRPORATInu_All rinhfamaneva,l <br />ACORD 25 (28iil ) The ACORD name and logo are registered marks of ACORD
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