My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2010-12-10_GENERAL DOCUMENTS - C1994082
DRMS
>
Day Forward
>
General Documents
>
Coal
>
C1994082
>
2010-12-10_GENERAL DOCUMENTS - C1994082
Metadata
Thumbnails
Annotations
Entry Properties
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
C1994082
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
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 />C-1 ?qq Q-0 S 2 <br />0EC I G,Z01o <br />C?Rz?r =J" fN?? <br />CERTIFICATE OF LIABILITY INSURA DATE(MMIODIYYYY) <br /> to/2a/2olo <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 poncy(l") rust be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not conferrights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER CONTACT <br />W1211 MAMP. <br />s of Tennessee, Inc. <br />PNa7iE F <br />26 Century Blvd. ;04 ph xU 877-945-7378 888-467-2378 <br /> <br />p. O. Box 305192 <br />N <br />h <br />ill -? <br /> <br />ACORES& <br />as <br />v <br />e, TN 37230-5191 <br /> INSUR ROLWGCOYERACE IWUCS <br /> iNSURERA:ACR American insurance company 22667-001 <br />INSURED <br />Peabody Nnergy Corporation and Subsidiaries tMWRERat <br />Attnr Ryyan Brown <br />701 m RMRERC: <br />e. It Street <br />suits 700 <br />INSURERO: <br />8t. Louis, NO 63101-1826 1"URERE: <br /> INSURERF: <br />-+??.??.?._.? VCRIirIVA1C svVlResCK:lg953864 <br />REVISION NUMBER: <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 />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. L*WS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />B16R TYPEOFIHS Wcq Humm SU POLICYNUYBER POLmon POIWYBxP LIMITS <br />A GEN ERAL WOUTY N N NDOO2552536A 1/1/2010 11/1/2011 EACNOCCURRENCE $ 5,000,000 <br /> Co-WxRCNLGEN8VLLVftITY wmam=.a <br /> CIA65tS-MAOE® OCCUR <br /> 1490MUP cn• on S <br /> PERSONMILADVWJURY s -5,000,000 <br /> OEWAALAODREGATE <br /> <br />Ge <br />ADGREOATEUMITAPPUESPER: <br />PR <br />PRODUCTS-COMPJOPAGG ll 6,000,000 <br />S <br /> l <br />POLICY <br />O- LOC S <br />A AVT0MO81LEL1A9(LITY N N ISAHOO631992 1/1/2010 11/1/2011 a SINOL.ELaaT 5,000,000 <br /> X ANYAVTO <br />ALL <br />F-- <br />WHEMED eO0S.YINJURV(Parmrsw4 S <br /> AUTO L-J AVIOS SODILYL4JURY(P•rsCTd" 5 <br /> HIREDAWOS A <br />UTOS <br /> H • <br /> S <br /> UMBRELLALIM OCCUR EACHOCCURRENCE S <br /> <br /> ExcESs LIAB CWMS-&Wx AGOREOATE S <br /> DEO ETMM S s <br /> WORK9000MPSNSATWN <br /> AND EHPLOYaW LIABILITY IA <br /> ANYPROPRIETOF#PARTNERIExeCVTTVH <br />OFFICERNEMSER EXCLUDE07 NIA E1.EACHACaOENT S <br /> yss?yss, un? E1.01NME -EAEMPLOYEE <br /> DESCRIPTIp`IOFOPERA7=Sbdw E.L.019EASE-POUCYIIb'JT ?- <br /> <br />DESCRItT*NOF0 RA SfLOCATTONSIVENICLES(AtmchAew f/T,AddilemiRSmarks6dwdiss,Umoastmeslsnqulnd) <br />Named Insureds Seneca Coal Co., a Subsidiary <br />Covers operations at Yoast Mine including damage form surface coal mine operations, the use of <br />explosives and damage to water wells. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> <br />Colorado Division of Reclamation, Mining a Safety AUTHORIZED RSPRESEWATNE <br />1313 Sherman street, Room 215 <br />Denver, CO 80203 <br />?vaa: sao7voo 'aplsll74341 Cert3l4953864 01888-2010ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) 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.