1986-10-01_PERMIT FILE - C1981008A ‎(3)‎

• Permit No: C1981008A
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/1/1986
• Doc Name: Insurance Certificate
• Section_Exhibit Name: Tab 3 Attachment 3-10
• Media Type: D
• Archive: Yes

ISSUE DATE(MM/DD/VYi
CERTIFICK OF INSURANCE
Y/13/91
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
S ed gw is k James ;—? R CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICA 7 E
_ DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
New F_nglandt inc . POLICIES BELOW.
Broad Street COMPANIES AFFORDING COVERAGE
3ostonf Ma. 021 C9
COMPANY
LETTER A NATICNAL UNION FIRE INS. CO.
COMPANY
INSURED LETTER B 3 1 R M I N G H A M :I K= 2 N S. CON
Peabody Coal Company COMPANY
Suzanne Luepke LETTER C LANDMARK INSURANCE CO.
301 North Memorial Drive COMPANY
St. Louist M0 531 66 LETTER D
COMPANY E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 000 LINTS
LTR DATE(MMIDD/YY) DATE(MMIDD/YY)
A GENERAL LIABILITY G L T X 3 2 5-3 L 3 M) 1 0/M 1 /9 1 1 C/ )1 /,�C GENERAL AGGREGATE $ 1 (.
A X COMMERCIAL GENERAL LIABILITY G L 3 2 S 3 2 3 4 (A/0 STATES) PRODUCTS-COMP!OP AGG. S 1 � �
CLAIMS MADE X OCCUR. PERSONAL a ADV.INJURY $" 1 D C
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE
X +3road Form Vendors Coverage Included FIRE DAMAGE(Any one fire) $
MED.EXPENSE(Any-3ne person) S
A AUTOMOBILE LIABILITY C A 1 4 2 8 00 O (TX) 10/01 /91 1 J/J 1 /9 2 COMBINED SINGLE
A ANY AUTO CA1427999 (NJoNY/HA) LIMIT $ 1 ��;
A n ALL OWNED AUTOS C A 1 fi 27 99 3 t A/O S T A T = S) BODILY INJURY
X SCHEDULED AUTOS (Per person) $
X HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS (Per accidentl $
GARAGE LIABILITY
PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION .I t+T 1 O ? STATUTORY OMITS
~ EACH ACCIDENT S
AND
DISEASE—POLICY LIMIT $
EMPLOYERS'LIABILITY wig v� -3( t: DISEASE—EACH EMPLOYEE $
OTHER C .GI •O.! L: ! .; i_:
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS C O V E R S ALL O P E R A T I C aN S TN THE STATE OF
CGLORADOo INCLUDING NUCLA M.INNE AND INCLUDING DAMAGE FROM SURFACE COAL
MINE OPERATIONSr THE USE OF EXPLOSIVES 5ND O.AMAGE TO '4ATER WELLS.
CERTIFICATE HOLDER CANCELLATION
1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
D I V OF MINE 3 LAND R E C L A M�T I C N EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL EDWEWiaK=X
C L O R A I0 O D e P T OF N A T R :S O U R C C S MAIL _r/DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
15 C_NT cNN I AL BLVD. LEFT, BUT FAILURE TO MAIL NO OBLIGATION OR
1313 3 H E R MA N S T R E F T LIABILITY OF ANY KIND UPGIy Hti�(UIVIPPiIib', 6TS ANTS bji1�iEPRESENTATIVES
D E N V`R/ CIO 30230 AUTHORIZED REPRESENTATIVE i
f .
ACORD 25-S (7/90) ^n'I ""-')• A�:6JAD CORPORATION 199