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/OD/YY)
CERTIFICATE OF INSURANCE
6/24/91
!PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
i e 9 ul i c k James CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Of A?m England., Inc. I POLICIES BELOW.
' ') --'r oa d Street Eton.- '� a. C2109 COMPANIES AFFORDING COVERAGE
COMPANY A
Attn: Mary Carfagna LETTER Nation=l Union Fir : Irs. Co.
1
' COMPANY B
INSURED LETTER 3irmingham Fir_ _n5 . CO.
COMPANY
Peabody Coal Company LETTER C Lanomzrk Tnsuranc: Co.
401 North Memorial -rive COMPANY D
St. Louis MO 63166 LETTER
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 TERMS.
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 (U 0 0 ILTMITS
LTR DATE(MM/DD/YY) DATE(MM/OD/YY)
i A GENERAL LIABILITY G L Z 4 9 8 7 0 7 1 /C 1 /Y 1 1 V/IJ 1/�*1 GENERAL AGGREGATE $ 1 5 C O
X COMMERCIAL GENERAL LIABILITY G L Z 4 9 8 7 0 C ( 1 J) PRODUCTS-COMPIOP AGG. S
t CLAIMS MADE X OCCUR. R L T X Z 4 9 3 7 0 9 (TX) PERSONAL a AOV.INJURY S Q G C
OWNER'S S CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 0 0 C
l X Broad Form Venaors Coverage Included FIRE DAMAGE(Any one fire) $
MED.EXPENSE(Any one person) S
11 AUTOMOBILE LIABILITY CAD 6 L i 7 21? 1 /C 1 /y 1 1 G/L.1 / 1 COMBINED SINGLE
X ANY AUTO CA5629624 (NJeN'& eMA) LIMIT S 1 .CC
ALL OWNED AUTOS CA 1 X5629625 (TX)
BODILY INJURY S
X SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODILY INJURY S
X NON-OWNED AUTOS (Per accident)
,
I GARAGE LIABILITY
PROPERTY DAMAGE S
i
i EXCESS LIABILITY EACH OCCURRENCE S
t
UMBRELLA FORM AGGREGATE $
1 OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
STATUTORY LIMITS
AND EACH ACCIDENT S
EMPLOYERS'LIABILITY DISEASE—POLICY LIMIT $
DISEASE—EACH EMPLOYEE $
OTHER
I
I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS COVERS ALL O P E R.I T I O N S IN THE STATE OF
CCLORADOe iNCLUCING NUCLA MIRE .'.ND INCLUDING DAMAGE FROM SURFACE COAL
PAINE GPERATIONSe THE USE OF EXPLCSIV=S AND DAMAGE TO 6AT=R WELLS.
j CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
31V. OF MINED LAND RECLAMATION EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL XND8MRX=:'
C L C R A U 0 K E P T C F N A T RESOURCES MAIL =r-' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
,1 1-: CENTENNIAL 3 L V: . LEFT, BUT FAILURE TO MAIL SUCH NOTICE SH'i �RATP '��10108 14UTION OR
313 S H T D M A N S T R C C T. LIABILITY OF ANY KIND UPON THE COMPAW I49�BgNZS' )A TRE7 aElik�OVES
D=K V:R/ CO 3 O G U AUTHORIZED REPRESENTATIVE
'ACORD 25-S (7/90) ION 199C