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2020-01-03_GENERAL DOCUMENTS - C1981019
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2020-01-03_GENERAL DOCUMENTS - C1981019
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Entry Properties
Last modified
1/6/2020 7:26:39 AM
Creation date
1/6/2020 6:59:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
General Documents
Doc Date
1/3/2020
Doc Name
Certificate of Insurance
From
Federated Rural Electric Insurance Exchange
To
DRMS
Permit Index Doc Type
Insurance
Email Name
ZTT
JDM
Media Type
D
Archive
No
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CERTIFICATE <br /> OF <br /> INSURANCE , • <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT <br /> AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT <br /> CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED 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 terms and conditions of the <br /> policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) <br /> THIS IS TO CERTIFY THAT Colowyo Coal Company, L.P. /j� <br /> P.O. Box 33695 !ice FEDERATED RURAL ELECTRIC <br /> Denver, CO 80233-0695 tea,INSURANCE EXCHANGE <br /> NAIC 11118 <br /> P O Box 15147,Lenexa,KS 66285-5147 <br /> (913)541-0150 fax(9 13)541-9004 <br /> www federatedrural com <br /> IS, AT THE ISSUE DATE OF THIS CERTIFICATE, INSURED BY THE COMPANY UNDER THE POLICY(IES) LISTED BELOW NOTWITHSTANDING ANY REQUIREMENT, <br /> TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE <br /> INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN <br /> MAY HAVE BEEN REDUCED BY PAID CLAIMS <br /> TYPE OF INSURANCE POLICY NUMBER POLICY DATES LIMITS($) <br /> AUTOMOBILE COMBINED SINGLE LIMIT <br /> ANY AUTO 1/11/2020 <br /> HIRED&NON-OWNED AUTO 05 ARB 006-20 t0 (EACH ACCIDENT) $1,000,000 <br /> GARAGE LIABILITY(ANY AUTO) 1/1/2022 COMP DEDUCTIBLE $1,000 <br /> COLLISION DEDUCTIBLE $5,000 <br /> RIECEIV ED <br /> JAN 0 3 020 <br /> DIVISION OF REC MATION <br /> NIININGANDESAFETY <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EQUIPMENT I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> Evidence of Insurance as respects Colowyo Coal Company, L P (Permit#C-81-019) Includes use of Explosives. <br /> CERTIFICATE HOLDER: CANCELLATION: <br /> COLORADO MINED LAND RECLAMATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES <br /> BE CANCELLED BEFORE THE EXPIRATION DATE <br /> DIVISION OF RECLAMATION, MINING & SAFETY THEREOF,NOTICE WILL BE DELIVERED IN <br /> 1313 SHERMAN ST, RM 215 ACCORDANCE WITH THE POLICY PROVISIONS <br /> DENVER, CO 80203 AUTHORIZED REPRESENTATIVE: <br /> FREIE Cert v 8/10 <br />
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