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GENERAL30395
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GENERAL30395
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Entry Properties
Last modified
8/24/2016 7:47:57 PM
Creation date
11/22/2007 10:12:46 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
General Documents
Doc Date
2/27/2006
Doc Name
Certificate of Insurance
From
Marsh
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br />SEA-000235038-06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />MARSH RISK & INSURANCE SERVICES NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />P. O. BOX 193880 POLICY. THIS CERTIFICATE DOES NOT AMEND, E%TEND OR ALTER THE COVERAGE <br />SAN FRANCISCO, CA 94119-3880 AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />CALIFORNIA LICENSE NO <br />0437153 <br />. <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />25158-OD3-003- 007C A ACE AMERICAN INS CO RECEIVED <br />INSURED COMPANY <br />The Pittsburg & Midway B <br /> C <br />Coal Mining Co. ~ <br />1161nverness Drive East COMPANY <br />Suite 207 C <br />Englewood, CO 80172 B <br />I?0)O <br /> COMPANY <br />JY <br /> D <br />COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 11 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VMICH THE GERTIFICA7E MAV BE ISSUED OR MAV <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIDED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAV HAVE BEEN REDUCED DV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR DATE (MM/DD/YY) GATE (MMIDDIYY) <br />A GE NERAL LIABILITY CMR 618072920 03/01/06 03/01/07 GENERAL AGGREGATE S 1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-GOMPIOP AGG $ 1,ODO,000 <br /> X CLAIMS MADE OCCUR PERSONALBADV INJURY $ 1,000,000 <br /> OWNER'SBCONTPAGTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br /> X RFTRO DAT 'ti1~ 1Q 6 FIRE DAMAGE (Any one (re) <br /> <br /> MED EXP An one erson <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY S <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE <br /> <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE $ <br />A ENCESS LIABILITY XLX 61 807294 4 03/01/06 03/01/07 EACH OCCURRENCE $ 3,500,000 <br /> UMBRELLA FORM AGGREGATE S 6,800,000 <br /> X OTHER THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION AND A U- H <br /> EMPLOYERS'LIABIUTY TORY LIMITS ER <br /> EL EACH ACCIDENT S <br /> THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT S <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />S <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIALITEMS <br />This Certificate shall provide for personal injury and property damage as a result of surface coal mining and reclamation operations including arising from the <br />use of explosives at the Insured"s Edna Mine in Colorado. The issuing Company shall notify the below named Certifcate Holder whenever substantive <br />changes are made in the above described policies including termination or failure to renew. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE iNEREOF. <br /> THE INSURER AFFORDING COVERAGE WILL EpA MAIL _~p DAYS WRITTEN NOTICE TO THE <br />Division of Minerals & Geology CERTIFICATE HOLDER NAMED HEREIN, BGk%.~l7GNWp7~X17N%~$14Xx%I%Wm~74ffiX7N'67k7Ak~A"R <br />CO Dept. of Natural Resources <br />Attn: Tom Kaldenbach uttaDLwxx~crar7ckxxwE <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203-2273 MARSH USA INC. <br /> sv: Wendy Sokol ~~f' Q' <br /> MM1(3102) VALID AS OF: 02/22/06 <br />
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