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GENERAL38365
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Last modified
8/24/2016 7:58:09 PM
Creation date
11/23/2007 9:38:32 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
8/21/2003
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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O~D <br />~ <br />~ <br />~ <br />~~~ <br />~ <br />) <br />~ <br />DA <br />/1L/ <br />m~l,3il~All'1L1~ <br />La <br />A' _Li <br />lrl / <br />111 <br />VR1t319LL' <br />08~15~~3 <br />_~ <br />~ <br />~ <br />PRwucER <br />Aon Risk services, inc. of Illinois OF INFORMATION ONLY <br />THIS CERTIFICATE IS ISSUED AS A MATTER <br />200 East Randolph ~ r, p \'''', AND CONFERS NO RIGHTS UPON THE CER7IFICATE HOLDER. THIS <br />Chicago IL 60601 USA \ ~ ~ CERTTFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />~C`~ ~ ~~ ~ u <br />AI COVERAGE AFFORDED BY THE POLICIES BELOW. <br />~ ~ ,J <br />C~ ~/ <br /> <br />Pxorve~ 312 381-1000 PAx- 312 381-0125 WSURERS AFFORDING COVERAGE <br />- <br />INSURED - INSURER A: LT berty Mutual Fire Ins CO <br />RAG Ame rl CdO COdI Holding, Inc• INSURER tl: Insurance Corp Of HdnnOVer <br />Attn: Mary Wong <br />999 corporate Blvd, INSURER C: old Republic ins co <br />Li nthi CUm Heights, MD 21090-2227 USA <br />INSURER D: <br />INSURER E: <br />COVERAGES~Thi`s°Certificate:isnof:iJiYAiided'to 3pe€i '.allmdorcApiefiYS soYed2~e5;ientic`cOpdiSbnt";at`1d°ciiclU3idnB6fi~dJe -licies-"shpun. --..STR; MdY:APP Y <br />THE POLICIES OF WSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OA OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFlCATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />NSR <br />LTR <br />Tl'PE OF INSURANCE <br />POLICY NUMBER POLIC\'EFFECTIV POLICY E%PIRATION <br />LIMITS <br /> DATE(MM\DD1VY1 DATE(%1 %1\Dp\VYI <br />B GENERAL LLIHILITY ICHGL13703 Dl/Dl/D3 Dl/Dl/D4 EACH OCCURRENCE $1, DDD, BDD <br /> <br />X <br />COMMERCIAL GENERAL LIABILITY RACH GL <br />FlRE DAMAGE(MV One fve) <br />$1,000,000 <br /> CLAIMS MADE ^X OCCUR MED EXP (Anv one permo) $10,000 <br /> PERSONAL&ADV INJURY $1, DDD, 000 <br /> GENERAL AGGREGATE $6,000,000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COMPIOP AGG <br />$6,000,000 <br /> PRO- <br />~ <br />~ <br /> POLICY <br />LOC <br />JECT <br />A A UTOMOtlB.E LIABILITY AS2-641-004 3 64-113 Dl/Dl/D3 Dl/DI/D4 COMBIRED SINGLE LIMR <br /> X AD'Y AUTO (Ea acciden0 $1,000,000 <br /> X ALL OWNED AUTOS BODILY M1URV' <br /> SCHEDULED AUTOS I Pa person) <br /> X HIRED AUTOS ~ BODILY INIURY <br /> X NON OWNED AUTOS (Per attid¢n0 <br /> PROPERTY DAMAGE <br /> (Pw accidmp <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUT'0 OTHER THAN EA ACC <br /> AUTO ONLY <br /> AGG <br />B EXCESS LIABILITY ICHCU D1/D1/D3 1 4 EACH OCCURRENCE $1, OOD, DGG <br /> OCCUR ^ CLAIMS MADE AGGREGATE $1, DDD, DDD <br /> <br />_ . _ -` - _ - - <br /> DEDUCTIBLE ' --- - -- <br /> X RETENTION $10, DDD <br />~ OEx000363 03 06/30/03 06/30/04 X WC STAN- OUi- <br /> WORKERS GDMPENSATIDN AND EXEESS WC TORY LIMBS ER <br /> EPIPLOVERS'LLItlB.ITY E.L.EACH ACCIDEh-1' $1,000,000 <br /> PAD <br />itl <br />~~ E.L. DISEASE-PDLIDY LIMIT $1,000,000 <br /> ~~~~' LL <br />.• E.L. DISEASE-EA EMPLOYEE $1,000,000 <br /> OTHER AUG 21 2003 <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDFD~ <br />yI~.~'~I~[{1Q{Hi~i SION$ <br />S <br />Excess w.C. applies to Colorado. UU ~I <br />RAG Empire corporatT On including permit #C-1981-044, Permi tee: Twenty mile Coal Company, permit <br />#C-1982-056. <br />'CEI~FI`~ItA~7#HObDE&__` -_-~-'- °, ~ _ - _ = - CAiVC~ELIsKt1DN - - __ - ~ - - - <br /> <br /> SHOULD ANY OF THE wBOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF.THE ISSUING COMPANY N'ILL ~`~'°EAVe,:-:e MAIL <br />DI VI $l0^ Ot Ml sera l5 & GeOlOgy <br />Department of Natural Resources 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Attn: 7anet H. Bl^05 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />1313 Sherman Street <br />ROOM 216 OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br />, <br />Denver CO 80203 u5A AUTHORIZED REPRESENTATIVE ~,/ <br />oTst-c- ~ ~ ~ - ~" <br />~A (JRD 25-S 7 7: .. - ---~- - - - ~ - - - - `"~`` = --..'~__ .~•..-71-C RD CORP -`fi-I N,_ <br />~a.ae~aea n*.. ~ c~nnmi c»nR u..wP~ Faa..e:F:o~ <br />
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