Laserfiche WebLink
CERxIFICA•TE OF INSURANCE 12-14-92 ejl <br />(Thin L~fieate of Insurance neither affirmatively nor negatively <br />amends, extends or alters the coverage, limits, terms or conditions <br />of the policies it cettificatea.l <br />This is to Cer[ify to <br />CIGNA Property and Casualty Componles <br />R~I/y- ~ III,IIIIIIIIIIIIIIII <br />'ice ~ ~ ~ ~, , ~ COMPANY CODES <br /> <br />Colorado Division of liinerals and <br />Geology, © CIGNA INSURANCE COMPANY <br /> <br />Office of Mined Land Reclamation DEC 171992 <br />© <br />CIGNAINS.CO. OF TEXAS <br />Room #215, Centennial Building <br />1313 Sherman Street DIVISIUi~ Q~ ~ PACIFIC EMPLOYERS INS. CO. <br />Denver, Colorado $0203 MINERALS&G C/: ~., , g <br />^ INSURANCE COMPANY <br />R <br />L Attention: Christine .Iohnston , <br />... ICA <br />OF NORTH AME <br />that the toll d 'b <br />d 1' I' ' <br />^A <br />CIGNA INS. CO. OF ILLINOIS <br />e <br />owing escri po icy or po ides, issued by The Company as coded below, <br />providing insurantt only for hazards checked by "X" below, have been issued to: Q CIGNA INS. CO. OF OHIO <br />NAANDE Atlantic Richfield Company, its Subsidiaries and subsidiaries <br />ADDRESS' thereof as now or hereinafter constituted, Atlantic Richfield ^ (OTHER;- SPECIFY) <br />INSURED Plaza, 515 South Flover Street, Los Angeles, California 90071 <br />covering in accordantt with the terms thereof, at the following locationlsl: <br />Including liountain Coal Company, Aest Elk !fine, Permit No. C-80-007 <br />TYPE OF POLICY CO. CODE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY <br />(a) Standard Workmen's statutory w. c. <br />Compensation 8 ^ ^ S One Accitlent and <br />Employers' Liability gggregate Disease <br />Ib) General Liability <br />Premises-Operations (including "In- <br />" ® ~ ISL Gl Ol-Ol-93 to h Per <br />E *See E <br />on <br />eidental Contracts <br />es defined below) ac <br />s <br /> 519134-A Ol-O1-96 Belov ^ Accident <br />'c Independent Contractors <br />_ ® ~ S Each <br />^ Occurrence <br /> <br />Completed Operations/Products <br />m <br />Contractual, (Specs/ic t pe as <br />described in footnote below) _ _ <br />__ _ _ _ _ _ _ _ _ _ <br />_~ _ <br />~_ <br />_ _ _ _- <br />_ <br />_ _- _ - <br />_ <br />- - - -'a'ggregate-Camplered- <br />E Operations/Products <br />Premises-Operations (lnclutling ^ Accident <br />"Incidental Contracts" as defined <br />® <br />~ Each <br />* <br />$ below) ISL Gl Ol-O1-93 to S <br />See I ^ Occurrence <br />E 519134-A 01-O1-96 Below <br />N <br />O Independent Contractors <br />~ <br />S Aggregate-Prem./Oper, <br /> <br /> <br />g C <br />l <br />d O <br />P <br />d <br />® <br />~ E Aggregate-Protective <br />omp <br />ete <br />perations/ <br />ro <br />ucts S Aggregate-Completed <br />Contractual, (Specif is type as <br />Operations/Products <br />described in footnote below) $ gggregate-Contractual <br />(e) Automobile Liability <br /> <br />Owned Automobiles <br />>: <br />^ <br />^ <br />S Each Person <br />8 ~ Hired Automobiles <br />m- <br />~ ^ `{ ^ Accdent <br />Each <br /> <br />Non owned Automobiles <br />~ ___ ^ _____ -____ E__-___ (^Occurrence <br />r°OC{I Owned Automobiles <br />° ^n ^n { ^Accitlent <br />Each <br />S <br />oo <br />;, <br />Hired Automobiles U u E <br />I <br />^ Occurrence <br />I <br />aD Nonowned Automobiles ^ <br />Id1 <br />;2,000,000 Combined Single <br /> Limit Per Occurrence <br />Contractual Footnote: Sublect to all the policy terms applicable, specific contractual <br />coverage is provided as respects <br />/ Chock ``^ a contract <br />IAppligbl.'^ purchase order agreements between the Insured and' <br />\ Blxk //^ all contracts <br />NAME OF OTHER PA RTV <br />It is the intention of the company that in the event of cancellation of <br />the policy or policies by the company, [en 1101 days' written notice <br />of such cancellation will be given to you at the address stated above. <br />DNinitions: "Incitlen cal contract" means any written 111 lease of premises 171 easement agreement exxcept in connection with construction or tlemolinon opera- <br />tions on or adlacenl to a railroad, 131 undertaking to indemnify a municipality req e y muni I rd~nance, exc p[ i onne~~th wy'k forte <br />the muniupahty, 141 sidetrack agreement, or 151 elevator maintenance agreement. (//r/i`A'f£l~ ~ ~„~ /lJ/f/ <br />Tna Rraunetoin~ T= <br />Authorized Represenlat~ve <br />FOLD <br />LC~1389e Pttl in U.S.A. <br />9.ORIGINAL <br />