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GENERAL44063
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Entry Properties
Last modified
8/24/2016 8:12:55 PM
Creation date
11/23/2007 12:48:51 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
6/30/1999
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iiiiiiiiiiiiiiiiiii <br />~ertitic~te of ~1r~~ur~uce <br />~~ Aon Risk Serr'rce~ <br />TO: Division of Minerals and Geology Re; <br />Colorado Department of Natural Resources <br />Attn: Mr. Michael Long, Director <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />ASSUred: RAG American Coal Holding Inc. et al <br />Including Colorado Yampa Coal Company, RAG Empire Corporation and <br />Twentymile Coal Company <br />1520 Kanawha Boulevard East <br />Charleston, WV 25311 <br />This is to certify that the policies of insurance listed below have been issued to the Insured named above /or the policy period indicated. nonvilhsranding any <br />requirement, term, or condition o1 any contract or other document with respect Io which This certilicale maybe issued or may pertain. The insurance eHordad by <br />the policies descdbed herein is subjec( to ell the terms, exclusions end cronditions o! such policies. Limits shown may have been reduced by paid claims. <br />Type of Policy Policy Policy <br />Insurance No. Period LimitsNalues <br />Commercial General Liability 06-30-99/00 $ 6,000,000 General Aggregate <br />Other States 6122944 $ 6,000,000 Products/Completed <br />Wyoming 6122945 Operations Aggregate <br /> $ 1,000,000 Personal and Advertising <br /> Injury <br /> $ 1,000,000 Each Occurrence <br /> $ 1,000,000 Fire Damage (Any One <br /> Fire) <br /> $ 10,000 Medical Expense (Any <br /> One Person) <br />Insurance Company(ies) American Home Assurance <br />Auto Liability 06-30-99/00 $ 1,000,000 CSL Each Occurrence <br />Other States 5347309 <br />Wyoming 5347310 <br />Insurance Company(ies) American Home Assurance <br />Workers' Compensation 00017049-02 06-30-99/00 WC: Statutory <br />Employers' Liability EL: $1,000,000 Each Accident <br /> $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />Insurance Company(ies) Old Republic Insurance Co. <br />Excess Workers' EX360 06-30-99/00 Statutory Excess of a Self Insured <br />Compensation Retention: $1,000,000 any one <br /> occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscribing insurers' obligations untler contracts o1 insurance to which they subscribe are several and no! join! and are limited solely to the extent of their <br />individual subscriptions. The subscribing insurers are not responsible !or (he subscription o/ any cosubscribing insurer who for any reason does not satisty all or <br />pad o! its obligations. <br />This cediticale is issued as a matler of information only and confers no rights upon Iha cenificale holder. This cartilicale does not amenq extend or altar Iha <br />coverage aNorded by the poliry(ies) shown hereon. Should any of the above described policies be canceled helore the expiration tlale rhereol, This agency, on <br />hehalf of the issuing company(ias), will endeavor ro mail 60 tlays written notice to the above named cenilicate holder, but failure to mail such notice shall <br />impose no obligation or liabiliy of any kintl upon the company(ies) or this agency. <br />Aon Risk Services of Texas, Inc. <br />Date: June 30, 1999 By: ~~u.~, ~' 7~J~,~..-rco~c~ <br />r <br />r1 an Rick Serrirer uJ Trent, btr. <br />?(100 Bering Drive Suite 900 • Housron, Texas 77057-3790 • tel: (713) 4 i0-6000 • fax: (713) 4 i0-GS9U <br />F:\CLI ENTS W on\RAG\poliaes\0630-99-OO.cas1273-I.Gg.doc-fi <br />Ofi/30/99 3:13 PM <br />
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