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GENERAL45403
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Entry Properties
Last modified
8/24/2016 8:14:37 PM
Creation date
11/23/2007 1:46:29 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981013
IBM Index Class Name
General Documents
Doc Date
6/27/2005
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 06/23/05 <br />PRODUCER <br />HILB ROGAL8M08B5OF TENNESSEE, INC. DBA ROSE SMITH TUCKER <br />120 MARKET PLACE BLVD. <br />KNOXVILLE, TN 37922 RECEIVED THIS CERTIFICATE IS ISSUED AB A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THECERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR gLTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />865-251-5270 INBURERS AFFORDING COVERAGE <br />INSURED ~~~ ~ 7 P1oflC <br />U~ <br />/ INSURER A: WESTMORELAND RISK MANAGEMENT, LTD. <br />e <br />WESTMORELAND COAL COMPANY I C INBURERB: <br />2 NORTH CASCADE AVE., 14TH FLOOR <br />OeoloOY INSURER C: <br />COLORADO SPRINGS, CO 80903a~ot M1nef0la entl INSURER D: <br /> INSURER E: <br />LOVEMGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAYE BEEN ISSIIEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERN)p INDICATED. NOTWITHSTANDING ANY REOWREMENi,TERM <br />OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WON RESPECT TO WNILX THIS CErtIFILATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY TXE POLICIES <br />DESCRIBED HEREIN IS SUGJECT TO ALL THETERM3. EXCLUSAONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REWLED BY PAIDLWMS. <br />INSR <br />LTR <br />TTE OF INSII,4XCE <br />ItLICYNIMIBER P0.ICV EFFECTNE <br />PiTE Ita.WryIYI PWCV F%PIPATION <br />WTE{MVO3NY) <br /> GENERAL IIABIIITY EACH OCCURRENCE $1,000,WO <br /> ERCIgL9ENERAL'LMBILHY -- -~'-- -~' EDAMAGE (AMTNEFIREf ~'-~L <br /> CLAIMS MADE OCCUR 002/05 7/1/2005 7/1/2006 MED EXP (ANY ONE PERSON) <br /> PERBONALA4DV. INJURY <br /> GENEMLAGGREGATE $1,000,000 <br /> GEN'L AGGREGATE LIMITB APPLIES PER: PRODUCTS ~ COMPIOP AGG <br /> X POLICY PROJECT LOC <br /> AIR OMOBILE LIABILITY <br />ANV AUTO COMBINED SINGIE LIMIT <br />IEM31 ANJeK) <br /> ALL OWNED AUTOS <br />SCHEDULED AUTOS BODILY INJURY <br />IPer Pelwnl <br /> HIRED AUTOS <br />NON-0WNED AUTOS BODILY INJURY <br />(Per ACdOenp <br /> PROPERTY DAMAGE <br /> (Per Aai0en0 <br /> GARAGE LIABILITY AUTO ONLY-EACH ACCIDENT <br /> ANY AUTO OTHER THAN EA. ACC. <br /> AUTOONLY: AGG. <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCCUR ^ CIAIMS M40E AGGREGATE <br /> <br /> DEDUCTIBLE <br /> RETENTION S <br /> <br />~. WORNE63 COMVENSATION ANO_- -_- ~- _ - - V/CBTARftORYM.tl <br /> EMPLOYERS' LIABILITY OTHER <br /> E.L. EACH ACLIpENT <br /> E.L. DISEASE -Eil EMPLOYEE <br /> E L. DISEASE -POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF OPERATIONS40CATIONSNEHICAE$/EXCLUSIONS ADDED BY ENDORSEMENTSPECIAL PBOVISIONS <br />RE: THE GOLDEN EAGLE MINE PERMIT t1C-81-013 <br />CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER: CANCELLATION <br />STATE OF COLORADO SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETME EXPIRATION PATE <br />MINED LAND RECLAMATION OFFICE THEREOF. THE ISSUING INSURER WILL ENDBAVOR30 MAIL 30'DAYS WRITTEN NOTICE TO THE <br />ATTN: JOSEPH DUDASH CERTIFICATE HOLDER NgMEO TO T/IE LE/,9i' uz.FUwRESea3DSaaMUi IMPOSR-N uGAHDN <br />1313 SHERMAN STREET, ROOM 215 ~~;A~.rc^e=-Ae l~ G Aaes~ <br />DENVER, CO 80203 AUTHORIZED REPRESENi0.Ti <br />ACORD 3S5(8ro1) •10 DAYS NONPAYMENT OF PREMIUM <br />
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