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GENERAL47823
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GENERAL47823
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Entry Properties
Last modified
8/24/2016 8:23:11 PM
Creation date
11/23/2007 3:48:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
General Documents
Doc Date
9/29/2003
Doc Name
Certificate of Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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MARSH CERTIFICATE OF INSURANCE GER"F'GATE"°M6E" <br />~'- :. - .. CHI-000217740-05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION ONLY AND CONFERS ' <br />Marsfl USA IDC. ND RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE ~ <br />BOD Market Street, Suite 2600 POLICY. THIS CERTIFICATE DOES NOT AMEND, ENTEND OR ALTER THE COVERAGE <br />St. Louis, MO 63101-2500 RECE~i/ED AFFORDED BV THE POLICIEB DESCRIBED HEREIN. <br />COMPANIES AFFORDING COVERAGE <br />g <br />arvY <br />SEP 2 ~ 203 DD <br />168 <br />A <br />62-GL/AL-03/04 6-44 <br />qCE AMERICAN INSURANCE COMPANY <br />INSURED COMPANY <br />Hayden Gulch Terminal, Inc. Division Di Minerals and GeDlegy B <br />701 M <br />k <br />t St <br />ar <br />e <br />reet <br />$Ulte 7DD COMPANY <br />Sl. Louis, MO 63101-1826 C <br /> cDMPANv <br /> D <br />COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 0 i <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INBUREO NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTNATHSTANDING AHY REDUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAV <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS BHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTN POLICY E%PIRATION' -- ~ LIMITS <br />LTR DATE IMMIDD/YY) DATE )MMIDDNY) <br />q GENERAL LIABIUTY HDO 619906735 10/01/03 10/01/04 <br />000 <br />000 <br />$ 4 <br /> GENERAL AGGREGATE . <br />, <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 4,000,000 <br /> CLAIMS MADE OCCUR PERSONALBADV INJURY $ 1,000,000 <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000 <br /> X 8mad.Fotm-VEndore FIRE DAMAGE (Any onefre) $ SD,DDD <br /> x overa elncluded MED EXP one n $ 5,000 <br />A AUT OMOBILE LIABILITY ISA H07943877 10/01/03 10/01/04 <br />0 <br /> COMBINED SINGLE LIMIT $ 1, <br />00,000 <br /> X ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BODILY INJURY <br />$ <br /> X NON-O WNED AUTOS (Per accidenU <br /> PROPERTY DAMAGE $ <br /> <br /> GAR AGE UABILITY <br />AUTO ONLY-EA ACCIDENT <br />$ <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> E%CESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> wORRERS'CONIPENSATiON'AND'~- - _ VrL STATU- TH --_' <br />_,. - <br /> EMPLOYERS'LIABILITY TORY LIMITS R r, <br />' - <br /> ELEACHACCIDENT $ <br /> THE PROPRIETORI <br />PARTNER <br />C <br />T INCL ELDISEASE-POLICY LIMIT $ <br /> SIEXE <br />U <br />IVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />$ <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNENICLESISPECIAL ITEMG <br />Covers operations at Hayden Gulch Loadout Facility including damage from surface coal mine operations, the use of explosives and damage to water wells. <br />Applicable to CDMG Permit No. C-92-081. <br />-CERTIFICATE HOLDER- --- _ CANCELLATION <br /> SHOULD ANY OF THE POUCIEG DESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATON DATE THEREOF, <br /> THE INSURER AFFORDING COVERAGE WILL E~16X MAIL _311 DATG WRITRSN NOTICE TO THE <br />Colorado Dept. Of Natural Resources CERTIFICATE HOLDER N4MED HEREIN <br /> <br />Div. of Minerals and Geology , <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203-2273 <br /> MARSH USA INC. ~.,y.~~ <br />Er: Alfred A. Peterfeso ~,~ I~, , ~ 4FN. +A~+~LrM~ <br /> MM1(3/02) - ~ VALID AS OF: 09/25/03 , <br />
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