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GENERAL54993
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GENERAL54993
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Entry Properties
Last modified
8/24/2016 8:40:06 PM
Creation date
11/23/2007 9:59:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
General Documents
Doc Date
1/15/2002
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iii ~~nu~-nm ~~~ <br />:.: :.:::.:...... ... ., ,...,............, . ... _ r. .... ~ .... .... ........... <br />.::. <br />:. <br />:..:: <br />.:: <br />::::.:.:: <br />:::. <br />.: <br />. <br />. <br />.~ <br />. <br />. <br />.. .. <br />999 <br />,::.:.:;.:::> :,.::::::::. >.CER7[F7CA?E;:1r}.F:a1+ES, tJ#l1fiNL7E::i.::' :::::..::.....,,...,:..... c.ertl~ri.a <br />Marsh..„ :;.:::.::;:-- :.:::.::::: .: <.-:.-......:..,;:::.:;<..:....-:..,:::.:..:..:.::,:.:.::.:..:.....::....,:::...:.:.::...:.::::.::::::...;:::....::.....;;::.::.:.:.: ;,::;-.:::.::...... <br />,.: <br />PRODUCER: <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br /> CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, <br />Marsh USA InC. EXTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICES LISTED BELOW. <br />P.O. BoX 36012 COMPANIES AFFORDING COVERAGE <br />Knoxville, TN 37930-6012 COMPANY <br /> A <br />865-769-7700 LETTER Steadfast Insurance Com an <br />INSURED: COMPANY <br /> <br />Lorencito Coal Company, LLC 6 <br />LETTER <br />20500 High Way 12 COMPANY ~ ED <br />Weston, CO 81091 LETTER <br /> COMPANY p N 1 5 2002 <br /> LETTER <br />~c0 ......::.:..:....:~, ~.. ~......::~~.....:..... ..:.. .. ...~.~: ... .. .. .:' <br />. V~NAQE&F .~ ~• <br />pp <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD IN I A <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WRN RESPECT TO WHICH THE CERTIFICATE MAY BE LSSUED OR MA <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN 15 SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAV HAVE BEEN REDUCED BY PAID CLAWS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS <br />LTR DATE MM D DATE MM D <br />A GE NERAL LIABILITY GL09298313 11/19/2001 08/13/2002 GENERAL gGGREGATE $ 2.000,000 <br /> % COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP OP AGG $ 1,000000 <br /> CLAIMS MADE ~OCCUP• PERSONAL 8 ADV INJURY $ 1000 000 <br /> OWNER'S CONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE An one fln $ 50 000 <br /> MED EXP An one non $ 5 000 <br /> AU TOMOBILE LIABILITY <br /> COMBINED SINGLE LIMB $ - <br /> ANY AU'C <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS Per roon <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS Per eccl4eM <br /> PROPERTY DAMAGE $ - <br /> GA RAGELIABILITV AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THgN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY <br /> EACH OCCURRENCE $ - <br /> UMBRELLA FORM <br /> OTHERTHANUMBRELLAFORM gGGREGATE $ <br /> WORKMAN'S COMPENSATION STATUTORY LIMBS ~..•::.:;•....,..;•.. .~ .......::......-..::-:.;-.::; <br /> AND EMPLOYERS LIABILITY EACH ACCIDENT $ <br /> rHE PROPRIETOR/ <br />PARTNERS/ExECUrIVE INCL <br />DISEASE-POLICY LIMB <br />$ <br /> <br /> OFFlCERS ARE. E%CL DISEASE-EA EMPLOYEE $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I SPECIAL ITEMS <br />pp <br />~(NW~ 1>2v~cP~r <br />RE: Permi[ #C-96-OBa. Location: 2 miles West of Segundo, CO on Highway t2 <br />G <br />Deductible: $5,000 Combined BI and PD per occurrence Ff(vs~ ~6q-7~Z0 <br />.:C R 1 YI ..... . <br />C .TE.. OLDEA ......... ? ~ :..;~ <br />SHOULD ANY OF rHE POLICIES LISTED HEREIN BE CANCELED BEFORE THE E%PIRATION <br />DATE THEREOF, THE INSURER AFFORD W G COVERAGE WILL ENDEAVOR TO MAIL <br />Colorado Division of Minerals and Geolo <br />gy 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUi FAILURE <br />1313 Sherman Street <br />TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGPTION OR LIABILITY OF ANY KIND UPON THE <br />Denver <br />CO 80203 <br />, <br />INSURER AFFORDING COVERAGE. ITS AGENTS OR REPREBErvTATWES, OR THE ISSUER OF <br />THIS CERTIFlOATE <br />MARSH USA, INC. <br />ey C <br />::::;:MMla.: :.:kALi :~ :014:::~:~~"::~<.:';':;:~:;~"::',:~:~"'.;;:;~~::•:,~: ~:;::?'m~ ~..2::~.;.~:::~:s:::::':: ~:: <br />
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