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/EMCInsurance Companies <br />EMPLOYERS MUTUAL CASUALTY COMPANY POLICY NUMBER: 1D1-52-86---16 <br />C.B. MINERALS COMPANY LLC EFF DATE: 07/12/15 EXP DATE: 07/12/16 <br />G E N E R A L L I A B I L I T Y P 0 L I C Y <br />D E C L A R A T I O N S <br />ENDORSEMENT SCHEDULE <br />NAME: <br />STATE OF COLORADO DIVISION OF <br />MINERALS AND GEOLOGY <br />1313 SHERMAN ST, ROOM 215 <br />PROJECT ADDRESS: <br />COAL RIDGE NO 1 MINE SOUTH OF <br />THE RIVER EAST OF NORTH EAST <br />CASTLE, CO 81647 <br />CG7501 10-13 AI-DESIG PERSON/ORGAN-VICAR LIAB <br />NAME/CONCESSIONAIRES/JOB TITLES/ <br />POLITICAL ENTITY/ASSOC. OR ORG./ETC. <br />NCIG FINANCIAL, INC. <br />PO BOX 1827 <br />PEBBLE BEACH CA 93953 <br />STATE OF COLORADO DIVISION OF <br />MINERALS AND GEOLOGY <br />1313 SHERMAN ST, ROOM 215 <br />*CG8282 04-14 ADVISORY NOTICE TO POLICYHOLDERS <br />DATE OF ISSUE: 05/08/15 <br />FORM: IL7131A (ED. 04-0 <br />CONTINUED) <br />1D15286 1 <br />EDITION <br />FORM <br />DATE <br />DESCRIPTION/ADDITIONAL INFORMATION PREMIUM <br />------------------------------------------------------------------------------ <br />CG0001 <br />04-13 <br />COMMERCIAL GEN LIABILITY COV FORM <br />CG0300 <br />01-96 <br />DEDUCTIBLE LIABILITY INSURANCE <br />APPLICATION OF ENDORSEMENT (LIMITATIONS): <br />$500 DEDUCTIBLE APPLES TO PD PER OCCUR <br />*CG2106 <br />05-14 <br />EXCL-ACCESS/DISCL OF CONFID/PERSONAL <br />CG2146 <br />07-98 <br />EXCL-ABUSE OR MOLESTATION <br />CG2147 <br />12-07 <br />EXCL-EMPLOYMENT RELATED PRACTICES <br />CG2150 <br />04-13 <br />AMENDMENT/LIQUOR LIABILITY EXCLUSION <br />CG2167 <br />12-04 <br />FUNGI OR BACTERIA EXCLUSION <br />*CG2170 <br />01-15 <br />CAP/LOSSES FROM CERT ACTS/TERRORISM <br />*CG2176 <br />01-15 <br />EXCL PUNITIVE DMGS ACTS OF TERRORISM <br />CG2294 <br />10-01 <br />EXCL-DMG TO WORK PERFORMED BY SUB <br />CG7001A <br />10-12 <br />GENERAL LIABILITY SCHEDULE <br />CG7003 <br />10-13 <br />GL QUICK REFERENCE (OCCURRENCE) <br />*CG7191 <br />08-14 <br />GENERAL LIAB ESSENTIAL EXTENSION <br />CG7315.2 <br />10-13 <br />CONTINUOUS OR PROGRESS INJ/DMG EXCL <br />CG7422 <br />08-00 <br />EXCL INJ/DAMAGE FROM EARTH MOVEMENT <br />CG7480 <br />10-13 <br />AI-OWN,LESSEE,CONTRACTOR-VICAR LIAB <br />NAME: <br />NCIG FINANCIAL, INC. <br />PO BOX 5460 <br />PLAYA DEL REY CA 90296 <br />PROJECT ADDRESS: <br />COAL RIDGE NO 1 MINE SOUTH OF <br />THE RIVER EAST OF NORTH EAST <br />CASTLE, CO 81647 <br />NAME: <br />STATE OF COLORADO DIVISION OF <br />MINERALS AND GEOLOGY <br />1313 SHERMAN ST, ROOM 215 <br />PROJECT ADDRESS: <br />COAL RIDGE NO 1 MINE SOUTH OF <br />THE RIVER EAST OF NORTH EAST <br />CASTLE, CO 81647 <br />CG7501 10-13 AI-DESIG PERSON/ORGAN-VICAR LIAB <br />NAME/CONCESSIONAIRES/JOB TITLES/ <br />POLITICAL ENTITY/ASSOC. OR ORG./ETC. <br />NCIG FINANCIAL, INC. <br />PO BOX 1827 <br />PEBBLE BEACH CA 93953 <br />STATE OF COLORADO DIVISION OF <br />MINERALS AND GEOLOGY <br />1313 SHERMAN ST, ROOM 215 <br />*CG8282 04-14 ADVISORY NOTICE TO POLICYHOLDERS <br />DATE OF ISSUE: 05/08/15 <br />FORM: IL7131A (ED. 04-0 <br />CONTINUED) <br />1D15286 1 <br />