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a1:~iis~i. ; 'CERTIFICATE <br />.........i.. c,. _. ., .. .. .. <br />PflODUCER <br />Sedgwick James of Ga., Inc <br />Suite 500, South Tower <br />3333 PeachtT•ee RJ. NE <br />Atlanta, Georgia 30326 <br />INSURED <br />- .._.,,.~_,r.~. ,~-_~----~~ - <br />OF INSURANCE- ~ ` ISBDE DATE (MM/DDNYT <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATI <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THI <br />COMPANIES AFFORDING COVERAGE <br />TERROR CREEK C011PANY <br />1601 Forum Plac? <br />West Palm (teach FL 33401 <br />COMPANY <br />A <br />LETTER Federal Insurance Company <br />COMPANY B <br />LETTER Federal Insurance Company <br />COMPANY <br />C <br />LETTER Federal Insurance Company <br />COMPANY D <br />LETTER <br />COMPANY E <br />LETTER <br /> COVERAGES ~ ~ ~ ~ ~ ~ ~ ' - ~ ~ ~ '~ <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />' CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />I _... <br />_ - - -___ __.. -_ <br /> COI <br />TYPE OF INSURANCE POLICY NUMBER <br />' POLICY EFFECTIVE POLICY EKPIRATION! <br />LIYR <br />9 <br />~ TR <br />, ~ DATE (MMIDDNY) :, DATE (MM/DONY) <br />I jGENERAL LIABILITY '71 VltU~O 7/cl /Red. I/~SI93 :OENEML AGGREGATE I~^^O <br />~ <br /> X:COMMEflCIALGENERALLIABIIITV PRODUCTSCOMPIOPA00. 3 OBSS <br />' ~CUIMS MADE ~ !{ OCCUR. <br />- i. _ _. ~ PERSONAL A ADV. INJURY _ !2000000 <br />_ <br />I i 'OWNER'SfCONTRACTOR'SPROT. <br />1 ~ ,EACH OCCURRENCE . <br />2000000_ . <br />' ....'~ .... _.. D <br />. <br />O f 100000_._. .. <br />~ p~11 <br />MED. <br />EXPENSE p4ryw <br />f <br /> !AUTOMOBILE LIABILITY A aV ._;JI3 ~ 7/21/R2 //21/R3 'COMBINED SINGLE <br /> ANY AUTO <br />~ LIMIT ~ f 1 000000 <br />~ ' •ALL OWNED AUTOS BODILY INJURY <br />~ <br />I ~ 'SCHEDULED AUTOS (Per person) i <br />~ MIRED AUTOS <br />~ ~ <br /> <br />I <br /> <br />k <br />BOOILY MJURY <br />P <br />r <br />c <br />lu <br />' I <br />~ <br />i <br /> NON-0WNED AUTOS e <br />. <br />mp <br />. ( <br />c <br />~ )~ :GAMGE LIABILITY -- ._._ <br />, <br /> <br />I - - PROPERTY DAMAGE f <br /> /EXCESS LIABILITY ~. ( ~ L / / c 1 / R2 / / 21 / 93 EACH OCCURRENCE . i2000O00 ... <br /> ;~ _ UMBRELLA FORM AGGREGATE ._, _j2000O00 <br /> 'OTHER THAN UMBRELLA FORM <br /> <br />WORKER'S COMPENSATION ' ' STATI7TORY LIMITS <br />~ -~~ ~~ I <br />-- - ~~ ~~~ ~ -~ ~ -~ <br /> EACH ACCIDENT ~f <br /> AND <br /> DISEASE-POLICY LIMB f <br /> ! EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE i i <br />SIPTION OF OPERATIONSA.OCATIONSNENICLESISPECIAL ITEMS <br />COVERAGE FOR TERROR CREEK LOAD OUT r <br />FILE ifC83054 <br />MINEG LAND RECLAMATILN AIVISION <br />CHRISTINE JOFINSTON <br />1313 SHERMAN ST. , RU01.1 215 <br />DENVER, CO. 80203 <br />CANCELLATION, „ • ' ~' • ~ _ ~ ` ~• - ~ ~ -_ <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL~,~4~~~; <br />' I MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE _ <br />. I .__mvvu.¢VYYYYY.X ~~ ~.. w~evae¢iGVYYVYYY YYI <br />j~ i€~'tk~~lY~ <br />F..r <br />I I AUTHORIZED REPRESENTATIVE <br />, (/~, U~' , ' ,I v / ~/1/ <br />