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PART R GENERAL LIABILITY AUTOMOBILE POLICY - eels engr e, wrap °POUCr ggnvisions PPRI d", 4NG f,GVERPGE <br />PPRi(S) AND ENDORSEMENT(S). (IF ANY), ISSUED TO PogM A PAgT THEREOF, COMPLETE(SI THE BEIOw NUMBERED POLICY J <br />Bituminous F RE SLMARINEOIN URANCS CO_ <br />CAPITAL STOCK INSURANCE COMPANIES-ROCK ISLAND, ILLINOIS 61201 <br />atlnen¢s in Ia5 poLq Io IM1e Comany man tae Como+nl aev{mIM atla. Or IAe lello 5 <br />~] BITUMINOUS CASUALTY CORPORATION ~ ~-~ BITUMINOUS FIRE AND MARINE INSURANCE COMPANY <br />OECLARIITIONE <br /> <br />NO. GL 1 239 183 <br />Item 1. Named Insured and Address (qo., street, lorrR or cur. coamr. state, xlpl RENEWAL Of N0. ~.,.....~~., <br />~ ~ New <br /> Blue Flame Coal Company dba <br /> BLUE FLAI•tE COAL MINE <br /> 1001 E. 2nd Ave. <br />L Durango, La Plata Co., Colorado 81301 <br />Item 2. Polley Period: ~ n Ma. day Yr. ec~owi <br />From June 4, 1986 3a:or A. M..:tanaara time at <br /> <br />to <br />June 4 , 1 98 7 Ina ode ress of the named <br />Insuree as statca nerNn. <br />Business of the nametl insured is: ~...~» .r~o«~ <br /> (:nal Mi Wino <br />The named insurod Is: <br />® Corporation ^ joint Venture <br />J ^ Individual ^ Other. <br />^ Partnership <br />Audit Period: Annual, unless otherwise slated. <br />Item 3. the insurance a <br />coverage parts as are in <br />and such of the coverag <br />therein by specific premi fforded Is only with respect to such of the tullowrng <br />dicated herein by' specifc premium charge or charges <br />es under each such coverage part as are indicated <br />um charge or charges Form numbers dI endorsements attached to policy at issue <br /> <br /> <br />GA6300XC(8-84) (7)L6178(4-84) <br />Advance Premiums Coverage Part(sl (1)L6394Xa(1-73) (8)L6143(12-81) <br />$ Automobile Medical Payments Insurance. (2)GL 04 04(5-81) (9)GL720a(11-77) <br />$ Automobile Physical0amagelnsurancelOealers) (3)GL0019(7-78) (10)GL274h(7-81) <br />$ AutomohllePhvsicalDamagelnsurance <br />IFleetAulomaticl (4)IL0018(10-84) (11)CL396d(11-77) <br />$ _ <br />Automohde Physical Damage Insuance OIpnFIeeU (5)IL0928(6-85) (12)GL680f (7-80) <br />E Basic Automobile Liphilit'y Insurance (6)L1751(5-85) <br />$ Completed ODerations and Products Liability Insurance <br />$ Comprehensive Automobile Liabildy Insurance <br />E 1 X72 i:nniprehensive f,rnmal Iiabibty Insurance <br />$ Comprehensive Personal Insurance <br />E f.o_nti actual liability Insurance <br />$ Manulaclurcrs' and Conti actor s' Linbdily Insmancc <br />$ Owner's and Contractor's Protective Liability Insurance <br />$ Owners', Landlords' and tenants' Liability Insurance <br />E Personal Injury Liability Insurance •If <br />li <br />P <br />i <br />d i <br />th <br />t <br />t <br />id i <br />F <br />i <br />b <br />L Premises Medical Payments Insurance an one, year ar;0 <br />er <br />s more <br />he premium <br />o <br />the <br />o <br />cy <br />o <br />s <br />e pa <br />inslallmenls, premium is payable on: <br />L _ __ Uninsured Motorists Insurance Effective Date <br />L _ $ <br />L ]st Anniversary <br />$ <br />__ _ _ _ _ <br />~°. 1 L72 <br />-_-. - -- - <br />Total Advance Premwm for This policy $ <br />%nd AnnI4PISJly <br />E •not apoilcaore .n teas <br />Countersigned „ . ~ ~~ mo my rr. .., ,. <br />June 4, 1986 <br />at <br />by <br />n <br /> <br />