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COMPREHENSIVE GENERAL LIABILITY INSURANCE COVERAGE PART L 6394Xa '~ (za. t~nl For attachment to Polley No. GL 1 239 183 , to complete said policy. BLUE FLAME COAL MINE End. lk 1 • ADDITIONAL DECLARATIONS o Location of all premises owned by, rented to or controlled by the named insured ~.~... ~~s•.r. ..•.. ioc. nor. •s pass sr.owr. Try ire.r ~ o. o. «•..+~osi Interest of named insured in such premises ic„s~, e.o.a ow..u ~ aanuu iassae ~ *.~.•.* ~ Dlhei Part occupied by named insured ie.rso .r.ewr The following discloses all hazards insured hereunder known to exist al the efleclive dale of This policy, unless otherwise staled herein. SCHEDULE The insurance allorded is only wdh respect to such of the fonowing Coverages as are indicated by specific premium charge or charges The limit of the company's LabiIIP against each such Coverage shall be as stated herein, sublecl to all the terms of this Doli[y having reference Thereto. Advance Limits of Liability Cove Premiums each occurrence aggregate rages S 1 270 b 300 000 E 500 000 A-Bodily Inlury Liability E 2 E 300 000 S 500 000 B-Properly Damage Liability S Form numbers of endorsements attached al issu S 1 272 Talal Advance Premium General Liability Hazards • Advance Premiums Bates ii 1 P i B Code d D i ti f H Bodily Inlury Property Damage B.I. p_p_ rem um ases escr p on o azar s No Premises -Operations (k) (k) (k) COMPANY FIELD/COAL PANE RATING PLAN (381) 915 PIP 2.751 Incl. 15,000 1/80002x DEEP MINING (a) (a) (a) 62 1 62 1 600 1k65121s BUILDING OR PREPIISES - Offic (1) (1) (1) 293 1 30% 30% As Below Ik99990 BROAD FORM COMPREHENSIVE GENERAL LTABILITY ENDORSEMENT GL 04 04 (k) onnage pe 100 To s (1) ercentage of Pre um for remises-Opera ions, Independent Contractors, ompleted peratio s S Pro ucts (excludi g x, c, u, d, e & z Premiums) riot Area lsa hl Icl flemmeraimn let Prins Igl [psi lit Saies i r lal Per 100 s0 II of Area (cI per St00 0l flemui+erano^ let Per Unn Igl Per Slpp al Cosi IJ Per 51000 al Saies 1 lpl kpnidpe Id PPCei015 Ip NumEU InSwetl TAI neCeiPIS lit Admissions r i lot Per Linear Fool (dl Pu ai00 of flecei PlS In Per tootling IM Pv $1000 0l PeceiPis Ill Per IOp Admissions When used as a premium basis 1 "admissions" means the total number of persons. other Than employees pl the named insured, admitted to the event insured or to events conducted on IhI premises whether on paid admisvon tickets. complimentary Ucgels or passes. 2 "cost" means the fatal cost to the named insured with respect to operations performed for the named insured during the policy penod by independent conlrac tors of all work let or sub~lel m connection with each speufic prolecL including the cost of all labor, materials and egmpment furnished, used or delivered to use in the execution of such work, whether furnished by the owner, contractor or subcontractor, Including all fees. allowances, bonuses or commissions made paid or due; 3 "receipts" means the gross amount of money charged by the named insured for such operations by the named insured or by others during the policy perior ~.as are rated on a receipts basis other than receipts from telecasting, broadcasting or motion pictures. and includes taxes, other than taxes which the names insumd co6e[IS as a separate item and remits dueclly to a governmental tlrvision. 4. "rent;~eralion" means the entire remuneration earned during the policy period by proprietors and by all employees of the named insured.olher Ihan chaulleul (excep ~o Aerators of mobile egwpmenU and aircrall pilots and copilots. sublecl to any overtime earnings or limilahon of remuneration rule aDPhcable in ac cordancewdh the manuals in use by the company 5. "sales' means the gross amount of money charged by the named insured or by others trading under his name for all goods and products sold or distribute during the policy period and Charged dunng the poh[y penod for installation, servicing or repau. and includes taxes. other than taxes which the named insure and such othea collect as a separate item and remit dueclly to a governmental division. BITUMINOUS CASUALTY CORPORATION -BITUMINOUS FIRE AND MARINE INSURANCE COMPANY -ROCK ISLRND, ILLINOIS COMPREHENSIYE GENERAL LIABILITY INSURANCE f nVr'rl COVERAGE I L 63'. (Ed.