REV01830

• Permit No: C1980007
• IBM Index Class Name: Revision
• Doc Date: 6/11/1996
• Doc Name: CERT OF INSURANCE
• Type & Sequence: RN3
• Media Type: D
• Archive: No

a1:1
~
~
E
I
iii iiiiiiiiiiiu iii ~~~ .
'
:
p, C
1
RT
FICATE;OF
... ~ INSURANCE ""
.........999 ......... .........~_. ,.~.:::;,
osn „s6
i PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF WFORYATION
John;Gn & Higgins Df California ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Casualty Department i HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2025 Century Park Eas[ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Los Angeles, CA 90067 COMPANIES AFFORDING COVERAGE
Tel[ ~
31D) 35166?
, ,^-OMPANY
OE39H-i;L2 '~ A INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
INSURED COMPANY
~ ATLANTIC RICHFIELD COMPANY, ITS ~ 9
I SUBSIDIARIES AND SUBSIDIARIES
I THEREOF AS NOW OR HEREINAFTER
I ~ =CMPANY

CONSTITUTED C
Sts SOUTH FLOWER STREET

LCS ANGELES. CALIFORNIA 900?T
' =oMPANv
D

~COVEFIAGES~ ~.: ~. ~ ~. .....:..: ~ . ~...:. .:..: ~ :.......... . ,,..
....~ :.:.:.....:.'..... .: ~ ....... .... ...........
THIS IS TO CERTIF`.' THAT THE POLICIES OF INSURANCE LI STED BELOW HA`JE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD '
WDICATED. NOTWITHSTANDING ANV REQUIREMENT TEPM OR CONDITION CF aNY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDEC dY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T=.AMS.
9(C_uSIONS ANC CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CG rypE OF INSURANCE ~ pOUCY NUMBER AOUCY £FEECTIVE POLICY EXPIRATION UYITS
LTR ~ I HATE (V UtOD/Y1') DATE (YY/DDA'Y) ~
LEL.RALI4BIUT' 1$L vl 423156-0 I 01-Ot-96 ~ Dt-01-99 BODILY INJURY OCC ~ f WA
X UOMPREHENSVE FORM ' BOD2VIWURY AGG f W'A
i X °PEMISES/OPERATIONS PROPERTY OAAUGE OCC f WA
X UNDERGROUND
r7(PLOSION 8 COL~SE HAZARD j ', pROpERTYOMMCE AGG f WA
I
I X PRODUCTSIGCMPLETED OPER ~ BIB PD COMBINED OCC f 2000,000
X • CONTRACTUAL ~ I BI8 PO COMBINED AGG f 1,000,000
~X i INDEPENDENT CONTRACT00.S PEFSON/1LIWUM IIGO f WA
X BROAD FORM PROPERTY DAMAGE
X °ERSONAL INJURY I
I AUTOMOBILE UABIUT'~ BODILY INUURY f
(PAr pElE00)
,ANY AUTO I _
~,I ALL OWNED AUTLm IPnvam PZV) it i BOOILYIWURY
ALL OWNED AUTOS I (Pw accitl~rnl f
(Other Tan Pnvam PayFnUerl ~
i
~_' HIRED PUTOS pROPERTY DAMA(fE f
j ~ NON~OWNEO AUTOS
rl
'GARAGE UABIUtt i BODILYIWURYS
PROPERTY ORANGE t
COMBINED
I I EXCESS LIABILITY li EACI'7 CCIXIRRENCE f
Ii ~-,
UMBRELLA FORM
AGGREGATE
f

OTHER THAN UMBRELU FORM f
WORKERS COYPENSATIOM AND ~ STANTORY UMfTS
EMPLOYERS' LIABILITY
EACH ACCIDENT
f
THE PROPRIETOR/ INCL I 06EASE-POLICY UMR S
PARTNERS/E%ECUTNE ~

OFFICERS ARE:
IXCL
' ,
i
DISEA+E-EACH EMPLOYEE
t
OTHEP
I
I
DESCRIPTION OF OPERATIONS/LOGTONSNEHICLESISPECNL ITEMS (LIMITS YAY BE SUBJECT TO RETENTIONS)
•PRODUCTS COMPLETED OPERATIONS.
NAMED INSURED INCLUDES MOUNTAIN COAL COMPANY, PERM IT N0. L-80-007.
THIS CERTIFICATE IS ISSUED IN LIEU OF CERTIFICATE DATED JANUARY 31, 1996.
.H ..:. ....:...: .. :.:...... ...........
.C.ERTkFICAT..E~...OEDER:~.:~;~ ::.:.:::.:::.~:.:;:::.:~:~.~::~:::.>:::::~.:,:... :....:... .. .:..:..:....:.::.:
..............:.:. CANC ~ ~ -616N::>r:~:r~~::::~;::<~<:?S:<:<::~::~:is~~;~:~:'zG~:};'~~'~<":i~~z:~i~t~~~:<>~~[~~E-<e'-<~:>'~~:
EI,tA..:.:~: ..,.................,..::..:..:.,:......,,,..,,.,,..,.s.n:..:y..:........,............._.._..............
SHOULD ANY OF iNE ABOVE DESCRIBED POL1dES BE CANCELLID BEFORE THE
STATE OF COLORADO

DIVISION OF MINERALS AND GEOLOGY EXPIFATION DATE THEREOF, THE ISSUING COMPANY CYAS.
DEPARTMENT OF NATURAL RESOURCES 10 DArf wRrrTEN NOTN~ To THE arE H NAfm To ~ LFPT,
1313 SHERMAN STREET, ROOM 215
DENVER, COLORADO 80203 dC~Ippr~pHppp p(,19p
ATTENTION: DAVID A. BERRY AuTHORIgD REPRE'lEIITATINE
'ACOFID 25-N (3/931. ...~...: .~,;,. ~: _. ~..,~~ .. ....... _.....:.._.__.__.:~_.. ......... s3......... .. .~.1~710