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

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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF RIFORMATION e
Johnson & Higgins of California ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ~
Casualty Department HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR i
2029 Century Park East ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,
Los Angeles, CA 90067 COMPANIES AFFORDING COVERAGE
Tel: [phone] ~MR,~y
0659A-GL2 A INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
INSURED COMPANY '
ATLANTIC RICHFIELD COMPANY, ITS B I

SUBSIDIARIES AND SUBSIDIARIES
THEREOF AS NOW OR HEREINAFTER coMpANr
CONSTITUTED C
515 SOUTH FLOWER STREET OOMPANY
LOS ANGELES, CALIFORNIA 90071 p
COVERAGES :.::::::::.::•::'.::.:::::.';'::::::::':::::::::'::::':::::;::.::::::::::::':::;:.:'.:'::.:;:::::.:::::.::.;:.: ' .':':::::::::'.:::::::.:::>:.::;:.;::.::':•::';:::'.':::::::::'::<..::::::::-...'.::. :;;:::'::::'.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TypE OF INSURANCE PaYJCY NUMBER POUCT EFFECTIVE POLICY EXPIMTOM DYITS
LTR DATE (YY/DDM1 DATE (YY/DOM11
A OEM EMLUABILITV ISL G1423156-0 01-0i-BB 01-01-99 i BODILY INJURY OGC f N/A
X COMPREHENSNE FORM B002V INJURY AGG ; f N,'A '
X pREMISES/OPERATIONS PROPERTY DAMAGE OCO I S N!A
X UNDERGROUND
EXPLOSION 8 COUAPSE HAZARD pROPEFfTV DAMAGE AGG ~ f WA ,
X PROOUCT$COMPLETED OPER BI A PU COMBINED OCC f 2.000,000 )
X CONTRACTUAL 81 B PO COYBINED AGG ~ f '2,000,000
X INDEPENDENT CONTRACTORS PERSONAL DUURY AGG f WA
X BROAD FORM PROPERTY DAMAGE '
X PERSONAL INUURY ~ ~

AUT
OMOBILE LWBNTY
BODILY INUURY i
~
f ~
ANY AUTO (Par pN°On)
ALL OWNED AUTD9 (PrMb Pas) i
BODILYIWUFTY
f i
ALL OWNED AUTOS (Par accltlanQ
(OttYr Nan Prrvab Pasaanpar)

HIRED AUTOS PROPERTY DAMAGE ~f i
NON-0WNED AUTOS

GAMGE UABIInV BOOILYIWURYS I
PROPERTY DAMAGE f
COMBINED ~
E](CE93 LIABILITY EACH OCCURRENCE ~ S
UMBRELLA FORM AGGREGATE f ~

OTHER THAN UMBRELU FORM f
WORKERS COYPEMSATIOM AND STATUTORY UMRS
EYPLOYEid' IJABIUTY
EACH ACGDENr
f
THE PROPPJETORI INCI 06EA9E ~ PgJCY OMIT ~ S
PARTNERSJE7~CUTIVE
OFFICEIS ARE: E%CL DISEASE -EACH EMPLOYEE I S
OTHER
I
OESCRIPTIOM OF OPERATIONS/LOCATIONSNENIUES/SPECULL IlEY7 NYITB YAY BE SU&IECT TO RETENTIONS) I
+PROOUCTS COMPLETED OPERATIONS-
NAMED INSURED INCLUDES MOUNTAIN COAL COMPANY, PERMIT N0. C-80-007. j
THIS CERTIFICATE IS ISSUED IN LIEU OF CERTI FIGTE DATED JANUARY 31, 1996.
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!MOULD ANY OF 7ME ABOVE DESWBED P'OLIgE7 BE wCBLID lEFORE TIIE
STATE OF COLORADO I
DIVISION OF MINERALS AND GEOLOGY EXPIMTIOM DATE 7XEREOF, THE NYiU1MD COWAMY ,IXYAL
i
DEPARTMENT OF NATURAL RESOURCES 10 DAra wRmEIL NOTICL ro THE uTE Y NA® To THE LEFT,
1313 SHERMAN STREET, ROOM 215 dIB04~06111~0E110006fiE1L~0
DENVER,COLORAD080203 dppppppn(~p®pp
ATTENTION: DAVID A. BERRY AUTHOR®REPREBEIIfAT1VE

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