|
ACORD
<br />; n~~~~~~~~~~~~ ~
<br />~~~~ rvimpm) i,
<br />, ~ "o'n 02
<br />~~~~~~~~
<br />~
<br />~
<br />n
<br />a,
<br />_:.., . v.,>.«».e.aa\ rw.c..,..... <„&?:3 „n<...
<br />,...,..,. , .,.
<br />PndtiDcl J
<br />~q
<br />i1/
<br />~
<br />s1.N;.a '~ a..3:.Y.. ns,... w.,a:. ..;, -<~ ~~:
<br />. . ,.. _ .. -.
<br />P THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />Walls Fargo Insurance Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />of WV, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />47 Eagles Road COMPANIES AFFORDING COVERAGE
<br />Beekl ey WV 25801 COMPANY
<br />(304) 252-6375 /~ Natl Union ii re Ins Le Pgh PA
<br />INSURED
<br /> ~~~,
<br />Bowie Resources, LLC B
<br />1500 Big Run Road COMPANY
<br />Ashland, KY 41102 C
<br /> COMPANY
<br /> D
<br />_
<br />~~' 4 ... ~{k ,u'~' ~~.,'F?P -_ .., ^kA 2yl,C.'x~~ I~ < 3 3 .1:. ;_ y. ..k k~'~1Y.~`i•
<br />xy<y
<br />-,.V..„„ „ x~.:i~+~5 rfli yn
<br />.
<br />,
<br />~
<br />R
<br />~
<br />~
<br />~
<br />~
<br />'
<br />~
<br />~
<br />~
<br />~
<br />,
<br />k~
<br />i
<br />._..{,v.V.....V,.,.....~x..w:x„s,,,..aYtion'Y
<br />6r[L~{2i,.,f.J.l't5~,~s},3.-,,.w ....,.,.,.~...:, a~ l
<br />.
<br />Y
<br />S.
<br />~.i'di~uwf se:'. w
<br />ii:'Wa n.A..
<br />WFx.,~.,a~~/
<br />lA$~3imx..um.::5.<aw..,, .,.~', 1"t,~~~
<br />n
<br />/~R~
<br />THISIS TO CERTIFY THATTI-~POLICIESOF WSIIRANCELISTED BELOW HAVE BEENISSUEDTOTHE INSUREDNAMEDABOVEFOR THEPOLICY PERIOD
<br />INDICATED,NOT W ITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENT WITHRESPECTTO WHICHTH(S
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LMI75 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />~ POLICY EFFECTIVE POLICY EXPDRATIIN
<br />
<br />LTR TYPE OF OISUIIANCE ~ POLICY NUMBER
<br />DATE (MMiODm)
<br />DAIS (MAIIDDm) LBARS '
<br />A DE rIEp.ALUAaa1TY 6464602 5/31/07 5/3t/08 OEfEAAL AOGREGAIE f 2,000, OOD
<br /> X COAMHtCIAL (iETFAAL LIABILITY PRODUCTS-COMP/OP AGG S 1,000,000
<br />
<br />~~~~ CLAIMS MADE ~X OCCUR PERSONAL a ADV IN~AA2Y S 1,000,000
<br /> OWNERS A CONTRACTORS PROT EACH OCCIARBJLE S 1,000,000
<br /> X BlartingS XLU - FIRE DAMAGE (My ane fire) f 1,000,000
<br /> A1ED EIIP (Arty ane person) f 10,000
<br /> AU TONOBa.E LUBa1TY
<br /> COMBINED SINGLE LI)d1T S
<br /> ANY AUTO
<br /> ALL OWNm AUTOS BODILY IN,AS7Y
<br />
<br />(Per person) $
<br /> SCHEDIlLEp AUTOS
<br /> HIR® AUTOS 80DILY INJUiY
<br />S
<br /> NON-0WNED AUf05 0'er accieent)
<br /> PRCf'ERTY DAMAGE S
<br />
<br /> GARAGE LIABaJTY AUTO ONLY' FA ACCIDEM S
<br /> ANY AUTO ~ - Ol!¢F3 THAN AUTO ONLY:
<br />...,.:.... __......x :.. ...:::..::
<br /> EACH ACCIDENT $
<br /> AGGREGATE S
<br /> ExcESS UABB.n'r EACH occLfslENCE s
<br /> UABRH.IA FORM AGGREGATE $
<br /> OTHER THAN UMBRELLA FORM $
<br /> WORKIRS COMPEN6ATION AND
<br />' WC STAIU- OTFi'
<br />I a> ~{" '"-
<br /> FMPLOYERS
<br />LIABIITY EL T:ACH Aca6ENr s
<br /> THE PROPRIETOR/ INCL EL DISEASEPOLICY LIMIT S
<br /> PARiNEAS/EXECLRIVE
<br /> OFFICERS ARE: EKCL 0. DISEASE{q EMPLOYEE s
<br /> OTHER
<br />DESCRIPTION OF OPERATION6AACATONSIVEIi1CLE5RiPECiAL REMS EVldegee Of InSUranee as re6peet6 601110 S1 Mine Permit L
<br />C-81-g38...6eneral Ll chi lity Polley provides Droteetion for use of explosives.
<br />t~i~g yy~1 -: ~ S YY vs -~s>~ •xsw.' u'* - x ~ . 3 x - - s x'
<br />tv{~i~
<br />~T#
<br />Y
<br />`~tA~~~
<br />:
<br />~
<br />~
<br />';
<br />~"Q~
<br />£ bI
<br />'~iZ
<br />Vi3
<br />te
<br />~~
<br />"
<br />n
<br />~
<br />~
<br />~
<br />3
<br />~
<br />a
<br />~
<br />~
<br />3n ~
<br />~~
<br />x
<br />G
<br />-
<br />j
<br />I
<br />}Y
<br />,
<br />V:,3
<br />.
<br />, ?~~:,I. .. $
<br />j,?
<br />. J..
<br />r,.
<br />~ ,k>t.
<br />A£ \N
<br />[~l,.t
<br />D
<br />.. ,,,3 a
<br />.,...:.
<br />......,,.:
<br />Y
<br />R
<br />.
<br />~.?(v
<br />, ,..,
<br />p,'£
<br />%) .
<br />.
<br />A<.,.~
<br />,,,....
<br />.~.
<br />„R.
<br /> 6HOULD ANY OF THE ABOVE DESDAmED POLICIES BE CANCFIIED BEFORE THE
<br />State of Col oredo EXPIRATION DATE TXEgEOF, THE ISSUING COMPANY WBl ENDEAVOR TO MAt.
<br />Dept. of Natural R6Tauree6 10 DAY6 WRTREN NOTICE TO THE CERTIFICATE HOLDt:R NAMED TO THE LEFT,
<br />OI r. of Minerals 8 6eol ogy BUf FAO.UNE TO MAL SUCH NOTICE 6HALL IMPO6E NO OBLIGATION OR uABa.rrr
<br />1373 Sherman St. Room 215 OF ANY XWD UPON THE COMPANY, ITS ACEM6 OR REPRESENTATVE6.
<br />Denver, LO tX1203 AU7µ0RfffJ1 REPRESENTATIVE
<br />OFWV
<br />it
<br />~
<br />LLSPARG6(NSURANCESERViCES
<br />WE
<br /> ~
<br />t
<br />~
<br />,
<br />stlaek AAI, CPIA
<br />anlee
<br />-.,<, t fie" / y, cr^„ ._ £ Yx `F~ s~ - sJ b£ ss ws xv~ wm'. x ro. s
<br />°icy
<br />y
<br /># <x nn ' It r
<br />1 8 ~ x3'*
<br />{{'
<br />xAf
<br />4R
<br />(F3
<br />~
<br />'~
<br />Y
<br />1
<br />'1
<br />t$OS
<br />R1
<br />ORf}
<br />1
<br />REr
<br />l
<br />~
<br />'~
<br />?£?
<br />Y
<br />s<
<br />: ~
<br />f
<br />L
<br />iR,~rS :
<br />£,,:
<br />< as,
<br />,
<br />,,.,,~.. ss.:. ~ s,.s~a<:>3 .
<br />y ~
<br />pi
<br />~.
<br />C
<br />(
<br />:7f.3
<br />>:
<br />:
<br />~J
<br />:O(.~
<br />N;
<br />~....:
<br />....ass,. .s,~F3b,._ .zz.;,.::. ..,..?F..<,..,~ .G$.
<br />LFRTIF IfJTC• 806/807/ 00008
<br />
|