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m: Donna Martinez At: Allred Thompson Mason Daugherty To: Harry _Rainey <br />• III IIIIIIIIIIIII III <br />FezK: (940) 7235309 Date: 5/9/00 04:58 PM Page 2 <br />Donna Martinea <br />ACORD CERTIFICATE OF LIABILITY INSURANCE <br />Allred Thompson Mason Daugherty Ins <br />James Thcmrpson <br />e o aox 1071 <br />Wichita Falls T% 76307-1071 <br />Inc <br />4613 Jacksboro Hwy <br />C <br />INSURERS AFFORDING COVERAGE <br />DATE IMkwoml <br />i/00 <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDIN <br />ANY REOUIR EMENi, TERM OR CONDITION OF AN1V CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSrnR TYPE OF MSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/p /Y1' POLICY E%PIRATION <br />DATE M O LIMBS <br /> GENERAL LIABILfrY EACH OCCUFREIJCE f 1000000 <br />A x 04GL000021953 12/5/99 12/5/D~ -- 1D0000 <br /> 6JMMERCiAL GENERAL UAEiLIiY 1 <br />IRE DPAWGE (NyJna M1rel S <br /> ILWMG MADE ®OCCUR MED ESP IPPy une parson) f 5000 <br /> FEFFOIJAL A, AD'J INJUFI' S lOOOOOO <br />• i3E3JEFa1 AGGREGATE f 2000000 <br /> GErJI AGGREGATE LIMIT PPPLIES PFR PRODUCTS-COMF;OP PGG S 2000000 <br /> FOUCY FRO LOC <br /> AVr OMOBILE LIABILRY COMEUIEU SINGLE LIMIT $ 1000000 <br />A % al; Ati(0 O4TX0005736 12/5/99 12/5/00 (Ea acclueml <br /> ~YL UV:NED AlrtO~ <br />DiiDILY uL1UFY <br />f <br /> SCHEDULED 4UT05 IPgr nEr:nnl <br /> 8 HiFED 4UTOG <br />POCaLY MJURV <br />f <br /> g N-rJ+jWPIED PUTO$ IF=r aQia=nll <br /> FFOPERTY DAMraGE <br /> <br />IPnr ecaa+nq $ <br /> GARAGE LIABILRY PlJTO OfJLY ~ EA ACCIDBJi S <br /> JJ 1Y Pl;'~ GTMEF TFV+fI EA AC" 4 <br /> AUTJ nNLV 4GG 4 <br /> E%CESS LIABILf1Y EAC'.+OCC~iRREt+CE i <br /> <br /> e~_P!F' ~ l;LP1M5 MADE AGGFEGATE S <br /> S <br /> CEDUCT 6LE E <br /> RETENTION 4 S <br /> WORKERS COMPENSATON AND T' Y~iM '' R <br />B EwLOYEas•ueaLm SBP0001027321 7 19/99 <br />/ 7/14/00 <br />EL Encn ACUOeNT 500000 <br />s <br /> EL DISE45E-EA EMPLprEE S 500000 <br /> EL DISEPSE-POLICY LI MIi 4 500000 <br />• OTHER <br />DESCRIPTON OF OPERATIONSAOLATIONSA/EHICLES/E%GLUSIONS ADDED RV ENODRSEMENTISPECIAL PROVISIONS <br />Carbon Junction Coal Mine Pennil pC-199-OBO <br />State of Colorado <br />Atta Harry Aaiaey <br />1375 Sherman St <br />Deaver CO 80261-0009 <br />the issuing comparry will endeavor to mail 10 days written notice to <br />named to the left. RW failure to mall such notice shall impose no o! <br />arty kind upon the company, its agents or representatives. <br />or Lability o1 <br />v <br />v <br />v <br />ACORD 25S (7/97) c <br />