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a,. -~ <br /> r~ e <br />=g~ ®~ <br />0 II I 1 1111 111 1111111 M/DD/WI <br />1 SUE DATE M <br />_ ® sss 6/18/86 <br /> _ <br /> PRODUGSR <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> Backman/Western Service A enc <br />S Y NO RIGHTS UPON 7HE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY 7HE POLICIES BELOW. <br /> d 1/206 <br />G <br />25 N <br /> ran <br />. <br />12 <br /> Pueblo, Co. 81003 COMPANIES AFFORDING COVERAGE <br /> LETTERNV A Bituminous <br /> COMPANY ~'.-~r rt2~).kk.~~44\.. "c' ~~f~l <br />, <br />,'I <br />i <br />/ <br />t <br />' w <br /> . <br />~_„ v!; '~ <br />~;, li.• ~ <br />h~ <br />" <br />LETTER ® `~rl. <br /> NSURED <br /> <br />Blue Flame COal, Inca <br />COMPANY , <br /> <br />Co <br />l Mine <br />Fl <br />Bl LETTER <br /> ame <br />a <br />ue <br />dba ~; <br /> 1001 East 2nd Avenue COMPANY <br /> LETTER <br /> 81301 <br />Co <br />an <br />o <br />D ~-'""" " <br /> . <br />, <br />ur <br />g _ <br />: I' <br />.: <br /> ~~. <br />COMPANY ~ ppr ~... ~-. I f\i~ _. ;t.. <br />.. <br />L <br />~ <br /> •i. <br />LETTER 1..: -~ v.. •. l'. F_. ,,S i~F;v...l <br /> t~ ~ ~? <br />y S TNIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW N AVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FqR 7HE POLICY PERIODINDICATED. - ~ <br /> NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF A NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br /> BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 7HE P OLICIES DESCRIBED HEREIN IS SU&IECT TO ALL 7HE TERMS, EXCLUSIONS, AND CONDI- <br /> TIONS OF SUCH POLICIES. <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PoLICY EYPIRpiION LIABILITY LIMITS IN THOUSANDS <br /> LT OAiE IMMAMUYr) Ml'E IMMIODM'I EACH <br /> <br />OCCURRENCE gGGREGATE <br /> GE NERAL LIABILITY BODILY 1 <br /> COMPREHENSNE FORM INJURY $ 3 O O, $ S O O, <br /> A PREMISESlOPERATIONS GLA 14- 18- 6 2 6/ 4/ 8 6 6/ 4/ 8 7 <br />ry 1 <br /> UNDERGROUND pAMAGE $ 3 0 0 $ 5 0 0 <br /> E%PLOSIONy$~51Lbd8J5(7FlN~C , , <br /> <br />PRODUCTS/COMPLETED OPERATIONS E <br /> CONTRACTUAL BI8 PD <br />COMBINED <br />$ <br />$ <br /> M'DEPENDENi CANTRACiORS <br /> BROAD FORM PROPERTY DAMAGE <br /> PERSONAL INJURY PERSONAL INJURY $ <br /> A UTOMOBILE LIABILITY BCIMLY <br /> ANY AUTO (RA vER50.Yl $ <br /> ALL OWNED AUTOS (PRIN. PASS I BCp~r <br /> ALL OWNED AUTOS (OTHER THANI <br />PRIN. PASS / ~p~Ep ~jN~ $ <br /> HIflED AUTOS <br /> PROPERTY <br /> NON-0WNED AUTOS DAMAGE $ <br /> GARAGE LIABILITY <br /> BI 6 PD <br /> COMBINED $ <br /> EXCESS LIABILITY <br /> UMBRELLA FORM BI a PD <br />$ <br />$ <br /> COMBINED <br /> OTHER THAN UMBRELLA FORM <br /> srATUroar ~ i <br /> WORKERS' COMPENSATION $ (EACH ACLIOENT) ~ i <br /> AND <br /> EMPLOYERS' L <br />BILITY $ (DISEASE~POLICY LIMIT) ~ i <br /> IA $ (DISEASE-EACH EMPLOYEE <br /> OTHER <br />Bituminous will <br /> see form attached comply with form <br />~3 <br />9 <br /> ~ <br />DESCRIPTION OF OPERATIDNS/LOCATIONSNEHICLES/SPECIAL ITEMS <br /> Coal Mining <br /> ~ o e <br /> Peter 0 ~ C o nn e T <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br /> Mine Land Reclamation DIV. PIRATIOH DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> 4 2 3 Centennial Building MAIL 7 ~ DAY KITTEN NOTICE TO E RTIFICATE MOLDER NAMED TO THE <br /> LEFT, BUT F O MAIL SUCH NOTI IMPOSE NO OBLIGATION OR LIABILTTV <br /> 1313 Sherman DF ANY THE C P N OR REPRESENTATIVES. <br /> Denver, Co. 80203 AUTHORI E AT <br /> .~~ ~., I,Irnn~ I o •-. •-~~• •L <br />