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~~~~ aao° 0 1111111111111111111 -~_~ <br />Medalist-Kline Agency, Inc. <br />CERTIFICATE OF INSURANCE <br />Date March 31. 1982 <br />This is to certify that the following policies have been issued to: <br />Name b Address of Insured The Rockcastle Company b Ryan Incorporated of Wisconsin <br />0. Box 206. Janesville. WI <br />Project permit for Grassy Creek Coal Mining, Routt County, Colorado 1k5712 <br />WORKER'S COMPENSATION: <br />Policy No. WC 1 011 027 Inception Date 4-1-82 Expiration Date 4-1-83 <br />Insuring Company Bituminous Fire b Marine Insurance Compan <br />Coverage: Worker's Compensation - Statutory Employers Liability Limit: 100,000 <br />Locations Covered All States Endorsement Attached To Policy <br />COMPREHENSIVE GENERAL LIABILITY: <br />Policy No. GL 1 196 533 Inception Date 4-1-82 Expiration Date 4-1-83 <br />Insurance Company Bituminous Lasualty Corporation <br />Limits of Liability: <br />Bodily Injury Liability $ 500.000 Each Occurrence Combined <br />$ 500.000 Aggregate <br />Property Damage Liability $ 100.000 Each Occurrence <br />$ 100 000 Aggregate <br />Coverage Provided (Check Applicable Blank <br />Premises Operations <br />Elevators, If Any <br />Completed Operations/Products <br />Blanket Contractual Liability to include coverage for "Hold Harmless <br />Agreement" if such agreement is contained in the specifications <br />of subcontract, subject to policy terms <br />Personal Injury, Employee Exclusion Deleted <br />Independent Contractors <br />Employees as Named Insureds <br />Broad Form Property Damage, Including Completed Operations <br />Property Damage Liability covers: <br />Damage due to blasting <br />Damage due to collapse <br />Damage to underground facilities <br />Special Liability Supplement Endorsement Included <br />Yes <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />x <br />No <br />COMPREHENSIVE AUTOMOBILE LIABILITY: <br />Policy No.gA 1 330 201 Inception Date 4-1-82 Expiration Date 4-1-83 <br />Insurance Company Bituminous Casualty Corporation _~ <br />Limit of Liability: <br />Bodily Injury Liability $ Each Person Combined <br />$ Each Occurrence OR Single <br />Property Damage Liability $ Each Occurrence Limit $ 500,000 __ <br />Yes No <br />Coverage is provided for operation of all - Owned Vehicles x <br />Non-Owned Vehicles x <br />Hired Vehicles x <br />OR Single <br />Limit $ <br />