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ACORD CERTIFICATE OF LIABI OPID DATE (MM/DW1'1~ <br />LITY INSURANCE <br /> A <br />CIGF-1 06/11/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGH7S UPON 7HE CER7IFICA7E <br />Blanchard Insurance Group Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Hox 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand Junction co sisos RECEIVED <br />Phone: 970-245-8011 Fax: 970-245-8016 INSURERS AFFORDING COVERAGE <br />INSURED JUW ~ .J noon INSURERA Employers Mutual Casualty Co. <br />uPl L L <br /> INSURER B: <br />C.B. Minerals Company yLC <br />~191VBBian Bf Minerals and GeD <br />7 <br />l <br />A INSURER C: <br />$ <br />17 De <br />any <br />venue # <br />l <br />R <br />90293 INSURER D: <br />aya del <br />ey CA <br />P <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI$ CERTIFICATE MAV BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMI75 SHOWN MAV HAVE BEEN REDUCED 8Y PAID CLAIMS. <br />LTR TYPE OFINSURANCE POLICY NUMBER DATE MM/OD/VY DATE MM/DD/YY LIMRS <br /> GENERAL LIABILnY EACH OCCURRENCE $ SOD, OOO <br />A X COMMERCIAL GENERAL LIABILITY 1X15286 07/12/02 07/12/03 FIRE DAMAGE(Any one lire) S 100, DGD <br /> CLAIMS MADE OCCUR MED EXP (Anyone person) $ $, DOD <br /> PERSONALB ADV INJURY $ SOD, DDD <br /> GENERAL AGGREGATE $ 1, DD O, DDD <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1, DDD, DDD <br /> POLICY jEo- LOC <br /> AU TOMOBILE LIABILRY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea accitlant) <br /> ALL OW NED AUTOS <br />BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per aCddenQ <br /> PROPERTY DAMAGE <br /> <br />(Per aocitlent) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ' <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESS LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ E <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILRY <br /> E.L. EACH ACCIDENT $ <br />- - -- - - - - - __ ~ -~_ - _ - - - T - E.L DISEASE - EA EMPLOYE $ -~- - <br /> E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESrEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />DMG Permit No. C-84-065 - Coal Ridge No. 1 Mine , East of New Castle, CO <br />South of the River, NCIG Financial, Inc. and the State of Colorado Division <br />of Minerals & Geology are iac luded as Additional Insureds. *10 Days Notice <br />For Non-Payment Of Premium **or incur substantive changes or failure to <br />renew. <br />l.CF111rIVgIC 11VLUGH N ADORIONALINBURED; INSURER LETThH:_ liglYl.CLLH11Vrv <br />DDDDDDD SHOULD ANY OF THE ABOYE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />State Of Colorado DATE THEREOF, THEISSUING INSURER WILLIAD MAIL *30 DAYS WRITTEN <br />Dlvis lOn of Minerals & GBOlOgy NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, ~]Sm07DNE]gHHOS9amBATY <br />1313 Sherman Street, Roam 215 >6DF0>~Nd~AC~m[ts~OtL7mavJ0~xerma~m~sBam~ <br />Denver CO 80203 <br />xeoxss»txmiEa 1~ <br />i AUTNORRED REPRESENTATIVE j / _ / ,i <br />