|
II III IIIIII I
<br />
<br />AC0RD
<br />CERTIFICATE
<br />:
<br />' LiAB
<br />OF IIII III DATE SMM/OOIYYI :.
<br />iLITY
<br />: INSt 999
<br />1Y : .
<br />.
<br />. :
<br />6/24199
<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />i Acordie of Kantueky-Lax HOLDER. THI$ CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />Lexington Groan TRe, Suit• 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />220 Lexington Groan Cirela COMPANIES AFFORDING COVERAGE
<br />Laxi ngten KY 40507-3311 COMPANY
<br />I60fi1 273-6600 ~~ ~ EIVED /4 Fvdaral Insurane• Company
<br />INSVRED -~°
<br />COMPANY
<br />Grand Valley Coal Co. ~~~ B Natl Union Fire Ins Ce of PA
<br />~~
<br />P.0. Box 70 ~ ~ ~ ~ COMPANY
<br />Loma, CO 81524 C
<br /> f Minerals ~ GeGfo9N COMPANY
<br />Division o
<br /> D
<br />~COVERAGES':;:..;:~:~'::':;'::::::~.:~:~' :::::.:..::.:".::;: ~..:::'~~~::'::::.:::~..., .:.'..: ~::.:..:.:.. :. .. .....
<br />THISIS TO CERTIFY THATTHEPOLICIES OFINSURA NCELISTEDBELOW HAVE BEENISSUED TO THE INSURED NAMED ABOVEFOR THE POLICY PERIOD
<br />INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANVCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFF ORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.
<br />CO POLICY EFFECTIVE POLICY EMPIRATION
<br />
<br />LTA TYPE OF INSURANCE POLICY NUMBER
<br />DATE IMM/DDIYY)
<br />GATE (MMIDDIYY) LIMR9
<br />A GEN ERAL LIABaIrY 3710-45-17 9/15/98 9/16/99 GENERAL AGGREGATE f 2,000,000
<br /> X COMMERCIAL GENERAL LIABILITY PRODUCiS.COMP/OP AGG f 2,000,000
<br /> CLAIMS MADE ^X OCCUR PERSONAL 8 ADV INJURY f 2,000,000
<br /> OWNER'S 6 CONTRACTOR'S PROs EACH OCCURRENCE f 2,000,000
<br /> FIRE DAMAGE IAny one rue) f 100,000
<br /> MED E%P (Any one person) S 10,000
<br />A AU TOMOBEJ=LIABILRY BAP7320-38-21 9/16/95 9/16/99 COMBINED SINGLE LIMIT S
<br /> X ANY AUTO 2,000,000
<br /> ALL OWNED AUTOS BODILY INJURY f
<br /> (Per person)
<br /> SCHEDULED AUTOS
<br /> HIRED AUTOS BODILY INJURY S
<br /> NON~OWNED AUTOS (Per accident)
<br /> PROPERTY DAMAGE S
<br />
<br /> DAMAGE LIABD.fTY AUTO ONLY ~ EA ACCIOENi f
<br /> ANY AUTO OTHER THAN AUTO ONLY:
<br /> EACH ACCIDENT S
<br /> AGGREGATE t
<br /> E%CE99 L1ABLRY I EACH OCCURRENCE I f
<br /> UMBRELLA FORM AGGREGATE f
<br /> OTHER THAN UMBRELLA FORM S
<br />9 WORKERS COMPENSATION AND X[7205753 8/01/99 0/01!00 WC STAiU~ CSH•~
<br /> EMPLOYER9'LIABILRY EL EACH ACCIDENT f 1,000,000
<br /> THE PROPRIETOR/
<br />iIVE
<br />P
<br />Ri
<br />PS/Ex INCL EL DISEASE~POLICY LIMIT f 1,000,000
<br /> A
<br />NE
<br />ECU
<br />OFFICERS ARE: E%CL EL DISEASE~EA EMPLOYEE S 1,000,000
<br /> OTHER
<br />DESCRIPTION OF OPERATIONSA.OCATIONSIVEH{CLESISPECIAL REMS AS raspaets: Yl na No. 1, IOCatad •L YCLan• Canyon On 5. A. 139,
<br />19 mi las north of Lema, Col orada: YI n• No. 2, loeatad •t Yungar Canyon en 5. R. 139 about 18 mllas north of Loma, Cel orado.
<br />INCLUDES E%PLOSIYE COY.
<br />":....'.
<br />.CEHTIFICATE~H0LDER '~:: ~: ~ . ..: :.:: ~~:~ ::~:::..::.:.:~':~::::.:
<br />~~~~
<br />:. CANCELLATION:...:.~':~:~:.:::::::':~.:.:~:~~~I~~:::::::~~'':;:.° ::::::..:::: :::"::~:::::;:~. ~~: ~~~~
<br /> SHOULD ANY OF THE ABOVE DEBCRIBED POLICIES BE CANCELLED BEFORE THE
<br />01 VLSI on e/ Yi narals and EKPIRATION DATE TXEREOF, THE ISSUING COMPANY W31 ElltlfM%ItlIX70X10MAIL
<br />Gae I egg 30 DAYS WRRTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />1313 Sharman Straat, Rm.215 NY0OBfMYYNXXf00YWXYXXXX7108/BB~R{Y71X1WYrYYYXYXXIBIXtIXYl01X7WMXMBIILN'AX1l
<br />Osnvar, CO 80203 D1D( %XY1fNXX11)DlK11RANIfiIX1((4%1[RX%MAHINQ(MIII%~X
<br /> AUTH ED R ESENTATI
<br />1
<br />..AC0R~~29~S ~E7198)`.~~. :: ..'~::':': ~: ~:.:.:~::: .:.:''~:~''. ~::: .::~ :.:. _ __...._.. __. ~ ACORD CORPORATION 1968..
<br />kqG.
<br />rce.,c,...c. ,.,., ,,,,,,, ,,,,,,,,,
<br />
|