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'Y IiYSiJRANCE ~ DATE(MM/DD/YY)
<br />a ACORDn ` CERTIFICATE ©~ LIPiBIT1I7
<br />08
<br />15/03
<br />..~_~,,,~ ,...,~ _ .
<br />/
<br />,~ s~
<br />PRODUCER
<br />Aon Risk Services, Inc. of Illinois THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY
<br />200 East Randolph AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
<br />Chicago IL 60601 USA CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE
<br /> COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />PHONE 312 381-1000 PAx~ 312 381-0125 INSORERS AFFORDING COVERAGE
<br />INSURED INSURER A: Ll betty MUYUdI Fire IDS CO
<br />RAG Ameri Can COaI HOl dl ng, In C. INSURER B: IDSU rdOCe Corp of Hannover
<br />Attn: Mary Wong
<br />999 Corporate B1 Vd. INSURER C: Old Republic Ins Co
<br />Linthicum Hei
<br />hts
<br />MD 21090-2227 USA
<br />g
<br />,
<br /> INSURER D:
<br /> INSURER E:
<br />;r ... VER7C(:ES=:`Ilufi"C:emfi2ate°i>"-"tiDtintendeli-io~ ...Fi~alt%zndu`rcumrnutctiver a eS~=temL§.=e6lxlitienti siiil eiccluci6ns6fYhe'- -..licies°showne-.?`;w""~w STR"mMBY~;APPi Y
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE PoR THE POLICY PERIOD INDICATED , NOTW FfHSTANpING
<br />ANY REQUIREMENT. TERM OR CONDITTON OF ANY CONTRACT OR OTH ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
<br />PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEb HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDFI30N5 OF SUCH POLICIES.
<br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID GLAEMS.
<br />INSR
<br />LTR
<br />T\'PE OP INSURANCE
<br />POLICI'NUMBER POLIC\'EFFEGTIV POLICY EXPIRATION
<br />
<br />'
<br />'
<br />LIMITS
<br /> DATE[MMIDDAYYl DA
<br />1
<br />FAMx11DDAVY)
<br />B GENERAL LIABILITY ICHGL13703 01/01/03 01/01/04 EACH OCCURRENCE $1,000,000
<br />
<br />X
<br />COMMERCIAL GENERAL LIABILITY RACH CL
<br />FlRE DAMAGE(MVpne fuel
<br />$1,000,000
<br /> CLAIMS MADE X^ OCCUR MED EXP (Am nne person) $10, 000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GENERAL AGGREGATE $6
<br />000
<br />000
<br /> ,
<br />,
<br /> GEtr1 AGGREGATE LIx11T APPLIES PER:
<br />PRO
<br />~
<br />~
<br />PRODUCTS-COMPIOP AGG
<br />$6,000,000
<br /> POLICY
<br />IELT
<br />LOC
<br />A A UTOMOBILE LIABILITY A52-641-004364-113 Ul/Dl/D3 01/Ul/U4
<br />COMBINED SINGLE LIMIT
<br /> X ANY AUTO (Ea amitlen0 $1,000,000
<br /> X ALLOWNED AUTOS
<br />BODILY INJURY
<br /> SCHEDULED AUTOS (Pei perroo)
<br /> X H/RED AUTOS BODILY INJURY
<br /> X NON OWNED AUTOS (Per ucWepQ
<br /> PROPERTY DAMAGE
<br /> (Pee amitlem)
<br />
<br /> GARAGE LL1BILff\' AUTOONLY - EA ACCIDENT
<br /> ANY AUTO OTHER THAN EA ACC
<br /> AUTO ONLY
<br /> AGG
<br />B EXCESS LIABILITI' ICHCU 01/01/03 4 EACH OCCURRENCE $1,000,000
<br /> OCCUR ^ CLAIMS AfADE AGGREGATE $1,000,000
<br />
<br /> DEDUCTIBLE _. __ _ _ ___ ~__~_ _
<br /> X RETENTION 810,000
<br />~ WORKERS COMPENSATION AND OEX000363 03 06/30/03 06/30/04 X WC STATU- OTH-
<br /> '
<br />' EXCESS WC T RV LIMITS E
<br /> LIABILITY
<br />EMPLOI
<br />ERS E.L. EACH ACCIDEM1-1' $1,000,000
<br /> D E.L DISEASE-POLICY LIMIT $1,000,000
<br /> ~~~ ~~ L E.L. DISEASE-EA EMPLOI'EE $1.000, DDD
<br /> OTHER AUG 21 2003
<br />DESCRIPnON OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDFD~~'i~~'~I~~tyiplOl$L SIONS
<br />Excess W.C. applies to Colorado. UU ~I
<br />RAG Empire corporation including permit #C-1981-044, Permitee: Twenty mile Coal Company, permit
<br />#C-1982-056.
<br />GERT'IF'iCA1'F`FiULaEBh `?=t s {;~- k :° ~~., ._ ~ CANC`EL,-i~A7'ION~ ~k:"~ .. ..s.~: -.~.^,.~.~'~r;. <~~ ~'•~:.F ,~.~r"~~::°`
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
<br />DI VI BI On of Minerals & Geology DATE THEREOF.THE ISSUING COMPANY WILL ENBESV9R-T6 MAIL
<br />Department of Natural Re50U r[es 3(1 DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT.
<br />Attn: Janet H. B\nns BUT FAILURE TO DO 50SHALL IMPOSE NO OBLIGATION OR LIABILITY
<br />1313 Sherman street
<br />ROOM 2I6 OF AH]'AIND UPON THE COMPANY. ITSAGENTS OR REPRESENTATIVES
<br />,
<br />Denver CQ 802D3 USA
<br /> gUTHORIZED REPRESENTATIVE
<br />o~~ee G~ /~-!~` eu ~~
<br />q.P-©I~1'S 2$:$"797,=-' ~ , . -;..,, I~..~~ ..~ -f . -,• ae(~ _ v,~°. ,. ,P°-~ . s`.~ ~=RD'= -RR ~ - -~'I(§N'~"9
<br />ra.er,,.al,. nL. , cmnmi c~~nR H..Ido. iAo..r:F:o.
<br />
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