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tTttachment to ACORD Certificate for Nat;onal King Coal, LLC <br />The terms, conditions and provisions noted below aze hereby attached to the captioned certificate as additional description of the <br />coverage afforded by the insurer(s). This attachment does not contain a0 terms, conditions, coverages or exclusions contained in the <br />pohcy. <br />QJSURER <br />INSURED <br />National King Coal, LLC <br />4424 County Road 120 <br />Hesperus co 81326 u5n <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br /> <br />MSA <br />LTR ADD'L <br />INSRD <br />TYPE OF WSURANCE POLICY NUMBER <br />POLICY DESCRIPTION POLICY <br />EFFECTIVE <br />DATE POLICY <br />EXPIRATION <br />DATE <br />L~prs <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DF_SCRIPf10N OP OPERATIONSB.OCATIONS/YEHICLFS/EXCLUSIONS ADDED BY ENDORSEhff,NTISPECIALPROVlSIONS <br />Re: o5M Permit co-OlOL4; CDMB Permit c-81-035. <br />oivision~of Minerals and Geology~is named as an additional insured as required by written contract but <br />limited to the operations of thhe insured under said contract, and always subject to the policy terms, <br />conditions and exclusions. <br />Cancellation Provision shown herein is sub7'ect to shorter or longer time periods depending on the <br />jurisdiction of, and reason for, the cancellation. <br />Certificate No : 570017492652 <br />