GENERAL32825

• Permit No: C1996084
• IBM Index Class Name: General Documents
• Doc Date: 12/30/1999
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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PROOU CEH: ~_ Tnlf CERtIfICAif W ISSUED AS A MARER Of DIfON44T1UN ONLY qN0 CONFER! NO NIGNT9 UPON THE ~ ~ n
CERTIFICATE 1N/LU[R DTIIER TN4f1 I NODE ER91n OC0 IN THE NDUCY TIU{ CUI I Iru•nTF OJ{e wpT AMi MU
M{I{R USA IRC. xTlNII DR ALTER THE COVERAGE AI It IIFD EY THE POLICES LIST{ EEION:, _ _
v v. E+a: t9{tD __ CUMPANIFS AcFORDING COVERA~ _
Knozvtlle, TN 3;939.2610 COMPANY -I,
eessel,a,o+ LETTER A ZURICH AMERICAN IN;iUFiANCE COMPANY JII
INLURID: - ~ ~ ~ - ~ ~ COIAPAHY ff
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LORENCITD COAL COMPANY, lLC i.llMggNY C
c/o AL PERRY LETTER ,~_ ._. _„~ .___ ._.
{203 PETERBBURO ROAD (:~,MP4NY G
EVANSVI(LF IN 471st
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THIS IS TO CERTI{Y I'N 61 IFE -OLI(:IC7 OF INSURANCE LEiTED HEREIN IIAY[ pE{N IR1uEp TO THE INSURED NAMED wEltt lM RUn TnR -04Er PERIOD INDICPTEO.
NOT WITHSTANnlnO AN1 HEOVIREMSMT, TERM OR CONORIVN 4F ANV au N.waG f VR CTNEq DOCUMENT W RH HE BPL`L f TU WNILH THE CERTIFICATE M4Y BE ISSUED Uh M•+
PUTAO., t NE INSUf11NLE 4FFORDED 9Y THE POLLGILS LILTTD nEPEIN IS SU{JECT TO ALL TnE 1 ERMR. CONDII IL'w1K ANU kA~WSIONI TiE SUCK eOLIG+F. R. 1 IMITS iMOW N
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GO I TYRE Of INEURINCC I{{ POLICY NYM{EN POUC• lRg4TNi aOLICY ELPW ATIDN LIMITS i
LTR I ,PATE fMM.IpO_ GATE MMI ~rw~ _ "__, ..._. _
L CNEAAL LIABILITY GLGB}{{913-00 1/OtJ00 1)01!01 O!NlpAL aGGAEGaTE _ _ F ?,D~Cr 1111q
GUMMHRCIAL 3ENG anI ~IAEIUYY PgOD iSCOMf:OP AGD _ ~ 1 J UVU
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CLAILIS MAOF t]OCIUR PEaSONALBADN INJURY E 1.FS7y Q00
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'RIP IION OP OPE 4TION9 / LOCATION! / VF. NIL"LEf I IPE CIAL I'1kM0 ~ ~- -
D[gId1T AC-D6-ORA I UCA TIONt 2 MILE^a WEST OC SF.AL1NDPt CD f1N HIGHWAY 12
55.000 -• PROPERTY DAMAGE ^EDUGTIBL F I$ API>LII;ABLE.

CO~ORADG DIVIRION OF MINERALS AND GCOLG CfV
t3I3 SNEgMAN STREET
DE~IV ER, CO 80203
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U{A. INC.

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