GENERAL33708

• Permit No: C1981044
• IBM Index Class Name: General Documents
• Doc Date: 8/9/2004
• Doc Name: Certificate of Insurance
• From: AON
• To: DMG
• Permit Index Doc Type: Insurance
• Media Type: D
• Archive: No

\~~ ~ertific~te of ~ingurance
'~`I ~ Aon Risk Services
Natural Resources
To: Division of Minerals & Geology Re:
Department of Natural Resources RECE{~-~~VED
Attn: Janet H. Binns
1313 Sherman Street Room 215
Denver, CO 80203 AUG U 91A00~ nnn.
oihs;m, of
Assured: Foundation Coal Holding, Inc. ~~~~~~~YBGeology
999 Corporate Boulevard
Linthicum Heights, MD 21090
This is to certiry that the policies o/insurance listed below have been issued to the Insured named above /or the policy period intlicated notwithstanding any requirement, term,
or condition of any contrect or other document with respect to which this certificate maybe issued or may pertain. The insurence afforded by the policies described herein is
subject to all the terms, exclusions and conditions of such policies. Limits shown may have been retluced by paid claims.
Type of Policy Policy Policy
Insurance No. Period Limits/Values
Excess Worker's
Compensation/
Employer's Liability
OEX 000363 04 06/30/04 -
06/30/05
WC:
Statutory
E L:
$ 1,000,000 Each Accident
$ 1,000,000 Disease -Policy Limit
$ 1,000,000 Disease -Each Limit
Self-Insured Retention: $1,000,000.00
Insurance Company(ies) Old Republic Insurance Company
RAG Empire Corporation including Permit #C-81-044. The insurer will notify the Division of substantive changes in policy,
including termination or failure to renew.
The subscribing insurers' obligations under contrects of insurance to which they subscribe are seve2/ antl not joint and are limited solely to the extent o/ their individual
subscriptions. The subscribing insurers are not responsible /or the subscription of any cosubscnbing insurer who for any reason does not satisfy all or part of its obligations.
This certificate is issued as a matter of information only and confers no rights upon the certifcate holder. This certifca[e does not amend, extend or alter the coverage afforded by
the policy(ies) shown hereon. Should any of the above descrihetl policies be canceled before the expiration date thereof, this agency, on behalf of the issuing wmpany(ies), will
endeavor to mail 30 days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the
company(ies) or this agency.
Date: August 5, 2004
Aon Risk Services of Texas, Inc.
Aon Ri.rk Seroirer of Texat, Inr.
1330 Post Oak Blvd., Suite 900 • Houston, Texas 77056 • [el: [phone] • fax: [phone]
x~tcaal naNatatirx cnl~u=„~~„d~n,.n r.~~l rnlena-ns Fn~mdnr~nn r nl xc we r n din