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ACORD, CERTIFICATE OF LIABILITY INSURANCE DPIO D"'~'"°~°'""`Y' <br />D8LTC01 07/15 04 <br />~+~~+ <br /> <br />Syaaxis 8olk i Sullivan <br />3401 9Feat 8nd Ava. Ste. 600 THIS CEATIFICATE IS L48UED AS A PATTER OF AIFORMATpN <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Nashville 1N 37203 <br />Phone: 615-385-2860 Fax:615-385-6358 <br />INSURERS AFFORpNG COVERAGE <br />NAICp <br />NSUflEO INSURER A nmy..~ Ltloe3cF ea. si Cf <br /> INSIRER B: <br />C <br />oa <br />~p <br />Y <br />n BISLRER C: <br />i <br />dc <br />illa TN 37205~d <br />Na IN~RER D: <br />v INSI.PER E: <br />COVERAGES <br />7HE POLICIES OF INSLRPNOP LISfEO BELOW VNVE pFFFI ISSUEDTOTHE INSURED NM£D ABOVE FOR TFE POLICY PERIOD INDICATED. NO1WITl5TMDING <br />ANY REOUIRENENr. TEfM OR CONDrtIIXI OF N7Y CMIIRACT OR O1NER DOCU.ENT WfiH RESPECT TO YlHH71 h9S CETtTIFiCAiE MAY BE ISSI.®OR <br />NAY PEATAW.IIE INSLPONCE AFFORDED BY TFE POLICIES DESCRIBED HEREIN IS SIa,ECT TO ALL 7HE TERMS, E%CLUSIQYS PMD COTDITIONS OF SUCH <br />POLIC~B. AWr~GATE LIMITS SHOWN MAY HOVE BEEN Fit7DUCFD BY PMO CWMS. <br />LTR THE OF WSURANCE POLICY NlAABal PATE GATE UMRB <br /> <br />A GENERALLWBIITY <br />X CMRAFACIPL GEI-ER~L UABRITY <br />I-660-114P5718-TCT <br />406/01/09 <br />06/01/05 EACH OCnnRe+cE <br />PRErusES Ee ou,r«c. S 1000000 <br />s 100000 <br /> cvuMS M^DE X^ ocoxl reD EXP I~G me oelsan) s 5000 <br /> PERSONN.6MV INJURY s aaooooo <br /> GENERAL AGGRECd7E s2DDDDDD <br /> GENT AGGREGATE LIMRAPPLIES PER: RE EIVED PRODUCTS. COMP/OP AGG SEXCluded <br /> POLICY X ,~ LOC <br /> A1lf OM0~ELIAB°'m <br />AHr Alrto 16 1005 COMBINED SINGLELIMD <br />IEe ecddeal : <br /> °LL °NrtED"`R05 <br />SC/ELI.I.EDAUT~ Dirisioa of inerets and G IDgy ~'LP;'~,,"~ s <br /> HWED NJTOS <br /> <br />NON-GATED AUf05 <br />BODILY INAIRY <br />fPx ecaart) <br />s <br /> PAOFEitfY OAM4GE <br /> <br />(Par xaawfl s <br /> OARA~IVIBRIIY AUTOOFLY-EAALCIDENT S <br /> N1Y nUT0 OTFR TH4N EA ACC i <br /> AUTOONLY: AGG S <br /> E%CE88NAIBRBWILIABILT' EACH OCCLRIE]JCE S <br /> OCCIR ~ CWMS MN)E AGGREGATE : <br /> <br /> DEDLCTIBLE f <br /> fE'IEIITICN : <br /> YmRHERB COMPEN&171W/ANp TORY LIMffS ER <br /> EMPLOYERS LMBBDY <br />ANYPROVRIErowyARnm~ExEamvE <br />EL.EM_H ACCIOENi <br />S <br /> OFFICERIMEMBER EXCLLDED9 E.L. DISEASE-FA EMPLOYEE i <br /> II ys6. OMCnb u+evr <br />SFECVL PROVISIONS OBbN <br />E.L. DISEASE-POLICY LIMB <br />i <br /> OTHER <br />OESCHPTION TIONS/LOCATIONS/VEHCLE9/EMCLUSMklS ADDED BY ENDO EMEM/SPECML PROValON9 <br />Re: Hamilton Mine,Pexmit No. C-91-078 <br />DIV'II~D:1 ~ 9FgULD ANY OF THE ABOVE <br />Division oP L~aetala and <br />Geology <br />1313 Shemlaa St., Room 215 <br />DeaVE1S CO 80203 <br />WTE THEREOF, THE aSUPlG NSLREILYYILLEIML IO wvs vmmEN <br />NOTICE TD Tiff CERTIFICATE HOLDER NANEO TO THE LEPT, BUT FAI~IM11 <br />