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I <br />I <br />i <br />j <br />F <br />I': <br /> <br />~ <br />~ ~ rx~iv^p <br />~~ ~ <br />:, D ;, ~ <br />I~~I~~I~~~~~~I~ <br />G~'OC~'~i9~ O~ OW~J'UL~nJ ~'C ~II ~ <br />s <br />SC~~ 'tl7Ft3 crYtFl'fim:ll.: IE, I w r I:li E I::Gm~i is 4' Irr~l:r7,r.K1148 cr.LLw ~ cRo;r+i:;J 2p <br />`' ss <br />;tCd: ls~, + • P n:L .. +[r7srC: cOy7~;a <br />.. <br />G1~7 CE7$rIQ1Cr3`vlTd r r ".U° 7 LW*[i;r~ J:h'~SH? le'1:'+ ir13~:1 17u'[ CXaA:i_Lr~ /S. r • • r Ui UZtL LA2LLOL~i nJ~iTii~ .Zi'.f91C1 <br /> <br />NAME AND ADDRESS OF AGENCY ' _ <br /> <br />CO:aPAPoIES AFFORDIPoG COVERAGES <br />Flat Top Insurance Agency <br />P. O. BOX 439 COMPANY <br />Bluefield, WV 24701 LETTER <br />COMPANY O - ---_ <br /> <br />LETTER ~ i I <br />it ^1 `, <br />~ ,-' _~~W ~~I.V CI BILiGEVVII <br />NAME AND ADDRESS OF INSURED /~ <br />~ aluNiald, Weft VlrelnL^ <br />COMPANY II <br />A. T. Massey Coal Company, Inc., Etal. LETTER lJ ~ ~r -v m o/ InSUranfA <br />_` <br />4 North FOUrth St. COMPANr D <br />TT '\~Ir•~+/ ~ <br />ER <br />Richmond, VA 23219 LE '~~v <br />COMPANY ~ - ~~.: _q- ~ UE uirg my !'9cc, +r1~1~°: <br />LETTER ~ <br />. <br />' <br />Cr ~__, <br />ur.. <br />..~:;. Ytr9l nl: P,._rL <br />This is to certify that policies of insurance listed below have been issued to the insured named above and are in regwremen , erm or condition <br />01 any contract or other document with respect to which this certificate may be issued or may pertain, the insurance aNOrtled by the policies tlescribed herein is subject to all the <br />terms, ezclusions and conditions of such policies. <br />OMPANY POLICY Limits of Liability in Thousands <br />LETTCR TYPE OF INSURANCE POLICY NUMBER EXPIRATION DATE EACH AGGREGATE <br /> OCCURRENCE <br /> GENERAL LIABILITY <br /> BODIIV INJURY f f <br />A ~y <br />C~COMPREHENSIVE FORM CS E569057 3/1/82 SOD, 500, <br /> PREMISES-OPERATIONS PROPERTY DAMAGE S 5 <br /> ~EXHpOA51ROON AND COLLAPSE SOD SOD <br /> , , <br /> UNDERGROUND HAZARD <br /> PRODUCTS/COMPLETED <br /> I(~~ OPERATIONS HAZARD <br />L4CONTRACTUAL INSURANCE BODILY INJURY AND <br />P <br /> <br />^ BROAD FORM PROPERTY PRO <br />ERTY DAMAGE <br />COMBINED 3 E <br /> DAMAGE <br />INDEPENDENT CONTRACTORS <br /> PERSONAL INJURY PERSONAL IN JURY f <br /> AUTOMOBILE LIABILITY BODILY INJURY f <br /> <br />^ (EACH PERSONI <br /> COMPREHENSIVE FORM <br />^ <br />OWNED O r~z/~ q <br />8 Y <br />~ ~~ L <br />~!m ~r-'gyp, <br />I} <br />+ BODILY INJURY <br />(EACH ACCIDENT) f <br /> ,~ <br />~ <br />L L~ <br />l1 <br />PR <br />P <br />RTY <br /> ^ MIRED . O <br />E <br />DAMAGE f <br /> ^ NON-OWNED BODIIY INJURY AND <br />f <br /> PROPERTY DAMAGE <br /> COMBINED <br /> EXCESS LIABILITY ~ v <br /> ^ IIMBRELLP DORM BODILY INJURY AND <br /> ^ /~ nn <br />~A~NED LAND 1 t:C i <br />' <br />~ r <br />~ PROPERTY DAMAGE E f <br /> DTHER THAN UMBRELLA l <br />. <br />Colo <br />D , <br />~ <br />~L/~ COMBINED <br /> FORM <br />. <br />ept. Of Natural <br />- <br /> WORKERS' COMPENSATION sraruroar. <br /> d <br /> an <br /> EMPLOYERS' LIABILITY s <br />dKn <CbDt Nrl <br /> OTHER <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNENICLES <br />Capstan Mining Company -Bacon Mine Sun Coal Company -Meadows 111 Mine and <br />Menefee Land Company - Shalako Mine Trout Creek lit Mine <br />Cancellation: Should any of the above described policies be cancelled before the expi ration dale thereof, the issuing com- <br />pany will endeavor to mail ~.g_ days written notice to the below na med certificate holder, but failure to <br />mail such notice shall impose no obligation or liability of any kind upon th e company. <br />NAME ANp ADDRESS OF CERTIFICATE HOl DER <br />Colorado Mine Land Reclamation Board DATE ISSUED: <br /> <br />1313 Sherman Street F~~ T ~,,(~.~ <br />~ ~~$~~ 1..;.y-.nom <br />Denver, Colorado 80203 ~ ~ ~~G~~-Q <br /> ENTATIVE <br />ACORD 25 (I-79) <br />~~li ~IYfzn <br />I,tiia tau~uiuru roaairlrwaru~flnnEnlia. <br />fj, ', <br />~i ~E <br />I <br />!.I l <br />~i II <br />'~ ~ i~ <br />If! <br />1~ i i ,l <br />I~ ~ ' <br />'I~ <br />k ~~ <br />ji, ~ I'~ <br />it <br />I+ <br />