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CORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DD/YYYY) <br />A <br />_ <br />DELTCOI O5 28 04 <br />ORODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Synaxis Polk b Sullivan HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3401 West End Ave. Ste. 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Nashville TN 37203 <br />Phone: 615-385-2860 Fax: 615-385-8358 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Travelers xnaemnicy co. of-cT <br /> INSURER D: ~ _ '- ' <br />-Hone ood Coal Company INSURER C: ~ ' <br />' 95 W~te Bridge Road INSURER D: - ' <br />Nashville TN 37205 <br /> _ <br />' INSURER E: - <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IB SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br /> <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER LI EFF TIVE <br />PATE MM/DD/YV P LI YE%PIRATI N <br />DATE MM/DD/YY <br />LIMITS <br /> GENERAL LUIBILITY EACH OCCURRENCE $SOOOOOO <br />A X COMMERCIAL GENERAL LIABILITY I-660-114P5718-TCT- 0406/01/04 06/01/05 PREMISES (Eaoccurence) $ 100000 <br /> CLAIMS MADE a OCCUR MED EXP (Any one parson) $ SDDD <br /> PERSONAL BADV INJURY $lOOOOOO <br /> GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS-COMPIOP AGG $Excluded <br /> POLICY ]{ PRO- LOC <br />JECT <br /> AUT OMOBILE LIABILITY - _ COMBINED SINGLE LIMIT <br />$ <br /> ANV AUTO (Ea amitlen!) - - ... <br /> ALLOWNEO,AUTOS_ <br />- - ECEI ED <br />BODILY INJURY <br />~ ~ -~ ~ - <br /> _ R $ <br /> SCHEDULED AUTOS ~ (Per person) <br /> -HIRED AUTOS - ~ - <br />SUN' Q ~ <br />(~4 ' <br />(PerDaLrcident)IRV <br />$ <br /> NON-OWNED AUTOB <br /> PROPERTY DAMAGE <br /> <br />ision of Minera <br />and Geology <br />(Per a¢itlent) $ <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ 8 <br /> WORKERS COMPENSATION AND_ _ <br />- _ _ __ ~_ _ __ _ _ _ <br />TORY LIMITS ER _ _ <br /> EMPLOVERS'LIABILITY _ <br />_ <br /> <br />ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH AGGIDENT g <br /> OFFICERIMEMBER EXCLUDED? E. L. DISEASE-EA EMPLOYEE $ <br /> n ve:. asaaibe under <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />Re: Hamilton Mine, Montross County, Colorado, DMG Permit No. C-91-07B <br />DIVIMZI SHOULD ANV OF THE ABOVEDESCRIBEO POLICIES BE CANCELLED BEFORE THE E%PIRATIO~ <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />D1V1310n of Minerals and NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Geology IMPOSE NO OBLIGATON OR LIABILITY OF ANV HIND UPON THE INSURER, ITS AGENTS OR <br />Attn: H. Ranney <br />1313 Sherman St. , ROOM 215 REPRESENTATIVES. <br />DenVOr CO BD2D3 /~WfHO 2ED RE ESENTATIV~ <br />~s nnnvnm nACORD CORPORATION 1988 <br />