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CXOfCJ <br />NAME AHD ADDRESS OF AGENCY <br />Frank B. Hall & Company of Mass., Inc. <br />89 Broad Street <br />COMPANIES AFFORDING COVERAGES <br />COMPANY e r <br />Boston <br />Mass. 02110 ~~ i«DUY NR.C LVNIJaf I~' V3 IY Vi UI nlDet lCH <br />, <br /> COMPANY B P <br />ifi <br /> <br />LETTER <br />ac <br />c Employers <br />NAME AND ADDRESS OF INSURED COMPANY <br />C Old R <br /> <br />Potrrderhorn Coal Company LETTER <br />epublic Insurance Company <br /> <br />East of Grand Junction, Colorado COMPANY D <br /> LETTER <br /> COMPANY E <br /> LETTER <br />This is to cerbfy that policies o1 insurance listed below have been issued [o the insured named above Lntl are in force at this time. Notwithstandingaey requirement, term or condition <br />of any contract or other document with respect to which [his certificate may be issued or may pertain, the insurance afforded by the pollees described herein is subject to all the <br />terms, a%clusions and conditions al such policies. <br /> POLICY Limits of Liabili in Thousan S <br />COMPANY <br />LETTER TYPE OF INSURANCE POLICY NUMBER E%PiRAT10N DATE CACH AGGREGATE <br /> OCCURRENCE <br /> GENERAL LIABILITY <br /> GODLY INJURY S S <br />A ~ COMPREHENSIVE FORM 6/1/83 <br /> <br />^ ISL ZO916B <br /> PREMISES-OPERATIONS PROPERTY DAMAGE S E <br /> ^ E%PLOSION AND COLLAPSE <br /> HAZARD <br /> ^ UNDERGROUND HAZARD <br /> ^ PRODUCTS/COMPLETED <br /> OPERATIONS HAZARD <br />^ BODILY INJURY AND <br />000 <br />1 <br />1 <br />000 <br /> CONTRACTUAL INSURANCE PROPERTY DAMAGE , <br />S s <br />, <br /> ^ BROAD FORM PROPERTY COMBINED <br /> DAMAGE <br />^ INDEPENDENT CONTRACTORS l <br /> ^ PER50NAl INJURY PERSONAL IN JURY 5 <br /> AUTOMOBILE LIABILITY BoparlNJUar <br />s <br /> (EACH PE RSOnI <br />A X^ 6/1/83 <br /> COMPREHENSIVE FORM BODILY INJURY s <br /> ^DWNED CAL 484438 (EACH ACCIDENT) <br /> ^ HIRED PROPEATY DAMAGE 5 <br /> <br />NON OWNED BODILY INJURY AND <br />000 <br />s 1 <br /> PROPERTY DAMAGE , <br /> COMBINED <br /> E%CESS LIABILITY <br />B TD BE DETERMINED 6/1/83 BODIIY INJURY AND <br />I <br /> X^ UMBRCLLA FORM PROPERTY DAMAGE sS,000 s 5,000 <br /> ^ OTHER THAN UMDRELLA COMBINED <br /> FORM <br /> WORKERS' COMPENSATION SraruroRr <br />C and 717 BE DETERMINED 7/1/83 <br /> EMPLOYERS'LIABILITY s 100 ,uc H+a am~ <br /> OTHER <br />DESCRIPTION OF OPERATIONSA.OCATIONSNEHICLES <br />Cancellatlon: Should any of the above described policies be cancelleq oefomrea TU-e eapl la~ionh~~Triereof, the issuing com- <br />pany will Amo~clacmail ~_ days written notice to the below named certificate holdet:7d7pl~7tj~p~p <br />NAME AND ADDRESS OF CERT6KATE HOLDER <br />Colorado Department of Natural Resources <br />Mined Reclamation Board <br />Mined Land Reclamation Development <br />1313 Sherman Street <br />Denver, Colorado 80203 <br />Dnre IssueD .7unP l ~ 1497 <br />F.B. Hall & Co. of Mass., Inc. <br />AUTHOR12E0 REPRESENT <br />( <br />ACOAD 25 (I~Z9) <br />