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Marsh USA Inc 8/12/02 3:28: PAaE 2/2 RightFAX <br /> <br /> CE0.TIFIC0.7E NUMBER <br /> - Alt-000713585-01 <br />PRODUCER 7NLY CERTFICATE 18189UED A8 A NATTER OFINFORNATION WILY AND CONFERe <br />Mesh NO RRiHTB UPON THE CERTIFICATE HOLDER OTHER THAN 7N08E PROVHIEO M THE <br />P.O. BO% 38012 POLICY. TH18 CERIFICATE DOER NOT AFIEND, E%TEND OR ALTER THE COVERAGE <br />KI10%VItlE, TN 37930.8012 6FFOROEO 8Y THE POLIO@8 DE8GRP3E0 HEREM. <br /> COMPANIES ARFORDINO COVERAGE <br /> COMPANY <br />00004- A STEADFASTINSURANCE CGMPANY <br />M8URE0 C~pyryy <br />LORENCINTO COAL COMPANY, LLC 8 N!A <br />20500 Hi way 12 <br />Weston, ~0 81091 <br />caMPANv <br /> C NIA <br /> COJPINV <br /> D <br />THIS IS TO (ERTIFV THAT P('LIgE9 OF INSURANCE DE9CRIBEO HEREN HAVE BEEN i59U~ TO THE INSIRED NNdED HEREIN FOR THE P0.1CY PERI00 INDICATED. <br />NOrVATHSfANDING ANV REWIREMENT, TERM OR CONDITOJ OF ANY CONTRACT OR OTHER DOQIMENT IMTH REJECT TO VMICH THE (SITIFlCATE MAV eE ISS1E0 OR MAV <br />PERTH N, THE INSURANCE AFFORDED BY THE POUpE9 DESCRIBED HEREN 193U&IECr TO PI.L THE TERMS CQVDITIOIV$ ANO EXQU90N8 (F S1CH POLIOE9 LIMITS Ei(WNV <br />MAV HAVE BEEN REDUCED BV PNO QAIMS <br />~ TYPE Of INSURANCE POLICYNUNHER POLICYEFFEGTIYE PWICY E%PIRA710N LINRB <br />LTR DATE QANIDD/YY) DATE (NN/DO/W) <br />A oE NERAL uaaam BDG 9304453-01 08/13102 DS113)03 <br />GENEIZAL AG(REGATE <br />$ 2,OOD,000 <br /> x COMMEROALGENERALLIAHILITV PRODULTS•CQAP/OPAOG $ tA00,000 <br /> O_NMSMPDE ~OCQ1R PER90NAL 8ADVINJURV $ 1ip~,D~ <br /> OANER'38 COFlTRACTOR'SPR(Tr EACH OCGTIRRENCE $ 1,000,p~ <br /> FIRE DAMAGE(My McGI~ $ SO,000 <br /> <br /> MEO E%P M ma aem $ 5,000 <br /> AUT OMOBLLE LWBILITY <br /> COMBINED SNGLE LIMIT $ <br /> AYY AUTO <br /> ALL (LAMED AUT03 BODILV IN.URV $ <br /> @~ DumA) <br /> S:kIEDULEO At1T03 <br /> HIRED AllT03 BODILYIN,URY $ <br /> ~~ actltlent) <br /> NON•OVMED AUT09 <br /> PROPERTY DAMAGE $ <br /> <br /> DARADE LU1BR17Y ALTO ONLY-EA ACCIDENT $ <br /> AVY MITO OTHER THAN AUTOONLY -)iii`='~ i`t'"d'`~~`i'}it~ ~, ": <br /> EACH ACOOENT $ <br /> AGGREGATE $ <br /> E%CE88 LWSILITY EACH OCCURRENCE $ <br /> UMBRELLAF(RM AGGREGATE $ <br /> OTHER THAN UMBRELLAFORM $ <br /> EMP LOYERff LVIa1LRV TORY LIMITS ER ~`'e t~ w. <br /> EL EACH ACODENT $ <br /> 7HE PROPRIETOR/ MCL EL OISEA$fQICY LIMIT $ <br /> PARTNERSE%ECUTIVE <br />OFFICERSME: <br />EXO_ <br />EL DISEASEEAW EMPLOYEE <br />$ <br /> <br />DEeCR~T10N OF OPERATIONSlLOCATIONefVENNP.E818PECUY ITEMS (LIMITS aAV ~ BUa.kGT TO DEDUCTIBLE80R RETENTIONS) <br />RE: Permit # C-08-084 <br />LocaBon: 2 Miles West of SegJndo, GO on Highway 12 <br />DeducBble: $5,000 Combined BI li Pp Par Oaurrence <br /> &IOIAD ANY K TI@ P0.1tlEb DES(ReEO IEREIN BE GN03LE0 BEFORE TI[ E%PIMT(kl GATE TERE(P, <br /> 11l IN9RER AFFORDfNN CWERAYE 4XLL EG~PQ~ MNL ~0 GAYS NRITiEN NOr10. TO T/E <br />Colorado Division of Minerals 8 Geology r <br />DR <br />F <br /> <br />1313 Sherman Street ER <br />IGTE <br />IELDER NRAEO HEREIN <br />Denver, CO 80203 <br /> aRaN usnaa <br /> r. Samuel F. Robinson "/0--- <br /> <br />