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03-JUN-2005 12:12P~1 FR01,1-Blanchard Insurance Group Inc. 9702459015 T-T55 P.003/004 F-819 <br />acoRU CERTIFICATE OF LIABILITY INSURANCE GP ID DATE (MM/OD/YY) <br />EDfCO-1 0 6 / 03 / 0 5 <br />PaoeuceR THIS CERTIFlCATE IS ISSUED AS A HALTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE <br />8laaohar8 IaeuraaCe Group Saa. pIO.TER THE COVERAGE AF ORDED BY THE PHOL~ICIEuEBELOW. <br />8.0. Hox 60130 <br />praa9 suactioa CO 61506 INSURERS AFFORDING COVERAGE <br />Phona:970-245-8011 Fax:970-245-8016 <br />7~15M Eor~z~ Di~recoSUite 219 <br />GreaR Junotioa CO 6150fi <br />COVERAGES <br />THE POWCIE6 Of 1NSUAM <br />ANY RCOUIREMENT, TERM <br />INSURED <br />PN If`IFS. M.f.000ATF I IMITA KNOW N <br />.NT wRN RESPECT To wHICry THIS CERTIFICATE MAV BE I66UED OR <br />I6 6UBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />~LTR TYPE OFINSURANCE POLICY NUMBER DATE DA MIDp/YY LPAIT B <br /> GENERAL LIABLLIJY EACH OCCURRENCE F1, GOO, OOD <br />A X COMMPACIALGENERALUA91Lnv 9X90668 D5/SO/05 05/10/06 Fp1EDAMABE(Mrorla0re) 6100,000 <br /> CWMS MADE ^X OCCUR MED FXP(MYOne pmeon) S5r000 <br /> pERSONALp ADV INJURY Slr OOOr DOO <br /> GENERAL AGGRE(lNTE i2, 000. DDD <br /> GEN'L MOREOATE LIMB APPLICS PER: PRODUCTS-COMP/OP A00 62 ODOr 000 <br /> POLICY jECi LOC <br /> <br />A AUT <br />X OMOBILE LUU3nm <br />ANVAUro <br />9X90868 <br />05/10/05 <br />05/10/06 COMBINED SINGLE LIMB <br />(~BGEI"~"') y1, 000, 000 <br /> ALL OWNED AUTOS <br />9CHEOULED AUTOS BODILY INJURY <br />IPor poraonl A <br /> X <br />X HBiE0 AUT09 <br />NON~OWNEO AUT06 <br />RE <br />EIVED BODILY INJURY <br />(Perealaenp <br />6 <br /> PROPERTY DAMAGE s <br /> (Per ecnGenU <br /> GARAGE LUUpLITY AUTO ONLV•EAACCIPBNT 8 <br /> ANy AUTO OTHfiR THAN EA ACC 8 <br /> nerals & Geol ADTD DnLY: AGG s <br /> E%CEBB LU\BILRY EACN OCCURRENCE 5 <br /> OCCUR ~ CLAIMS MADE AGGREGATE B <br /> S <br /> DEDUCTIBLE S <br /> RETENTION 5 S <br /> WORKER6 COMPENSAEON AND _ <br />TO V LIMBS R <br /> EMPLOYERS LIAEaJTY EL EACN ACCIDENT S <br /> EL. DIBEABE•EA EMPLOYE S <br /> EL. OIfiEA6E•POL.ICY UMIT S <br /> OTNER <br />DESCPoPTION OP DPERATIDNSIIAGITIONSNE I9C:~ *~rr9lONe AODEO BY aNDORSEME NiISPECiAL PROVIBID N6 <br />RE: Hlue Ribbon Mine-Bile No c-B1-047. State Of ColoraBo, Division Of <br />Minerals & Geology ie iaclufla8 ae an ABditional iaaure8.+'10 bnye Notice sae <br />Co Noa-Paymene Of HreDLitnn.••or 3neur eabetaative ohsage6 or failure to <br />renew. TRIE CERTI82CATE 99PER8EDE6 PREVIOIISLY ISSVSD C&RTIPICATH <br />CERTIFlCATE HOLDER N ADpRIONAL wsuREp; pISURER I~TTeR: CANCEUJLTION <br />0000000 SNOULO ANY OF THE ABOVE pEBCRIeEP POLICIES BE CANCELLED BEFORE THE EAPIRATI <br />State Of ColOxBdo GATE 7HEFIEOF, THE ISSUING INSURER WILL>aMaL ~-oAYS wR1T'rEN <br />aiviaioa OE Miaerale & GEIOlODy NDTICB TO THE CERTIFICATE NOLDER NAMBO TO THE LEFT, ®iRBA1C1~B0GT0®:i0i' <br />1313 Shermea Street 80070. a15 OoON~ meek <br />Deaver CO 80203 •• / ~ <br />INSURER A <br />IN6URER <br />INSURER C: <br />INSURER o: <br />