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~~l1liVRD CERTIFICATE OF LIABILITY INSURANCE OPID DATE IMMR)D/1'1'YY) <br />DELTCOI 06 03 OS- <br />PRODUCER <br /> <br />Synaxis Polk 6 Sullivan <br />3401 West End Ave. Ste. 600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Nashville TN 37203 <br />Phone:615-385-2860 Fax:615-385-8358 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED INSURER A: xravelars intlemni ty Co. o£ cT <br />v~p INSURER B - <br />pE, <br />'- Hone ood Coal CompanyR~ INSURER C: _ <br />95 W~te $rldg0 Road <br />C <br />h <br />ille TN 37205 <br />N INSURER D: <br />~oO <br />v <br />J <br />as <br />INSURER E: - <br />COVERAGES uv~ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I ~lyA8~1$ D AROVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENi, TERM OR CONDITION Of ANY CONTRACT OIigCUMENi WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLIC16BI RIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCWSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMBS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OFINSURANCE POLICY NUMBER DATE MM/DDf/Y DATE MMIDD LIMITS ' <br /> GENERAL LIABILITY EACH OCCURRENCE $SOOOOOO ... . <br />A X COMMERCIAL GENERAL LIABILITY X-660-114P5718-TCT- 0506/01/05 06/01/06 PREMISES(Eeoccurence E 1000DQ <br /> CLAIMS MADE X^ OCCUR MED EXP (Any ona person) E SQQQ <br /> PERSONAL BADV INJURY ESOOOOOO <br /> GENERAL AGGREGATE E 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG EEXC1Ud@d <br /> POLICY X JECT LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />E -- -- <br /> ANY AUTO (Ee eccidsnt) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> MIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OW NED AUTOS (Per ecddanf) <br /> PROPERTY DAMAGE """"'-"" <br /> (Per accident) E <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT E ""-' "~ <br /> ANY AUTO OTHER THAN EA ACC E ' ' "' <br /> AUTO ONLY: qGG $ ~ ~ " <br /> EXOESSNMBRELLA LIABILITY EACH OCCURRENCE E " ' <br /> OCCUR ~ CLAIMS MADE AGGREGATE E <br /> $ <br /> DEDUCTIBLE E ._. .._.. <br /> RETEN710N $ E - <br /> WORKERS COMPENSATION AND <br />' TORY LIMITS ER <br /> LU181LITY_ - -- <br />EMPLOYERS - - - - <br /> ANY PROPRIETOR/PARTNER/E%ECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER E%CLUDED7 E.L. DISEASE-EA EMPLOYEE E <br /> I(yes, describe untler <br /> SPECIAL PROVISIONS beIOW E. L. DISEASE-POLICY LIMIT E <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Re: Hamilton Mine, Permit No. C-91-078 <br />IrCR I lr' WN I C RULUCR liAryI.CLLX I IV ry <br />DIVIMIl SHOULD ANY OF 7NE ABOVE DESCRIBED POLIOIES BE DANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL lO DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />D1V1910n Of Minerals and IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTB OR <br />Geology <br />1313 Sherman St. , ROOM 215 REPRESENTATNES. <br />Denver CG HO2Q3 AUTHORQED REPREBENTATNE <br />TION 1988 <br />