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ACORD,« CERTIFICATE OF LIABILITY INSURANCE o4iovzoos oiizai2oo <br />PRODUCER <br />Lockton Companies <br />8110 E Union Avenue <br />Suite 700 <br /> <br />~ A~~ <br />®. 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 COVERA E AFF RDED BY TH POLI IES 6 LOW. <br />Denver CO 80237 <br />(3D3) 414-6D00 ~~ <br />t <br />4 r }~ <br />INSURERS AFFORDING COVERAGE <br />1 `, <br />G°0\O~ CONTINENT L CA UALTY <br />1030130 ,~ <br />°\s°~a e <br />S <br />311 <br />~Oth St9 Mai #NH2O0 °t<s~oe~ IR <br />URER <br />Golden CO 80401 D~~YSYpO N <br /> <br />COVERAGES ADOCO01 PO <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 ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR ' <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR POLICY EFFECTIVE POLICY E%PIRATION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIOOIYY DATE MM/OD/YV LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE 5 --I 2$D DDD <br />A X COMMERCIAL GENERAL UAHIUTV 249219970 10/20/2003 04/01/200$ FIRE DAMAGE An one fire s XXXXXXX <br /> CLAIMS MADE ~ OCCUR MED EXP An one erson S XXXXXXX <br /> X Vendors PERSONAL 8 ADV INJURY 5 1 2$D DDD <br /> GENERAL AGGREGATE S 12SO DDD <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 5 12SO DDD <br /> PRO- <br /> POLICV JECT LOC <br /> AUT OMOBILE LIABILITY <br />CoMemeD' INGLELIMIT <br />s 2,000,000 <br />A X ANY AUTO 249220018 10/20/2003 04/01!200$ Ea accitlent <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />5 XXXXXXX <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS BOpILY INJURY <br />5 XXXXXXX <br /> X NON-OWNED AUTOS (Per accitlent) <br /> PROPERTY DAMAGE <br /> 5 XXXXXXX <br /> (Per accitlent) <br /> GAR AGE LIABILRY AUTO ONLY-EA ACCIDENT S XXXXXXX <br /> ANY AUTO NOT APPLICABLE OTHER THAN EA ACC S XXXXXXX <br /> AUTO ONLY: AGG 5 XXXXXXX <br /> EXCESS LIABILITY EACH OCCURRENCE S XXXXXXX <br /> OCCUR ~ CLAIMS MADE NOT APPLICABLE AGGREGATE 5 XXXXXXX <br /> UMBR <br />LLA 5 XXXXXXX <br /> E <br />DEDUCTIBLE ~ FORM XXXXXXX <br /> RETENTION S 5 XXXXXXX <br /> WORKERS COMPENSATION AND NOT MPLICABLE - ~- - WCSTATU- - OTH- - - - - - <br /> _ <br />EMPLOYERS' LIABILITY <br />E,L. EACH ACCIDENT <br />S XXXXXXX <br /> EL DISEASE-EA EMPLOYEE 5 XXXXXXX <br /> E.L. DISEASE-POLICY LIMIT 5 XXXXXXX <br /> OTHER <br />DESCRIPTION OFOPERATIONS/LOCATIONSIVENICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: KeeDesbutg Mine ++ <br />1439971 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />CO Division of Minerals & Geology DATE THEREOF, THE ISSUING INSURER WILL €NDEAYOR-S0. MAIL 3O DAYS WRITTEN <br />Mined Land Reclamation Board <br />1313 Sherman SUeet NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Rm #215 <br />Denver CO 80202 <br />AUTHORIZED REPRESENTATIVE <br />IM~1~ m O~b~-~ ~4 <br />ACORD 25•S (7197) Tn=aa••n.+.~.a+rm+Frm.=.mn.n.,..+vam.++mn..u.aamm.•P=mU..r..~ion+n..•..+a.n.ay m. =n.m.+e. •AOOCOar. pACORD CORPORATIO 1986 <br />