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?'ACCORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYYY) <br />DELTCOI 06 03 OS- <br />PNODUCER~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Synaxis Polk S Sullivan HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3401 West End Ave. Ste. 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Nashville TN 37203 <br />Phone:615-385-2860 Fax:615-385-8358 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Travelers xnaemnity co. of CT ., ~'~,~~ <br />_ <br />~ED INSURER B'. <br />rA Q~ \ ; r ~~ -' - ' <br />E~E~ <br />'- HOIIeyywwOOd COal CompanyR 1r+ ~+ <br />INSURER C: ~`,\„~~-,U~ --- <br />95 WFLite Bridge Road <br />5 <br />TN 37205 <br />N <br />h <br />ll INSURER D: N~~~ <br />- <br />~p0 <br />vi <br />as <br />e - <br /> INSURER E' <br />COVERAGES wry ' <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I S 0 ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT 0 aCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE M4Y BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICI IBED 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 />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MM/DDIYY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE E l OOOOOO . - . <br />A X COMMERCIAL GENERALLLABILITY I-660-114P5718-TCT- 0506/01/05 06/01/06 PREMISES(Eeoccurence f 100000 <br /> CLAIMS MADE ~ OCCUR MED E%P (Any one parson) f SDD D <br /> PERSONAL&ADV INJURY ElOOOOOO <br /> GENERAL AGGREGATE E 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG sExcluded <br /> POLICY X PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT -' -"- <br />E <br /> ANVAUiO (Ea acgtlant) <br /> ALL OWNED AUTOS BODILY INJURY <br /> BCHEDUIED AUTOS (Per parson) E <br /> HIRED AUTOS <br />BODILY INJURY <br />f <br /> NON-OWNED AUTOS (Per acatlent) <br /> PROPERTY DAMAGE """"""'" <br /> (Per accitlenq f <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT S "' ~' ~"` <br /> ANY AUTO OTHER THAN EA ACC E <br /> AUTO ONLY: AGO E ~ "' `~ <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE E "' <br /> OCCUR ~ CLAIMS MADE AGGREGATE E <br /> E <br /> DEDUCTIBLE E <br /> RETENTION E E <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY_ - - - <br /> ANVPROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT E <br /> OFFICERIMEMBER EXCLUDEDi E.L. DIBEASE-EA EMPLOYEE E <br /> If yyes, tleacribe under <br /> SPECIAL PROVISIONS below E. L. DISEASE-POLICY LIMIT E <br /> OTHER <br />,DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Re: Hamilton Mine, Permit No. C-91-078 <br />CERTIFICATE HOLDER CANCELLATION <br />Division of Minerals and <br />Geology <br />1313 Sherman St., Room 215 <br />Denver CO 80203 <br />DIVIMIl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOE <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL SO DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, SUT FAILURE TO 00 SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATNES. <br />