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CEl~ 111 1C III I II I II I I I 1\CE NPLATrvE EY AMENUfiEE%"rF <br />NDS OP ALTEPS THE COVEMGFS <br />NDIORIE%CnLU510 <br />f <br />F <br />lY <br /> . . <br />A <br />N. <br />A <br />FOPDED <br />OP GAINED IN SAID POIICIFS <br />NAME AND ADDRESS OF AGENCY <br />~ <br />Adams & Porter COMPANIES AFFORDING COVERAGES Revised <br />510 Bering Drive COMPANY A National Union Fire Ins. Co. <br />Houston. Texas 7 70 5 7-1 408 LETTER <br />713/975-7500 COMPANY <br /> <br />I LETTER <br />NAME AND ADDRESS OF INSURED <br />Texas Oil & Chemical Company including /'s <br />LEITERNY C <br /> <br />American Shield Coal Company ' <br /> <br />P.O. Box 1636 COMPANI <br />D <br />LE,-TER <br /> <br />Silsbee, Texis 77656 <br /> COMPANY <br /> LETTER <br />II <br />THia a to comfy Uul pobcks of msunrPS haled below love been iswed to the ivurrd rumil above arW ve in !o .c m this lime NarithsuMing any regmrtmenl. urm ar condition n! any comracr or <br />other OOCUmem WiU roper to Wh¢h Nis uniHcau may be lasuad or may peruin. IlR iruurvNC aHoNed by the pohciea descnMd heron rs subJen to all the corms, euluslom aM mMiriom of such polies. <br />COMPANY <br />LETTER TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE tMM/DD~Y'TI IbLI[Y E%PIRATION <br />DATE IMM/DD/YYl ALL LIMITS IN THOUSANDS <br /> y~ GENERAL LIABILITY <br />GENERAL AGGREGATE <br />3 2 <br />OOO <br /> AJ COMMEPCI~L GENERAL LIABIIlTY , <br />, <br /> <br />~ I yr~-'~1 <br />^ CLAIMS MADE rlJ OCCURRENCE PRODUCTS COMP/OPS <br />AGGREGATE <br />1 <br />00o f <br />A ^ <br />W <br />~ L542-1921 4-1-92 -1-93 1 <br />S <br /> D <br />NLRfa <br />DNTRACrDRfr.nTERrvE <br /> ^ PERSONAL A ADVERTISING <br />INIURY 1 OOO <br />f > ~ <br /> <br /> <br /> ^ EACH OCCURRENCE f I , OOO, <br /> <br /> <br /> ^ FIRE DAMAGE ZANY I FIRE( S 50 ~ <br /> ^ MEDICAL E%PENSE f <br /> <br />tANY I PERSON( j' <br />f <br /> AVI'OMOTIVE LL1B~.17Y <br />CSL <br />S <br /> ANT AUiO~ <br /> ALL OWNEDD AUTOS BODILY INIURY <br />f <br /> SCHEDULED AUTOS (PEP PERSON( <br /> HinEO Alfllys BODILY INJURY <br /> NON OWNED AUTOS (PER ACCIDENTI s <br /> cAPAGE I.s%.ellln' PROPERTY <br /> ~ DAMAGE S <br /> EXCESS LIAB~.I•IV EACH AGGREGATE <br /> ^ ~ OCCURRENCE <br /> ^ OTHEP TN~N UMBPELI.f FORM <br /> ~ S S <br /> <br />' STATUTORY <br /> WORICERS <br />~ COMPENSAYI <br /> ~ S (EACH ACCIDENTI <br /> AND <br />S (DISEASE POLICY LIMRI <br /> aOLO ^ - <br />J ~ <br />S (DISEASE EACH EMPLOYEE( <br /> orxER Min d Land <br /> ~ RI?rl~m tinn r1~~•'-.I- <br /> '1 <br />DESCIIIPr10N OF OPERATON~IIACATONS/VEHICLES/RESIRICr10N5/SPECUL rrEMi <br />estoration/reseeding of approximately 7.8 acres in Section 30, Northeast <br />uarter of Township 8 South, Range 101 West (approximately 20 miles north <br />f Fruita, Colorado). <br />i <br />CeneellatioD: Should any ~6he above described policies be cancelled before the expiration date thereof, the issuing company will endeavor <br />to mail days written notice to [he below named cenif~cate holder, but lailure to mail such notice shall impose no <br />obligation or liability of any kind upon the company. A rl 1 1 1992 <br />P <br />NAME AND ADDRESS OF CERTIFlCATE HOLDER: DATE SSUED~ <br />Colorado Mined Land ' <br />Reclamation Division <br />1313 Sherman Street, 2nd FIOOr AUTHORIZED REPPFSEHT VE <br />Denver, CO 80203 <br />FORM IQSB <br />