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~ACfSRD CERTIFICATE OF LIABILITY INSURANCE OP ID <br />DELTCOI DATE IMM/DD/YYYYI <br />OS 30 06 <br />PRODUCER <br /> <br />Synaxis Polk S 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- <br />5&.` ~ ~j. <br />INSURERS AFFORDING COVERAGE ~ <br />NAIC# <br />INSURED ~ INSURER A: Tiavalexe Indemnity Co. o£ cx <br /> 00 INSURER B <br />- Hone ood Coal GOIDjDany 0 <br />12 <br />dUN O L U ~ INSURER C: ' <br />95 W~te Bride Road <br />Nashville TN 7205 INSURER D: <br /> I~IBIgaDdcaaosv <br />INSURER E: <br />COVERAGES ~~~~ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REpUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE AMY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDRIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEVMM/DDIYY DATE MM/Dp/YY LIMITS <br /> GENERAL LMBILITY EACH OCCURRENCE E LOOOOOO <br />A X COMMERCIAL GENERAL LIABILITY I-660-114 P5718-TCT- 0606/01/06 D6~Dl~D7 PREMISES Ea occurence~ S lODODO <br /> CLAIMS MADE OCCUR MED EXP (Any one person) E SDDG <br /> PERSONAL BAOV INJURY S ZOO DGDD <br /> GENERAL AGGREGATE E ZOOOOOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG EExcluded <br /> POLICY X PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY c . <br />r <br />COMBINED SINGLE LIMIT <br />E <br /> ANY AUTO (Ea actltlent) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) E <br />- <br /> HIREDAUTOS <br />RODILY INJURY <br />E <br /> NON-OWNED AUTOS (Per accitlenU - <br /> f PROPERTY DAMAGE <br /> <br />(Per eccitlenq E <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT E <br /> ANV AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: AGG E <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE E <br /> OCCUR ^ CLAIMS MADE AGGREGATE E <br /> <br /> DEDUCTIBLE E <br /> RETENTION E E <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LMHILITY _ - <br /> ANVPROPRIETOR/PARTNERIEXECUTIVE _ _ _ _ <br />- _ EL EACH ACCIDENT $- - ' <br /> OFFICERIMEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE E <br /> If yes, tlescn0e antler <br /> SPECIAL PROVISIONS CeIaw E.L. DISEASE-POLICY LIMIT E <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Hamilton Mine, PermitNO. 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 />DIVIMZI I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOA <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br />IMPOSE NO OBLIGATION OR LIA8ILITV OF ANY KING UPON THE INSURER, ITS AGENTS OR <br />