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ACORD CERTIFICATE OF LIABILITY INSURANCE CSR TK DATE (MA4DD/YYYY) <br />BOWIB-1 OS 19 04 <br />PRODUCER THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Putnam Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P . O. Box 991 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ashland RY 41105 <br />Phone:606-329-2200 Fax: 606-325-7787 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Federal Ins• Co• <br /> INSURER B: AmerlCan 8mpire Ine• - MFI <br />Bowie Resources, LLC <br />Jeff Muncy INSURER G: Pinnacol Assurance <br />PO Sox 5057 <br />Ashla <br />d KY 41105-5057 INSURER D: Lloyd's Of London <br />n INSURER E: 1815 BD <br />COVERAGES Wvl~,~° - <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 ANV CONTRACT OR OTHER OOCUMENi W17H RESPECT i0 WHICH THIS CERTIFICATE MAV BE fSSUED OR <br />MAY PERTAIN. THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER GATE MMIDD/YY DATE MM1UDD/YY N LIMITS <br /> GENERAL LIABILITY _ EACH OCCURRENCE $ lOOOOOO <br />A X COMMERCIAL GENERAL LIABILITY 37111143CAI O2/O1/O4 O2/O1/OS PREMISES (Ea occurence) 51000000 <br /> CLAIMS MADE ~ OCCUR MEO EXP (Any one person) $ lOOOO <br /> PERSONAL &ADV INJURY ElOOOOOO <br /> GENERAL AGGREGATE $ 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ lOOOOOO <br /> POLICY PRO LOC <br />JECT Em Ben. SOOOOOO <br /> AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$1000000 <br />A X ANYnuro 73525270 01/31/04 01/31/05 (Ea accitlenl) <br /> ALL OW NED AUTOS <br />BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> MIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-0WNED AUTOS (Peraaitlenl) <br /> PROPERTY DAMAGE <br /> <br />(Pe, acddam) $ <br /> GA RAGE LUU3ILRY AUTO ONLY-EA ACCIDENT E <br /> ANV AUTO OTHERTNAN EA ACC $ <br /> AUTO ONLY: AGG E <br /> EXGESSIUMBRELLALVU31LfTY EACH OCCURRENCE $ SOOOOOO <br />$ X OCCUR ~ CLAIMS MADE 4CU11917 02/01/04 02/01/05 AGGREGATE $ <br /> E <br /> DEDUCTIBLE $ <br /> X RETENTION $ tlOn E <br /> WORKER6~GOMPENSATION~AND __ y.1µ1 - <br /> <br />C <br />EMPLOYERS'LIABILTTY <br />ANY PROPRIETORIPARTNER/EXECUTIVE <br />4077356 <br />02/01/04 <br />02/01/05 <br />E.L. EACH ACCIDENT __ _ _ <br />E1000000 <br /> OFFICER/MEMBER EXCLUDED4 E.L. DISEASE - EA EMPLOYEE $ lO OO O OO <br /> I( es, Aescribe under <br /> SPECIAL PROVISIONS OeIOw E.L. DISEASE-POLICY LIMIT $1000000 <br /> OTHER <br />D 8quipment Floater 8105804RSOM0954 02/09/04 O1/O1/OS $1000 Ded $100,000 <br /> Rented/Leas <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Bowie No. 2 Mine (Permit #C-1996-083) - Township 13 South, Range 91 Weat, <br />6th P.M. <br />STATHI3 SHOULD ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRAT101 <br />DATE THEREOF, THEISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />$ tats of Colorado NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />D1V3$lon of Minerals & Ge.Ology IMPOSE NOOBLIGATION OR LUU71LffY OF ANV KIND UPON THEINSURER, RS AGENTS OR <br />1313 Sherman Street, RM 215 <br />Denver CO 80203 REPRESENTATIVES. <br />ACORD 25120071081 - 1 / ©ACORD CORPORATION 7988 <br />