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ACORD CERTIFICATE OF LIABILITY INSURANCE III IIIIIIIIIIIII III DATE"""/°~ e <br /> <br />~'G~ 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 />S e d g w i c k o f Tennessee Inc . ALTER THE COVERAGE AFFORDED BY THE~LICIES BELON. <br />P. 0. Box 1 9 8 1 0 COMPANIES AFFORDING COVERAGE _ <br />Knoxvi I 1 e, TN 37939-2810 COMPANY <br />423-58 4-9101 '~ A Essex Insurance Co. <br />INSURED COMPANY <br /> B <br />SUNLAND MINING CORPORATION coMPANv <br />249 EAST MAIN STREET, SUITE 200 C <br />L E% 1 N G T O N K Y 4 0 5 0 7 COMPANY <br /> D <br />COVERAGES <br />THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL01'! NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH iH[S <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> <br />CO POUCY EFFECTIVE POLICY EXPIRATION <br />TYPE OF INSURANCE FVU(:Y NUMBER <br />UMRS <br />Lm DATE]AIM/DD/YY] DATEIMMA]D/1'Y) <br />A GENERAL L1ABRfIY 3 A M 9 7 4 7 3/ 1 2/ 9 7 3/ 1 2/ 9 8 GENERAL AGGREGATE 5 1 Q ~ Q 0 0 0 - ___ <br />X COMMERCIAL GENERAL UgBILITV PRODUCTS~COMP/OP AGG 5 <br />' :CLAIMS ~ OCCUR <br />I MADE PERSONALB ADV WJURY 5 <br />~OWNER'SBCONT PROT ~ ~ EACH OCCURRENCE S 1 0 0 0 Q Q Q <br />~; ~ ~ FlRE DAr,nAGE 1 Any one nre) S 5_D_O_O.O_- _ <br />~ ~ MED ExP 1 Any one perspnj g 1 D D D <br />~ <br />AUTOMOBILE LWBILRY <br /> COMBw ED SINGLE LIALT 5 <br />ANY AUTO <br />ALL OWNED AUTOS BODILY INJURY S <br />'SCHEDULED gUT05 IPe, perspnl <br />-HIBEDADTDS <br />BODILY INJURY <br />RECEIVEQ <br /> <br />NON~OWNED AUTO 5 <br />IPe. acodenp <br />- - <br />-- ~ <br />~~- <br />-~, I A,I ~ O ~ ne PROPERTY DAMFGE <br />5 <br />- --- <br />JI'11, J <br />i WMGE WBRfiY gUTO ONLY-EA ACODENi 5 <br />ANY AUTO ~ Division of Minerals & Geolog} OTHER THAN AUTO ONLY <br />__ EACH ACCIDENT y <br /> I AGGREGATE 15 <br />I <br />E%CESS iIFBIUiY I EACH OCCURRENCE S <br />UMBRELLA FORM AGGREGATE 5 <br />OTHER THAN UMBRELLA FORM <br />-_ <br />__ .WORgIA!•f5lAMPSNSATION AND- -. _ _ _ - -_ _. - <br />R <br />EMPLOYERS LIABILM --- -TO <br />JLIMTTS--ER._ --- <br />- <br /> EFCH ACCIDENT _ 5 <br />EL <br />THE PROPRIETOR/ INCL _ <br />_ <br />EL DISEASE POOCV LIMIT 5 <br />PARTNERS/ExECUTIVE <br />~ <br />OFFICERS ARE' ~ E%GL EL DISEASE~EA EMPLOYEE 15 <br />~ <br />omEA ~ I <br />I ~ <br />I <br /> <br />DESCRIPnON OF OPERATIONS/IOCATIONSNEHICIE$SPECIgL REMS _ _ <br />AS RESPECTS THE APE% NO 2 MI NE. COLORADO PERMIT NO C-81-011. <br />82,500 DEDUCTIBLE APPLIES PE R CLAIM FOR BODLIY INJURY AND <br />PRDPERTY DAMAGE. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF mE ABOVE DESCRIBED POUCIFS BE CANCELLED <br />FORE mE <br />B <br />E <br /> v <br />vv <br />..v <br />EJPIRATION DATE mEREOF, mE ISSUING COMPANY WILL i~~AMAIL <br />COLORADO DIVISION O F MINERA L 5 , ] 0 DAYS WRRTEN NOTICE TD mE CERnRCATE HOLDER NAMED TO mEIEFT <br />AND G E 0 L 0 G Y <br /> <br />l 3 l 3 S H E R M A N S T. ROOM 2 1 5 BDT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIWRON OR LIABILITY <br /> <br />DELIVER CO 80203 OF ANY pND UPON mE COMPANY, RS AGENTS OR REPRESENTATNES. <br /> AunroragD REPRE ~ <br />~C~Mer~~w~ <br />__ - - - --' - - - <br />) 2 - 2 4 - - _ <br />~ <br />(c)ACORD CORPORATION 1993 <br />