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<br />s- <br />~ '` ~ 'a . <br />®~~ ~ III IIIIIIIIIIIII III ISSUE DATE (MM/DD/1'1') <br />° <br />® 6-14-8G ! <br /> <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />SaClaTlan I1TeSterE1 Se]_vtce Agency EXTEND ORUALOTER THE COVERAGE AFFORDED BY THEIPOLIC ESOB LOW AMEND, <br />S <br />it <br />205 <br />d A <br />122 <br />Q <br />e <br />ve. <br />u <br />5 i <br />o. Gran <br />Pueblo, Colorado 81003 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />. <br />LETTER A B1tU[1nS10US <br /> ~ <br /> -~ <br />" ~ ~/i~l <br />_ COMPANY 1 <br />c' <br /> LETTER B - <br />INSURED <br />Blue Flame Coal, Ii1C. LETTERNY C <br /> <br />DBA B1Ue F1a1i1L' GOal MTne <br /> <br />1001 raSt 2nd AVenue COMPANY p <br />LETTER .,. . <br /> <br />Durangoc~ Colorado 81301 <br /> COMPANY E <br />- <br /> LETTER ~ <br />s <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW H AVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF A NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WNICN THIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE P OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONS, AND CONDI- <br />TIONS OF SUCH POLICIES. <br />CO PDLICY EFFECTNE POLICY E%PIgATIDN LIABILITY LIMITS IN THOUSANDS <br />LTR TYPE OF INSURANCE POLICY NUMBER DAZE IMWDWYY) DATE (MW-D/Y11 EACH <br /> OCCURRENCE AGGREGATE <br /> GE NERAL LIABILITY BODILY <br /> X COMPREHENSIVE FORM IFUUav $ 3OO $5OO <br />A }( PREMISES/OPERATIONS RRORERn <br /> UNDERGROUND DAMAGE $ 300 $5 <br /> EXPLOSION 8 COLLAPSE HAZARD <br /> }{ PROOUCTS/COMPLETED OPERATIONS GL4 14-13-62 6-4-86 6-4-87 <br /> CONTRACTUAL Bla PD <br />COMBINED <br />$ <br />`~ <br /> X INDEPENDENT CONTRACTORS <br /> BROAD FOgM PgOPERtt DAMAGE <br /> PER$ONAI INJURY PERSONAL INJURY $ <br /> A UTOMOBILE LIABILITY BOgIY <br /> <br />ANY AUTO IRDRY <br />IRR vEIN}vl <br />$ <br /> ALL OWNED AUTOS (PRIN. PASS I BDDIr <br /> OTHER THAN1 <br />ALL OWNED AUTOS ~ PRIV PASS. / IxwRr <br />IRR Arr.IDENn <br />$ <br /> HIRED AUTOS PROPERn <br /> NON-OWNED AUTOS DAMAGE $ <br /> GARAGE LIABILITY BI a RD <br /> COMBINED $ <br /> E%CESS LIABILITY <br /> UMBRELLA FORM BI a PD <br />COMBINED <br />$ <br />$ <br /> OTHER THAN UMBRELLA FORM <br /> <br />' STATUTORY <br /> WORXERS <br />COMPENSATION <br />$ (EACH ACCIDENT) <br /> AND <br /> <br />' <br />$ (DISEASE-POLICY LIMI1) <br /> EMPLOYERS <br />LIABILITY <br />$ (DISEASE-EACH EMPLOVEEI <br /> OTHER <br />A See attached FoxTn <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMSC~~ I+ffy~]I[Q(' _ b`ltll[:ll.110U$ Will COQIPly W1th FOTiIl 2.03.9 <br />Statir4g -The policy shall include a rider re~TTiriT~ that the insuror notify the Division <br />whenever substantive c'nan„es aze nTade in the policy, including any term;T,ation or failure to r <br />Peter O'Conner <br />Line Land ~eclarlation Division <br />423 Centennial Building <br />1313 S77ernTan <br />~Oenver, Colorado 80203 <br />SHOULD ANY OF THE ABOVE <br />OF <br />BE CANCELLED BEFORE THE E%- <br />MPANY WILL ENDEAVOR TO <br />IFICATE HOLDER NAMED TO THE <br />OSE NO OBLIGATION OR VABILT/ <br />OR <br />