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CERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br />MARSH USA LNG <br />. C^ Cif, <br />ATL-D00713585-00 <br />- R <br />PRODUCER C TXIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />CI.rCI N ED <br />Marsh NO RIGNTS UPON THE CERTIFICATE HOLDER OTHER TXAN TNOSE PROVIDED IN THE <br />P.O. Box 36012 POLICY, TNIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />Knoxville, TN 37930-6012 AUG 1 4 2Q0~ AFFORDED aV THE POLICIES DESCRIBED HEREIN. <br />COMPANIES AFFORDING COVERAGE <br />Division of Minerals and Geology COMPANY <br />100004--- A STEADFAST INSURANCE COMPANY <br />INSURED COMPANY <br />LORENCINTO COAL COMPANY, LLC B N/A <br />205 <br />0 H <br />h <br />12 <br />0 <br />ig <br />way <br />Weston, CO 81091 COMPANY <br /> C N/A <br /> COMPANY <br /> D <br />COVERAGES This certifrcate supersedes antl replaces arty previously issued certificate for the policy period noted below. 1 <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN NAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTW7THSTANDINGRNY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT i0 WHICH THE CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br />LTR _ _ GATE [MM/00_IYYI DATE (MM/DD/YYI _ <br />A ce xeRAL Uneartv BOG 9304453-01 08/13/02 08/13/03 <br />GENERALAGGREGATE <br />$ 2,000,000 <br /> J( COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG $ 1,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 <br /> OwNER'SB CONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE (Any one Nre) $ 5D,000 <br /> <br /> MED EXP An onB rson $ 5,000 <br /> AUT OMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY $ <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN AUTO ONLY: -^ <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> E%CE53 LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM <br />- $ <br />'-'~ WORRER5-COMPENSATION AND- - WZ~STAI~U- <br /> EMPLOYERS'LIABILITY ~ TORY LIMITS ER <br /> <br />EL EACH ACCIDENT _ <br />$ <br /> THE PROPRIETORI INCL ELDISEASE-POLICY LIMIT $ <br /> PARTNERSIEXECUTIVE <br />OFFICERS ARE: <br />EXCL <br />EL DISEASE-EACH EMPLOYEE <br />$ <br /> ER <br />DESCRIPTION OF OPERATIONS/LOLATIONSNEHICLESlSPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OA RETENTIONS) <br />RE: Permit # C-81-012 <br />Location: New EIk Mine (Loadout Only) <br />Deductible: $5,000 Combined BI & PD Per Occurrence <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANT OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATION DALE THEREOF, <br /> THE INGURER FFFOROING COVERAGE YYLL EMN~X~Y~~ MAIL ~p DAYS NRITTEN NOTICE TO THE <br />Colorado Division of Minerals & Geology CERTIFICATE HOLDER NAMED HEREIN <br /> <br />1313 Sherman Street , <br />Denver, CO 80203 <br /> MARSH USA INC, <br /> aY: Samuel F. Robinson ~di.AU"~ <br /> MM1(9/99) VALID AS OF: 08/12/02 <br />