<br />~stFt
<br />'. AL/ORDn CERTIF.ICA'I'E ©FI ~'r~ fI ' a
<br />~17
<br />i~
<br />' ~. ~ ~ i ,u' .~ °4 ... ` ;~ DATE (OMM ZDD/YYYY)
<br />
<br />6/ 1/2007
<br />.~.~~'a'`~~e'?' i ;5+
<br />~~~~~\
<br />~~
<br />:u ... .....
<br />~..:..., .. ,,,_ .
<br />_. ._., '
<br />,,
<br />,„
<br />_ ..... .~...... x,
<br />PaonuceR
<br />AOn R15k SerVl CeS, InC Of Fl Orldd THIS CERTHICATE IS ISSUED AS A ]NATTER OF INFORMATION ONLY
<br />222 Lakeview Avenue AND CONFERS NO RIGHTS UPON THE CERTQ''ICATE HOLDER. THIS
<br />Suite 510 CER7'Q~TCATE DOES NOT AMEND, EXTEND OR ALTER THE
<br />West Palm Beach FL 33401 USA COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> INSURERS AFFORDING COVERAGE NAIC#
<br />Peorve. 866 283-7122 FAx- 847 953-5390
<br />DvsuRED INsuRERA: Pacific indemnity co 20346 0
<br />Oxbow Carbon & Minerals LLC INsuRER H: Westchester Fire Insurance CO 21121
<br />1601 Forum P1 c
<br />Attn: Donna 7. Gul bransen INsuRER C: Hartford Fire Insurance Co. 19682
<br />West Palm Beach FL 33401-8101 USA
<br /> INSURER D: a+
<br />9
<br /> INSURER E: 5
<br />is :cc -..:
<br />...:.: _ .....:...... .. .. r. :; ... ., ....:,:.: .. ': .~ ','
<br />...:mi ....... s ..:, ..... :,_. ...,. :::.:....... .,,S3R~=Ma _A.
<br />THE POLICIES OF INSURANCE LISTID BELOW HAVE BEEN ISSUID TO THE INSURED NAMID ABOVE FOR THE POLICY PERIOD INDICATID. NOTWITHSTANDING
<br />ANY REQUB2ENIENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUAdENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUID OR MAY
<br />PERTAIN, THE INSURANCE AFFORDID BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
<br />AGGREGATE LIIvfffS SHOWN MAY HAVE BEEN REDUCED BY PAID CI.AB.4S.
<br />DiSR
<br />LTR DD'
<br />INS
<br />TYPE OF DSURANCE
<br />POLCY NUMBER POLICY EFFECTIVE POLICY EXPDATION
<br />LR,f1l5
<br /> DATE(MM\DD\YY) DATE(MM\DD\YY)
<br />A 35863379 06/01/07 06/01/08 EACH OCCURRENCE $1
<br />000
<br />000
<br /> EMLLUeB.rrY ,
<br />,
<br /> X COMMERCIAL GENERAL LLIBD,ITY DAMAGE TO RENTED El, 000, 000
<br /> PREF9SE5 (Ea ocuvevice)
<br /> CLADvIS MADE ® OCCUR MED (MV one ocrsoN
<br /> PERSONAL&ADV INTURY j1, Q00, OQO ,may
<br />a
<br /> GENERAL AGGREGATE $2,000,000 rmn
<br /> N
<br /> GENL AGGREGATE LDVDT APPLD:S PER:
<br />PRODUCTS-COMPIOP AGG
<br />$2,000,000 m
<br />rv
<br /> P
<br />R0. ^ LOC
<br />POLICY ^ p
<br /> I
<br />E
<br />^
<br /> n
<br />m
<br />C AuTOmoaB.E LUaB,rrr 20uENZQ6228 06/01/07 06/01/08 coMBwED SINGLE LmDr
<br /> x ANY ApTp (E%ecuaem) $1,000,000 z
<br /> ALL OWNED AUTOS
<br />BODD.Y INTURY ~
<br />n
<br /> SCHEDULED AUTOS (Per pecan) ~
<br />4'
<br /> HIRED AUTOS
<br />BODILY INRDtY
<br />u
<br /> NON OWNED AUTOS (Per eccidev0 V
<br /> PROPERTY DAMAGE
<br /> (Per eccidenQ
<br />
<br /> GARAGE LIABD.TIY AUTO ONLY - EA ACCD)ENT
<br /> ANY AUTO
<br />OTHER THAN EA ACC
<br /> B AUTO ONLY:
<br /> AGG
<br />B EXCESS NMBRELLA LUBn.m 621979673003 06/01/07 06 O1 OS EACH OCCURRENCe
<br /> OCCUR ^ CLAMS MADE AGGREGATE SS,000,000
<br />
<br /> DEDUCTmLE
<br /> ®
<br /> RETENTION 810,000
<br /> C STAN- OTH-
<br /> WORKERS COMPENSATION AND
<br /> EMPLOYERS' LIABILITY
<br />R
<br />C E L. EACH ACCDJENT
<br /> ANY PROPRD:TOR/PARTNER/EXECUTIVE EIV D
<br />
<br />OFFICER/IvD:KmER EXCLUDED? EL. DISEASE-EA EMPLOYEE
<br /> Ayes, deuribe under SPECIAL PROVIRIONS JUN 2 5200 E.L. DISEASE-POLICY LDvllT ~`
<br /> ~
<br /> oTTIER Diw on of Reclama on, g
<br />.j
<br /> M ning and Safet ~
<br />
<br />
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLU90NS ADDED HYENDORSEMENT/sPEC1A1 PROVISIONS
<br />RE: Elk and Sanborn Creed Mines, Permit #C-1981-022. commercial General Liability Coverage includes the use of
<br />explosives.
<br />
<br />CERTIFICATE HOLb `.' °u ..... .:,,_;. 7 . _ as.:v..... ~ r
<br />_.. . ~ -'LANCE `~ `TI .. .. a. : = _ ,..... -
<br />DTVISTOn of Minerals & Geology SHOULD ANY OF THE ABOVE DESCR®ED POLICES BE CANCELLED BEFORE THE EXPIRATION rt
<br />1313 Sherman street, RM21S DATE THEREOF, THE ISSUING INSURER WDl ENBEAVOR T9 MAD. .lea
<br />DeDVer CO BO2O3 USA 30 DAYS WRITTEN NOTICE TO THE CERTTFlCATE HOLDER NAMED TO THE LEFT. T~
<br /> BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLLGATION OR LIABILFI'Y rt
<br />ad~
<br /> OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. '
<br />f
<br /> AUTHORIZED REPRESENTATIVE
<br />`
<br />'
<br />'
<br /> iaarscd e~
<br />7ixcld- 7.oc.
<br />s aro.s
<br />~' / .$
<br />:: ._ ,. ....: ~3- .. ......... :::. 3 .. m r rct; .. ?. _.: . i „ `~.':.:.:d ; E.:;~....:~~ `~_, ~. ., ;i!i - vt`,E imrc .. . : -
<br />
|