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999 <br />CERTIFICATE OF INSURAN_~i: CSR 09/19/94 <br />I PRODUCER *~ ~~ I TNIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 1 <br />ALEXANDER 6c ALEXAND~,; INC. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERT'IPICATE I <br />~.~~ <br />I P.O. SOX 82515 N„ <br />LINCOL <br />NEHR <br />68501 <br />2 <br />-CF, I DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 1 <br />515 <br />I <br />. <br />N, <br />- POLICIES BELOW. <br />I <br />j <br />402 <br />479 <br />2300 I______--__ _________ ______________________________I <br />jggq COMPANIES AFFORDING COVERAGE I <br />SEP 2 i I <br />PxoHE <br />- <br />- l <br />I <br />I-------------------------------------- <br />I INSURED ---------------I---------- ------- -----------------------------I <br />I COMPANY LETTER A LEXINGTON INSURANCE COMPANY I <br /> <br />I SLURCO CORPORATION I COMPANY LETTERH NATIONAL UNION FIRE INS. CO. 1 <br />I A SUBSIDIARY OF R N ENERGY INC I------------------ ---------I <br />------------------------------------------------ <br />I P. O. BOX 2 813 04 <br />I <br />I COMPANY LETTER C <br />I LAREWOOD CO I------------------------------------------------------ I <br />1 80228-8304 I COMPANY LETTERD GL/UMB I <br />I <br />I I---------------------------------- --------- ------I <br />I COMPANY LETTER E 1 <br />la COVERAGEB _ ___________ <br />= ___________________________________________________________________________________________1 <br />THIS IS TO <br />CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />I PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO <br />I WHICH TNIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFPORDED BY 7HE POLICIES DESCRIBED HEREIN IS SUBJECT TO <br />I ALL TERMS, EXCLUSIONS, AND CONDITI ONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />I______________________________________ <br />I C01 TYPE OF INSURANCE ~ I __________________________ _-_________________________________________________I <br />POLICY NUMBER I POLICY EFF I POLICY E%P I LIMITS li <br />ILTRI I I DATE I DATE I I <br />I___I_______________________________I__ <br />I I GENERAL LIABILITY I __--______________--_____I_________-_____I______________I_________________ _______I <br />I I IceNERAL AGGREGATE I I <br />I I I <br />I I I 1 COMMERCIAL GEN LIABILITY I I I I-------------------I--------------I <br />941807 106/17/94 107/01/95 IPROO-COMP/oP AGG. I1, 500, 0001 <br />I I I <br />I I] CLAIMS MADE I] OCC. I I I__________________I______________I <br />(PERS. fi ADV. INJURY I7 5 0, 0 0 0 I <br />I I I <br />I II 1 OWNERS'S 6 CONTRACTOR'S I I I I___________________I _1 <br />I I (EACH OCCURRENCB 17 S O, 0 0 0 1 <br />I PROTECTIVE I _-______I______________I <br />I I I I I IFIRe DAMACe I I <br />I AIrXt COMPREHENSIVE I I I ((ANY ONE FIRE( I I <br />I I I <br />I I GENERAL LIABILITY I I I I __________________I I <br />I I (MED. E%PENSE I I <br />I I I I I ((ANY ONE PERSON] r I <br />I___I_______________________________I__ __ -_____________1-______________1______________1.___________-._____I______________I <br />I I AUTOMOBILE LIAR I <br />I I I I I (COME. SINGLE LIAfI7 I I <br />I I I <br /> <br />I ] ANY AUTO -------------------I--------------I <br />(BODILY INJURY <br />I II ] ALL OWNED AUTOS I I I IIPER PERSON) I I <br />II 1 SCHEDULED AUTOS I ___________________I______________ <br />I II 1 HIRED AUTOS I I I (BODILY INJURY I I <br />I II ] NON-OWNED AUTOS I I I IIPER ACCIDENT) I I <br />I II 1 GARAGE LIABILITY _______.__1______________1. <br />I II 1 I I I (PROPERTY DAMAGE I I <br />I---I------------------------------I-- <br />I I EXCESS LIABILITY I <br />H <br />FORM <br />7G -- --------------I ----I--------------I-------------------I-------------Q <br />I I (EACH OCCURRENCE I1, 000, 00 <br />BE 308 99 71 <br />07/01/94 <br />07/01/95 <br />uMERELLA <br />I <br />I 1 <br />1 <br />11 OTHER 'IRAN UMERELLA FORM 1 <br />1 <br />I-------------------I--------------I <br />AGGREGATE l, 0 0 0, ~ O q <br /> <br />I I I I I I (STATUTORY LIMITS( 1 <br />I I WORKERS' COMP I I I (EACH ACCIDENT I I <br />I I AND I I I (DISEASE-POL. LIMIT I I <br />I I EMPLOYERS' LIAR I I I IDISeASS-EACH ~. I I <br />I---I-------------------------------I-- <br />I I OTHER I <br />I I I -------------------------I- ----I-------------I---------------------------------I <br />I I I I <br />I I I I <br />I I I <br />I-------------------------------------- <br />I DESCRIPTION OF OPERATIONS(LOCATIONSJV I I I I <br />-------------------------------------------------------------------------------------------I <br />EHICLES/SPECIAL ITEMS R27ENER0 - PAJ 1 <br />j E V I D E N C E O F I N S U R A N C E j <br />j CANADIAN STRIP MINE, PERMIT NO. C-81-026 j <br />I> CERTIFICATE HOLDER <_____ ___________ _______________a CANCELLATION <____.._____.._____:__________.__........,..___..___.........1 <br />I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%- 1 <br />I PIRATION GATE THEREOF, THE ISSUING COMPANY WILL MAIL 3 O <br />COLORADO DIVISION OF MINERALS - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 70 TIE LEFTS}~~ <br />j <br />AND GEOLOGY (CODI) = 7fJQ)f4~Q 1 <br />1 215 CENTENNIAL HLDG = ~. I' <br />1 1 3 1 3 SHERMAN =--------------------------------------------------------------------------I <br />1 DENVER CO <br />1 80203 =AUTHORIZED REPRESENTATIVE <br />1 <br />I <br />~ <br />1 ACORD 25-5 1'1/901 ~ <br />~-[- ~. Q~ I <br />1 r-s <br />_ .. n ' k <br />~ P ..~'.' <br />~...t ~...~ ~4:I9F 7Li3..iR. ":Lh ~ +wiY.._K <br />