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g~ ACORD <br />~~ <br />~~z'~ _° ~~s ~> ~ <br />~~~ <br />'` ~DD,Y:~ <br />~1~'~ ~~~ ¢ ~ <br />, <br />W ~. F <br />= ,, <br />~ <br />~A,~,-ax,•:h o.w. a.nri/x,.,s: .. <br />.:,ITROtiS <br />~ .. ,.:..ax. / <br />°, ,. x:,. -:..., ,. .-. _~...., ¢x, x,..M....< :![: <br />I <br />E THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE <br />Aoerdia of Ry-Beokl sy HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />41 Eagles Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />01 RECEIVED <br />8 <br />e COMPANIES AFFORDING COVERAGE <br />3041 <br />ZS2-8378 cOwoAHY <br />1 ;+ /~ Federal Insurance Comyany <br />BISUREO ~ ~. <br />COMPANY <br />Bowls Resources, LLC Division of~ReGlamation, B <br />1500 Big Run Read Mining and Safety cor.~ANr <br />Ashland, KY 41102 C <br /> COMPANY <br /> D <br />... ...s:n ~..Fz,«ca : w <br />jy QM 6 dT3 ~ ¢eL~ $'n ~?prt i' <br />~ <br />~ <br />w - - -- ..., ~ <br />~$ '~.~ ( ~ kk : Z" -., <br />~ <br />'~^ <br />° <br />' <br />'` <br />c <br />'• <br />' <br />~ <br />' <br />s <br />` <br />d <br />? <br />' <br />"R. <br />.K.s$..1A..3:,...Fti <di <br />k,as~.J .s _. .... ;~.. F ,z A,F ..a.aw:iU)%88= <br />soz!) <br />._ .. ,,:..:;~,,.„ <br />ry=.,, <br />, <br />3 <br />S.kk <br />s< <br />,xc,8{a'~: , <br />i££8 <br />. <br />~ <br />i <br />a) <br />~:. <br />.$ $( <br />R(, <br />4fs~.Rc ~ <br />THIS ISTO CERTIFY THATTHEPOLICIES OF INSURANCELISTED BELO W HAVE BEEN ISSUEDTO THE INSURED NAMEDABOVEFOR THEPOLICY PERIOD <br />INDICATED,NOT W ITHSTANDINGANYREQUIREMENT,TERMOR CONDITIONOFANYCONTRACTOROTHERDOCUMENT WITHRESPECTTO WHICHTHIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, 7HE INSURANCE AFFORDED BV 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 />CO <br />TYPE OFINBURANCE <br />POLICY NUMBER POLICY EFFECTIVE PODCY EYPIRATIO <br />LDSRB <br />L7R DATE NMRIDM' <br />( ) DATE <br />(MMloom) <br />A c6 NERALLIABaJTY 37111143 5/31/06 5/31/07 GENERAL AGGREGATE S 2,000,000 <br /> X COMMERCIAL OFJJEF7AL LIABILITY PROlX1CTS•COMP/OP AGO f 7,000,000 <br /> <br />~~ CUIMS MADE X~ OCCUR PERSONAL A 'ADV INJURY f 1,000,000 <br /> OWPERSACONIRACTOR'S PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE (Airy arre Nre) S 1,000,000 <br /> MED EXP (MT orre perun) S 1D,000 <br /> AU TOMOBLE LU1BLm <br /> COMBINm SNOLE LIMIT $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />(Per person) f <br /> SCHEWLED AUTOS <br /> HIRED AUTOS BODILY INJLRY <br />S <br /> NON-0WNED AUTOS (Per accident) <br /> PROPERTY DAMAGE f <br /> <br /> GARAGE LUUlEJTY AUTO ONLY ~ EA ACCIDENT f <br /> <br />ANY AUTO <br />OTHER THAN AUTO ONLY: ..........................._.... <br />-- <br /> EACH ACCIOENi $ <br /> AGGREGATE f <br /> EYCESB LIABLm EACH OCCURRENCE f <br /> UMBRELLA FOPoA AGGREGATE f <br /> OTHFA THAN UMBRELLA FORM S <br /> WORKERS COMPENSATION ANO <br />' WC STAN OTM~ ~ a -'~ •^ <br /> LIABLm <br />EMPLOYERS <br />EL EACH ACCIOENi <br />f <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIYE INCL EL OISEASE~POLICY LIMIT f <br /> OFFICERS ARE EX0. L7 DISEASEEA ELPLOYEE f <br /> OTHER <br />068CRIPTION OF OPERATION8M1OCATIONBNEf11d.E8HMECML REMS <br />P <br />e <br />rmit $C-81- <br />038 <br />and <br />P <br />ernit K-98-083 <br />~A <br />MM <br />yy <br />pp <br />rr..5~ <br />C <br />7~11 .e~.t 5f~5s ~5 <br />vF¢i" Y=$.>! x 3 j s„^ <br />b~ff 4 r !~.$t f~ <br />g sm RFC <br />x <br />~ s1 Rs< #'~ x <br />k ~rt'3' <br />~S <br />~ zZ <br />~ <br />~~ <br />s~ <br />~ <br />~ <br />~ <br />' <br />Si~ <br />3~~ <br />K <br />,d <br />~ <br />ii <br />` <br />~ <br />~~~x <br />'~ <br />t <br />rrt+rG <br />.A,w. <br />A+• <br />t <br />]e <br />` <br />~ <br />s <br />E:~ <br />Ynk <br />S <br />S <br />v <br />.... .. - <br />...,.,,v...,.,.., r.~.~.a d!m?C.YN <br /><.i Nn,. <br />........ <br />.s <br />k <br /><3s <br />r. <br />~, <br />T~ <br />Y..O <br />tw <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICBiB BE CANCEr r rn BEFORE THE <br />State et Colorado EXPIRATION DATE THEREOF, THE I88UBIG COMPANY WLL EI~90BODODMAL <br />Division Pt Yl nerale a 6eelegy 10 DAYe WI1ITTEN NOTCH TO THE CERTIFICATfi MOLDER NM®TO THE IFFr, <br />1313 Sharmsn Street, Rw 215 <br />Oenrer, CO 80203 <br /> <br />' ORDEO REPREBENTATIYH <br />~~Iea 0 Ilhllloek AAI, CPIE <br />~ <br />•, _ <br />_ _ _ <br />/~~~`"pp{+~y _-¢:. R}Y RS s ia~x(,.8 k8 ¢¢? rs~ s ~._` Y$R;8 <br />~ <br />R <br />~ <br />' <br />~`~ _ <br />,„J =~ «t~ r~ry~3x.a~.: ,,-. 1 <br />~S4i 8SS`F• sS~3$~`/ <br />iR52Y <br />' <br />3 <br />s <br />i <br />~l~ <br />H <br />~ <br />~ <br />'., <br />.Y,SFAiM:.Te'it.~ ~ ,E <br />+In E"0 . <br />... :.v ..rtim ?F <br />~ iR.x <br />:, =#? <br />. <br />, <br />. : <br />X' `~ a): <br />m< , ~~.. . <br />5.. <br />r <br />..'. <br />- i, RNK <br />V CERTIF ILATE: 010!001/ 00022 <br />