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ACORD_ CERTIFICATE O.F LIABILITY INS.URANC III'IIIIIIIIIIII III MM/DO/Yl') /12/00 PRODUCER THIS CERTIFICATE IS ISSUED P 99y ON ONLY AND CONFERS NO RIGHTa UrLJrv I nt L:~rc I IrIL.h I ~ Blanchard Insurance Group Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Grand Junction CO 81506 COMPANIES AFFORDING COVERAGE Pam Johnson COMPANY A Employers Mutua 1'SO. Phone Nc. 970-245-8011 Faa NO 970-245-8016 LJ INSURED COMPANY B COMPANY SEM Construction Co. C 715 Horizon Drive, Suite 219 CAMPANV Division of Minerals&Geology Grand Junction co 81506 D COVERAGES: ~. .. ~ ~ . ~ ~ ~ ~ .. ~ . . THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTVE POLICY EXPIRATION LIMBS LTR DATE (MMrDDM') DATE (MM/DD/1'Y) GEN ERAL LIABILffV GENERAL AGGREGATE S2,000,OOO A X COMMERCIAL GENERALLIABILfIV 9X9086801 05/10/00 OS/10/O1 PRODUCTS-COMPTOPAGC s2,000,000 CLAIMS MADE ~X OCCUR PERSONAL A ADV INJURY f 1 , OOO ,DOD OWNER'SB CONTRACTOR'S PROT EACH OCCURRENCE f 1, OOO,OOO FIRE DAMAGE (Any one lire) S 1 OO , OOO MED EXP (Any one Dercon) S 5 , OOO AIJT OMOBILE LIABILffV COMBINED SINGLE LIMB f 1,000,000 A X ANVAUTO 9X9086801 05/10/00 OS/10/O1 ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY S X NON-0WNED AVf05 (Per accitlenp PR P O ERTY DAMAGE S GARAGE LIABILITY AUTO ONLY- EA ACCIDENT S ANV AUTO OTHER THAN AUTO ONLY. ' EACH ACCIDENT S AGGREGATE f EXCESS LIABILITY EACH OCCURRENCE f UMBRELLA FORM AGGREGATE f OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND WC STATU- OTH- TORV LIMBS ER EMPLOYERS LIABILITY _ -EL EACH ADDIDENT -S THE PROPRIETOR/ INCL EL DISEASE -POLICY LIMB S PARTNERSIEXECURVE OFFICERS ARE EXCL EL DISEASE- EA EMPLOYEE S OTHER DESCRIPRON OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL fIEMS Re: Blve Ribbon Mine -File No. C-B1-047 State of Colorado Division of Minerals s Geology is included as an Additional Insuret~l. •10 Days Notice Due To Non- ayment Of Premium CERTIFICATE HOLDER ~ ~ ~ ~ ~ ~ ~ .~ GANCELLATION~ ~ ~ ~ ~ ~ ~ ~ .~ . COLOMIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE State of Colorado EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL D].Vl Bl On of Minerals 6 Geology 30• DAYS WRfI'TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1313 Sherman Street, Room 215 Denver CO 80203 RUTH QEO R SE TIVE ACORD 25-5~(1KU5) ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ '~ ACORD~CORPORATION 1988