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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DDIYYYY) <br />WESTE-1 O1 09 09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hays Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />80 South 6th Street #700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Minneapolis MN 55402 <br />Phone: 612-333-3323 Fax: 612-373-7270 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED INSURER A: Chubb ClIStOm Insurance Co. <br /> INSURER B: Illln0lS Union Insurance Co. <br />Western Fuels Association,Inc. <br /> <br />Robert NorrQard INSURER C: <br />P. D. BOX 33429 <br />CO 80233 <br />D INBURER D: <br />enver <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OFINSURANCE POLICY NUMBER pATEYMM/DD/W GATE MM/DDm LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , D OO , DD O <br />A ]{ COMMERCIAL GENERALLIABILITV 79545130 01/01/04 O1/O1/OS PREMISES Eaoccurenw) 550,000 <br /> CLAIMS MADEOCCUR _..- ~ MED XP (Any one person) SID, DOD <br /> , ~ E AL $ADV INJURY $1, OOO, DDD <br /> ~ <br /> LAGGREGATE $2, DDD, OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: ~// PRODUCTS-COMPIOP AGG $2, DDD, DDD <br /> POLICY PRO LOC <br />JECT Em Hen. 1,000 DDD <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO {Ea accident) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) S <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> <br />(Per actitlenl) $ <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC S <br /> AUTO ONLY: qGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $20,000 DDD <br />$ }[ OCCUR ~CLAIMSMADE X00 621810496 01/01/04 Ol/Ol/OS AGGREGATE x20,000,000 <br /> 8 <br /> DEDUCTIBLE $ <br /> }( RETENTION xSO, DDD $ <br /> WORKERS COMPENBATION AND TORY LIMITS ER <br /> EMPLOYERS' LU\BILITY <br /> RIETOR/PARTT~ER/EXECUTIVE <br />PROP E.L EACH ACCIDENT $ <br /> - -' -- <br /> OFFICERIMEMBER~XCLUO~D - .L-DISEASE-EF'EMFt01 ~E -$ -- <br /> If yes, tlescribe under <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT S <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONB /VEHICLES /EXCLUSIONS ADDED BV ENDORSEMENT /SPECIAL PROVISIONS <br />Evidence of Insurance as respects <br />New Horizon Mine in Nucla, CO (Permit #C-81-006). <br />laK I ItIGA 1 C KVLUCK liArvI,CLLA I IVrv <br />COLOR-2 SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Colorado Mined Land DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />Reclamation NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br />Mind Land Division IMPOSE NOOBLIGATION OR LIABILITY OF ANV KIND UPON THE INBURER,ITSAGENTSOR- <br />1313 Sherman Street, RM 215 <br />Denver CG SO2O3 REPRESENTATIVES. <br />ACORD <br />