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AC1~RD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />LTCO <br />I 06 03 OS- <br />DE <br />PaooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Synaxis Polk 6 Sullivan HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3401 West End Ave. Ste. 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Nashville TN 37203 _ <br /> <br />Phone: 615-385-2860 Fax:615-3 VED <br />INSURERS AFFORDING COVERAGE _ <br />NAICit <br />INSURED INSURER A~ y <br />Tnvalesa Intlamnlt Co. of CT <br />~ 2U05 INSURER B: - <br />JUN O <br />~' HoneywOOd Coal Company U UJ INSURER C: ~~ ~~~ ~~ <br />95 White Brid <br />e Road <br />g <br />ill <br />7205 <br />N <br />sh <br />TN INSURER D: <br />e <br />a <br />v <br />3 <br />f Minerals BRC OeWO9Y ' <br />DWlsan c INSURER E'. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FDR THE POLICY PERIOD INDICATED. NOTtlITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDRION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR _ <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD/YY LIMIT9 <br /> GENERAL LUIBILITY EACH OCCURRENCE SIOOOOOO ... . <br />A X COMMERCIAL GENERALLIABILiTY I-660-114P5718-TCT- 0506f01/OS 06J01/06 PREMISES Eaoccurenca S 1DDDDG <br /> CLAIMS MADE ~ OCCUR MED E%P (Any one person) f SDDG <br /> PERSONAL BADV INJURY f SOOOOOO <br /> GENERAL AGGREGATE f 2000000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG sExcluded <br /> PoucY X JECT LOC <br />- AU TOMOBILE LUBILRY <br />COMBINED SINGLE LIMIT _ <br />- <br /> ANY AUTO (Ee emdant) f <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) E <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per accident) f <br /> PROPERTY DAMAGE """"""-" <br />_ (Per acadeni) E <br />_ <br /> OARACE LIABILITY AUTO ONLY-EA ACCIDENT _ <br />f "" ~~ ''-" <br /> ANY AUTO OTHER THAN EA ACC S " ' "' <br /> AUTO ONLY: AGG S , ~-" ` <br /> E%CESSNMBRELLA LUBILITY EACH OCCURRENCE E ~ "' <br /> OCCUR ~ CLAIMS MADE AGGREGATE E <br /> f <br /> DEDUCTIBLE f <br /> RETENTION f $ - '" ' <br /> WORKERS COMPENSATION AND <br />' TORY LIMITS ER <br /> EMPLOYERS <br />LIABILRY <br />ANY PROPRIETORIPARTNER/E%ECUTNE <br />E. L. EACH ACCIDENT <br />f <br /> OFFICER/MEMBER EXCLUDEOT E.L. DISEASE-EA EMPLOYEE E <br /> nysa, aasrnea waer <br /> SPECIAL PROVISIONS pelow EL DISEASE-POLICY LIMIT f <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPEGVIL PROVISION9 <br />Re: Hamilton Mine, Permit No. C-91-078 <br />OERTIFICATE HOLDER CANCELLATION <br />DIVIMII SHOULD ANY OF TXE ABOYE DESCRIBED POLICES BE CANCELLED BEFORE TXE E%PIRATN)N <br /> DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MNL ID DAYS WRITTEN <br /> NOTICE TO TXE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SXALL <br />DivisiGR of Minerals aRd <br /> <br />Geology IMPOSE NO OBLIGATION OR LMBILITY OF ANY KING UPON THE INSURER. ITS AGENT90R <br />1313 Sherman $t. , ROOM 21S REPRESENTATNES. <br />Denver CO BOZOS AUTHORIZED REPRESENTATNE <br /> ate hen A. Benson l+.ema <br />A170RD 25 (2901!09) 0 ACORD CORPORATION 1989 <br />