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. .-. <br />A '~~ DATE(MM/DD/YVYY) <br />~ <br />CORD..: CERTIFICATE +DF I.IABILT . , ...., <br />TY INSTl12ANCE, ...: '; . , .. ; ; - o6~zlnoo7 <br />PaonucER <br />Aon Risk Services, xnc of Florida THLS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />222 Lakeview Avenue AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br />Suite 510 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />West calm Beach FL 33401 USA COVERAGE AFFORDED BY THE POLICINS BELOW. <br /> INSURERS AFFORDING COVERAGE NAICM <br />Puone~ 866 283-7122 FAx- g47 953-5390 <br />wsuRED INsURERA-. Pacific indemnity co 20346 <br />oxbow carbon & Minerals LLC msuRERe. Westchester Fire insurance Co 21121 <br />1601 Forum P1 <br />Attn: Donna 7. Gulbransen <br />west Palm Beach FL 33401-8101 USA INSURER C. Hartford Fire insurance co. 19682 <br /> <br /> INSURER D' <br /> INSURER E: <br />~~~:. ,.. ~.:i:: .t.:' .: ::. ....... .zi, .. ~:.: :.: :. ::.~ z ~. -:.. ..:,SIR Ma.-J' <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMID ABOVE FOR IIIE POLICY PERIOD INDICATED. NOTWITFLSTANDING <br />ANY REQUIREMENT, TERM OR CONDIIOON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT i0 WHICH THIS CERTIFICATE MAY BE ISSUID OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICBiS DESCRIBED HEREIN IS SUBJECT' TO ALL THE TERMS, IXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LUvIlTS SHOWN MAY HAVE BEIN RIDUCID BY PAID CLAIMS. <br />WSR <br />LTR OD' <br />INS <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LA1IT5 <br /> DATE(MMV)D\YY) DATEIMMV)D1YY) <br />A 34863379 06/01/07 - 06/01/08 EACx OCCURRENCE 51 <br />000 <br />000 <br /> ERAL LUBILTrY , <br />, <br /> x COMMERCIAL GENERAL LIABILTY DAMAGE TO RENTED E1, OOO, OOO <br /> PREMISES (Ps ocwrma) <br /> CLAA15 MADE ® OCCUR A7ED XP (MV ova pevsov) <br /> PERSONAL&ADV INRB2Y 51,000,000 <br /> GENERAL AGGREGATE E2, 000,000 <br /> <br /> GEN1 AGGREGATE LAST APPLIES PER: <br />PRODUCTS-COF4IOP AGG <br />E2, 000, 000 <br /> POLICY ^ PAO- ^ LOC <br /> ^ <br />TECT <br />C AUTOMOBB.E LIABILITY 20UENZ06226 06/01/07 06/01/08 COMBINED SINGLE LADT <br /> 7I ANY wUTO (Ea awidrn0 41, 000, 000 <br /> ALL OWNED AUTOS BODR,Y INRIRY <br /> SCHEDULED AUTOS C Pa Pcrrn^) <br /> HIRED AUTOS <br />BODLLY MRJRY <br /> NON OWNED AUTOS (Prn acc,drn\) <br /> PROPERTY DAMAGE <br /> id <br />' <br /> v ecc <br />rnp <br />0 <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDEM <br /> ANY AUTO <br />OTHER THAN EA ACC <br /> e AUTO ONLY <br /> AGG <br />B Excess NMBRELw Lwel,rrv 621979673003 06/01/07 06 O1 O8 EACH OCCURRENCE <br />_ x OccuR.-~_culMS - - - AesReGA 5,000,000 <br /> <br /> <br /> DEDUCTBLE <br /> ® <br /> RETENTION 510,000 <br /> WC STATU- OTH- <br /> WORKERS COMPENSATION ANO <br /> EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDEM <br /> ANY PROPR~TOR/PARTNER/EXECUTIVE <br /> OFFIER/A¢t.IDER EXCLUDED? E L. DISEASE-EA EMPLOYEE <br /> (ryes, describe ands SPECIAL PROVISIONS E L. DISEASE-POLICY LAST <br /> below <br /> OTHER <br /> JU 2 5 2001 <br />DESCRBTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMEM/SPECIAL PROVISIONS <br />Division of Reclamation, <br />(.,' Mining and Safety <br />1 `lJ z~ <br />CERTIFICATE HOLDER . ,.. ,., ': • ~ :: ' . ..: ~ : GANCELLATIQN '. .. ., . <br />DI VI SI On of Minerals & Geology SHOULD ANY OF THE ABOVE DESCRD3ED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Attn: Bll l Carter DATE THEREOF, THE ISSUING MSURER WILL ENDEAVOR TO MAIL <br />1313 Sherman Street, ROOM 21S 30 DAVS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEPT, <br />Denver co 80203 u5A BUT FAILURETO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />' <br /> OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATR <br />ES. <br /> e~f <br />AUTHORIZED REPRESEMATIVE ~~ .,~jLRfXGEd ~ /LZGd, ~I,~. <br /> <br />d <br />~: <br />.c <br />Y <br />.'O. <br />r <br />u <br />9 <br />O <br />x <br />ti <br />a <br />m <br />m <br />N <br />rv <br />O <br />n <br />0 <br />z <br />Y <br />W <br />V <br />W <br />z <br />Y <br />U <br /> <br />