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~l GERT[FICATE OF IN5UFtANCE c..rln~are ~ <br />~ <br />'i <br />s <br />,, ' <br />Mardi ~y, <br />,. R~VfSE~ ;., <br />PRODUCER: <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE <br />log ERTIFlCATEHOLDEROTHERTMANTHOSEPROVIDEDINTNEPOLICY.THISCEPTIFICATEDOESNOTAMEND, <br />Marsh USAlnc. Geo <br />lRerats and xTEND GR ALTER THE covERAG <br />LGW <br />P O. Bo% 36012 GlvrslBn a1 M COMPANIES AFFORDING COVERAGE <br />Knoxville, TN 37930-6012 COMPANY <br /> A <br />865-769-7700 LETTER Steadfast Insurance CDm an <br />INSURED: COMPANY <br /> 9 <br />Lorencito COaI Company, LLC LETTER <br />20500 Highway 12 COMPANY <br /> C <br />Wes[on, CO 81091 LETTER <br /> COMPANY p <br /> LETTER <br /> <br />THIS 5 TO CERTIFY THAT THE POLICIES OF INSURANCE LSTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THE CERTIFICATE NAY BE ISSUED OR MA <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN <br />MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS <br />LTR DATE MMIDD DATE MM D <br />A GE NERAL LIABILITY GL09298313 11/19/2001 08/13/2002 GENERAL AGGREGATE $ 2.000000 <br /> % COMMERCIAL GENERAL LIAaILIII' PRODUCTS-COMP OP AGG $ 1,000,000 <br /> CLAIMS MADE ^X OCCUR PERSONAL 6 ADV INJURY E 1 000,000 <br /> OWNEN'S CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 000,000 <br /> FIRE DAMAGE An one lire $ 60 000 <br /> MED E%P An one raon $ 5 000 <br /> AU TOMOBILE LIABILITY <br /> COMBINED SINGLE LIMB $ - <br /> ANV AUTO <br /> ALL OWNED AUTGS BODILY INJURY _ <br />$ <br /> SrHEOULED AUTOS per non <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS per eccidenl <br /> PROPERTY DAMAGE $ - <br /> GARAGE LIABILITY AUTO OHLV-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY <br /> EACH OCCURRENCE $ <br /> UMBRELLA FORM <br /> OTHER THAN UMBREILA FORM AGGREGATE $ <br /> WORKMAN'S COMPENSATION STATUTORY LIMRS ~ ~~ ~~~~~ ~~-~~~-~~~~ -~ ~~~~~~~ <br /> AND EMPLOYERS LIABILnY EACH ACCIDENT $ <br /> THE PRORRIETORI INCL DISEASE-POLICY LIMB $ - <br /> PARTNERSIE%ECUT:VE <br /> OFFICERS aHE' E%CL DISEASE-EA EMPLOYEE S <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS <br />RE: Permit NC-96-084. Location'. 2 miles Wes[ of Segundo, CO on Highway t 2 <br />Deductible' $5,000 Combined BI and PD per occurrence <br /> <br />ERTI ICA .. ....::.;:r;~:..::;:;::.~:..;):.:..;•:~~:::~ :..::..::.....::..:.::~:::~::<;;;'~s^:r: j:s:.:i :: ~:...~:..:~~.. ... ... ... .. <br />-C K <br />TE :HOLDER .......:...: . <br />SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELED BEFOR <br />T <br />E EXPIRATION <br />E <br />H <br />f, <br />~~. <br />~. <br />~y <br />DATE THEREOF, THE INSURER AFFOROWG COVERAGE WILL FTIID~~ryeyY MAIL <br />Colorado Division of Minerals and Geology 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED HEREIN, X10 Akn~gpp <br />1313 Sherman Street TJ~'M~IC SXtj~io~ce)gti~[kAO~H~oj1(Gkr`Iy.O9y1A~(IT~F r D>LiP NSE <br />~~ ~- <br />Denver, CO 80203 Ifjl~ytSEy,CF96R J LOJERpGCyY~C~fT~gR ~'PF~25'E~Tt~19E~jJr~R~S~ER~F <br />~•u <br />MARSH USA, INC. <br />~ <br />By: ~ <br /> <br />