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Home Loan 8 Inveatmant Co. <br />P. O. Bog 100 <br />Grand Junction, CO 81502 <br />(303) 243-6600 <br />...................................................... <br />NPURED <br />SOMERSET MINING CO., A COLO. <br />PARTNERSHIP, PACIFIC BASIN <br />RESOIIRCEB, P.O. BO$ 535 <br />SOMERSET, CO 81434 <br />__ __ _ <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERRFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />'O ~ TYPE OF NEURAMCE PODGY MUIBEA ~ POl1CY F1iECTIYE POl1CY EVNATEIM l~E <br />,Tp: DATE (MA4D0/i Y) DATE (MMrDDA'Y) <br />]~ OF11ElUL uAeEn'r GwFnu AGGREGATE ~f 2, 000, OOC <br />$ ' coMMERCIa GwEruL LIABILm TO BE ASSIGNED ! PROOUCTSCOMProP AGO. s 2 , 0 00, 00 C <br />wJMSMADE $ occuR. 08/01/93 O8/O1/94'..~_ONALbADV.INJURY f 1,000,OOC <br />OWNERS a canRACTORS PROr. EAa occulmwcrE s 1, 000, OOC <br />FILE DAMAGE (Arty one Rie) ~f lOD, OOC <br />MED. ExPEH~ (MV one Perron)' f ... 10 , 0 0 <br />AVTOYOEEE WEIRY :COMBINED SINGLE ' <br />'LIMB f 1 000 00( <br />A ANV AUTO TO BE ASSIGNED <br /> TALL OWNED AUTOS ~OB /01/93 <br /> $ .SCHEDULED AUTOS <br /> : <br />$ : NIRED AUTGS <br /> .. <br />... <br />$ : NO/LONNED AUTOS <br /> CWIAGE LIPBILGY <br /> 'E]LCEBB WBIRY ' <br />A $ :uMBREUA FpDA TO BE ASSIGNED :08/01/93 <br /> <br />..... <br />i ........ ~OTNw TNAN uMBRELU FORM <br />.......................................................... ......... <br />.............>.................... <br /> WORR'J19 GOUPEISAIION - -- -- - - - <br /> AMD <br />EIiLOYERB WBllfY <br />oTNEn <br />..:............................... <br />DEBCRfR10N OF OPEIUI <br />SOMERSET <br /> / / <br />OB/ O1/ 94 BODILY INJURY <br /> <br />(Par Perron) f <br />BODILY INAIRY <br /> <br />(Par acctlen0 :f <br />PROPERTY DAMAGE ~f <br />EACN occuRRwcE s 2, 000, 001 <br />08/ O1/ 94 AGGREGATE s 2, 000, 001 <br />_ _ _ i STAMDBY LIMBS <br />' FACH ACCIDENT .................. ..: f..... <br />'DISEASE -POLICY IIMR 3 <br />DISEASE - EACN EMPLOYEE i <br />TgNbAACA710NE'YENE:lEB'fPECYL IIEIa <br />AND SANBORN CREEK MINES - DMG PERMIT NO. C-81-022 <br />OF MINERALS S GEOLOGY <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL F{~iXUf7E)79 <br />MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT. Bexacar~saae~aaxuaKa~xasx7swx~~+arcos~~uo>o~saraa~R <br />SHERMAN STREET, ROOM 215 <br />R, CO 80203 <br />