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ACORD .'. C1=RT.lF.KATE.:Of':LIABtLIT.Y:INSURANGE:; ;:: ;; :. III '... <br />IIIIIIIIIIIIIIII <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A ggg ~N <br />Aon Risk Services of Florida ONLY AND CONFERS NO RIGHTS ur~N IHe L.tHIIrII:AiE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O.Box 019012 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Miami, FL 33101-9012 COMPANIES AFFORDING COVERAGE <br />COMPANY <br />305-372-9950 A FEDHRAL INSIIRANCB COMPANY <br />INSURED COMPANY <br />OXBOSQ MINING, INC. B Zurich Insurance Company <br />Attn: Bruce Clithero COMPANY <br />1601 Forum Place, Suite 1400 C <br />viest Palm Beach, PL 33401 COMPANY <br />D <br />GOVE#iAG.ES <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 ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 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 />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMBS <br />LTR DATE IMMIDD/YYI DATE IMM/DD/YYI <br />GENERAL IIABILITY GENERAL AGGREGATE ! 2 OOO OOO <br />A <br />CLAIMS MADE L-• OCCDR <br />OWNER'S 6 CONTRACTOR'S PROT <br />I AUTOMOBILE LIABILITY <br />A X ANV AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />NON~OWNED AUTOS <br />LGE LIABILITY <br />ANY AUTO <br />3710-77-65 1/01/98 1/01/99 PRODUCTS-COMP/OP AGG ! 1,000,000 <br />PERSONALNADV INJURY ! 1, OOO, OOO <br />EACH OCCURRENCE 3 1, OOO, OOO <br />FlRE DAMAGE IAnv one lnel ! 100000 <br />7839-00-53 <br />1/01/98 <br />REC IVED <br />SEP 2 5 1939 <br />1/01/99 (COMBINED SINGIE LIMIT ! <br />DIV. <br /> BODILY INJURY ! <br /> IPeI person) <br /> BODILY INJURY ! <br /> (Per acci0enll <br /> PROPERTY DAMAGE ! <br /> 4UT0 ONLY EA ACCIDENT ! <br /> AGGREGATE ! <br /> EXC ESS LIABIIITY EACH OCCURRENCE 5 2S000OOO <br /> B X UMBRELLA FORM AV02393042 9/01/98 9/01/99 AGGREGATE ! 2S000OOO <br /> OTHER THAN UMBRELLA FORM ! <br /> <br />_ <br />WORXERS COMPENSATION AND _ <br />_ <br />- _ <br /> <br />-- - WC STATU~ OTH~ <br />TORY LIMUS ER <br />- <br /> EMPLOYERS' IIABILITY - -- <br /> EL EACH ACCDENT ! <br /> THE PROPRIETOR( <br />PARTNERS/EXECUTIVE INCL EL DISEASE - POUCY OMIT 3 <br /> <br /> OFFICERS ARE: EXCL EL DISEASE ~ EA EMPLOYEE ! <br /> OTHER <br /> A POLLUTION LEGAL 3710-00-43 7/21/98 7/21/99 <br /> LIABILITY <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL REMS <br /> Re: Sanborn Creek Mine Per Division of Minerals & Geology Permit Number <br /> (NO. C-81-022). Commercial General Liability Coverage includes use of <br /> Hx loeives. <br /> :CEfiT7FI.CATE ~NOLDE.R.:.'...:: ~::~~:: ~:: ~': ~::~:: ~.: ~:.::::: ~.::.::~:: ~:::': ~:'::::.`::~.:::::~::: ~CANCEl4?TION:~::~:::.: ~::: ~::.:.. ~. ~ ::.::.::::::: ~::; ~: ~.:~~: ~.::.:::::-~: ~ ~ ~.:.:.:. ~.:..:.: <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> D1Y16lOn Of Minerals & Geology E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL7o-XQ~X44]BX7L9LMAIL <br /> Attn: Bill Carter 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br /> 1313 Sherman Street Room 215 aDVxmxDEOCxareexxaatRemELCCxmacucomrDCx~oawxme>amocEmcttnBxgpc <br /> Denver CO 80203 mxxaLOLxnrawaxNCxmxxcUCm~¢xxuxxEmo~snwExxslwmuxeLce~x <br />013587009 ~ <br />