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Attachment to ACORD Certificate for Nat; Dnal King Coal, uC <br />The terms, conditions and provisions noted below aze hereby attached to the captioned certificate as additional description of the <br />coverage afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the <br />policy. <br />wsuaED <br />National King Coal, LLC <br />4424 County Road 120 <br />Hesperus CO 81326 USA <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br />ADD'L POLICY NUMBER POLICY POLICY <br />INSR INSRD TYPE OF DVSURANCE POLICY DESCRIPTION EFFECTIVE EXPIRATION LNDT$ <br />LTR DATE DATE <br />DESCRDPTION OF OPERATIONS/LOCATIONS/VEFDCLES~EXCLUSIONS ADDED BV ENDORSEh~MfISPECIAL PROVISIONS <br />Re: OSM Permit CO-OlOlAi CDMB Permit C-81-035. <br />--Divisi on 'of'Mi nei'als and'Geology"i~s-named-as •ari additional-insured as-required by-written-cDntract but ~-- - <br />limited to the operations of the xnsu red under said contract, and always subject to the policy terms, <br />conditions and exclusions. <br />Certificate No : 570017909408 <br />