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Form A <br />Certificate Number: 25088A1 <br />ASSOCIATED ELECTRIC & GAS INSURANCE SERVICE ~IMI~D <br />Hamilton, Bermuda ~ ~ `. ~ "- <br />u r ;._ <br />CERTIFICATE OF INSURANCE i~"~~~ :~ ~ ;~=~~ <br />(Excess Liability) , <br />This Certificate is furnished to the Certificate Holder named below as a matter of information only. <br />Neither this Certificate nor the issuance hereof makes the Certificate Holder an additional Insured under <br />the policy of insurance identified below (the "Policy") or modifies the Policy in any manner. The Policy <br />terms are solely as stated in the Policy or in any endorsement thereto. Any amendment, change or <br />extension of the Policy can only be effected by a specific endorsement issued by the Company and <br />attached to the Policy. <br />The undersigned hereby certifies that the Policy has been issued by Associated Electric & Gas Insurance <br />Services Limited (the "Company") to the Named Insured identified below for the coverage described <br />and for the policy period specified. <br />Notwithstanding any requirements, terms or conditions of any contract or other document with respect <br />to which this Certificate may be issued or to which it may pertain, the insurance afforded by the Policy <br />is subject to all of the terms of the Policy. <br />SALT CREEK MINING COMPANY <br />NAME OF INSURED: C/0 COLORADO-UTE ELECTRIC ASSOCIATION, INC. <br />PRINCIPAL ADDRESS: P.O. BOX 1149, MONTROSE, COLORADO 81402 <br />POLICY XL250A88 <br />NUMBER: <br />RETROACTIVE DATE: 12-31-86 <br />POLICY From: 12-31-88 <br />PERIOD: To: 12-31-89 <br />DESCRIPTION OF COVERAGE: Claims-First-Made Excess Liability Policy <br />LIMIT OF $ 25 , 000 , o00per occurrence and in the aggregate, where applicable. <br />LIABILITY: <br />DESCRIPTION <br />OF OPERATIONS: <br />McCLANE CANYON PERMIT APPLICATZON <br />Should the Policy be cancelled, assigned or changed in a manner that is materially adverse to the <br />Insureds) under the Policy, the undersigned will endeavor to give 10 days advance written notice <br />thereof to the Certificate Holder, but failure to give such notice will impose no obligation or liability <br />of any kind upon the Company, the undersigned or any agent or representative of either. <br />DATE: JANUARY 19, 1989 <br />ISSUED TO: COLORADO MINED LAND RECLAMATION BOARD ("Certificate Holder") <br />ADDRESS: 1313 SHERMAN STREET, ROOM 423 <br />DENVER, COLORADO 80203 <br />AEGIS INSURANCE SERVICES, INC. <br />At Jersey City, New J rsey <br />9001 (8/8~ <br />Copses: White-Certificate Hostler; Canary-Aegis Insurance Services, Inc.; Pink-Insured; Goldenrod-Broker <br />