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10-10-2003 05:OBPM FROM-Putnam aQBncy <br />6063257787 T-666 P.002/005 F-163 <br />CORD, CERTIFICATE OF LIABILITY INSURANCE 03R Tx °°~"'""'°""" <br />LORBDT-1 l0 :.3 03 <br />prtODUCER <br /> <br />Putnam Agency, Sac . <br />P . O. Box 9 91 THIS GERTIF(CATE IS ISSUED AS A MATTER OF INFORMATIO ~ <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIflCATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OK <br />ALTER THE COVERAGE pFFORDEO BY THE POLICIES BELOI /, <br />Ashland S:Y 41105 <br />Phoae:6D6-329-2200 Faxe606-325-7787 <br />INSURERSAFFOROINGCOVERAGE NNC# <br />INSURED INSURER A: Federal Ins. CO. 1 <br /> INSURER 9: -~ <br />Loreacito Coal CQ~~any, LLC INSURER°' I- <br />38DO COUatp ROad 6B.O <br />mri <br />idad CO 81082 WSVRER D: <br />-I- <br />n IN&VRER E <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NMIED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANOINO <br />ANY REQUIREMENT, TERM OR CONDfITON of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIRCATE MqY BE RSUED OR <br />MAY PERTAIN, IYIE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. FXCLU310N5 AND CONDITIONS OF 3UCH <br />POLICIES. AGGREGgTE UMf(5 SHOWN MAY HAVE BEEN REDUCm BY PAID CW MS. <br />ILTR NSR TYPE OFINSURANCE POLICY NUMBER pgTE FF D4TE MMI00 TI H LIMRS <br /> GENERAL LVa.BILRY EACH OCCURRENCE $ 10 0 0 0 0 0 <br />A X X COMMERCWLGENERALLIASILffY 3711-11-13 10/10/03 10/10/04 pREMISESEaDCCUrenx x100000 <br /> CLA(M$ MADE ®OCCUR MEO6XP (My one pavan) S 1~ O C0 C 0 <br /> PERSONAL dADV INJURY SiDOC OOO <br /> GENERAL AGGREGATE $2000000 <br /> GEN'L AGGREGATE LIMB APPLIES PER PRODUCTS-COMPfOP AGG 5100(000 <br /> POLICY jE~ LOC <br /> AUT OMOBRE LIABLLITY COMBINED SINGLE LIMIT <br /> ANV AUTO (PS eedtlenq $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS fPD*pe,aen) s <br /> HIRED AUTOS BODILY INUURY <br /> NON-0WNED AUTOS (Per BCCltlenl) $ <br />~- <br /> PROPERTY DAMAGE <br /> $ <br /> IPeracdtlenq <br /> GARAGE UABIL7JY AUTO ONLY-EA AGCa]ENT 2 <br /> ANY AUTO OTHERTHAN Ea ACC 5 <br />- <br /> <br />AUTO ONLY; AGG _ <br />S <br />- <br /> SCICESSNMBRELLALIABILTfY EACH OCCURRENCE Y <br /> OCCUR ~ CLgIM9 MADE AGGREGATE $ <br />- <br /> _ <br />S_ <br /> DFDUCTBLE S <br /> RETENTION B $ <br /> WORKERS COMPEN3A71ON qN0 <br />' TORY LIMRS ER <br /> ENIPLOYERS <br />LIABILffY - <br /> ANYPROPRIETOR/PARTNER/EXECUTNE E.4 EACH ACCIDENT S <br /> OFFICERrnIEMBER EXCLUDEDT EL DISEASE •EA EMPLOYE S <br /> 1(yc. tlelCliDe untlu <br />SPEGWL PROVISIONS btlaw <br />E.L DISEASE-POLICY LIMB -~ <br />S <br /> OTHER <br />DESCRIPTION OF OP@RATION$ f LOCPTION9l VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / BPEDBIL pROVDi10N5 <br />Permit #C-96084, 1 mile east, Primero, Colorado, Tomaship 34 South, Range 66 <br />west. <br />CERTIFICATE HOLDER CANCELLATION <br />COLOR-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES eE CANCELLED BEFORE THE EXPIR4710N <br /> DATE THEREOF,THE ISSUING INSURER KILL~6~A~DYi TO MML 30 )AVS WRfrTEN <br />COlOr8do Division Of Miaerdl8 NOncE Tn TH FICATE HOLDER NAMED 70 TH6 LEfT. ~[NgL)(BN,'p <br />y~qt <br />and Geology - <br /> <br />1313 Sherman Street, Room 215 ~~ 1P~7t~1ro0$8$~PS~-WEJ[A ~ <br />Denver CO 80203 x <br /> 0 D REPRESENTATNE <br />HcORO Z51ZUUlIUb) ~ ' (~' ®ACORD CORpI (RATION T988 <br />