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ACORD <br />~, CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 10/02/2006 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />willia xorth America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />z6 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 RECEIVE® <br />xaehville, 1'x 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Twentymile CO81 Company INSURER A: ACB American Insurance Company 22667-001 <br />701 xarket Street <br /> <br />St <br />Louie <br />MO 63101-1826 Division of Reclau INSURER B: <br />. <br />, <br />lauon, <br />Mining and Safety <br />INSURER C: <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />T DD' <br />TYPE OFIN$URANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />ppT M POLICY EXPIRATION <br />LIMITS <br />A GENERAL LIABILITY HDOG23717773 10/1/2006 10/1/2007 EACHOCCURRENCE $ 2 ppp ppp <br />_ _ X COMMERCIAL GENERAL LIABILITY <br />_ <br />__ _,_ <br />__ <br />__ __ _ DAMAGE TO RENTED <br />_PREMISES Eeoaurence <br />~~-SO ~O <br /> <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $ $ QQQ <br /> PERSONAL&AOV INJURY $ 1 QQQ QQQ <br /> GENERAL AGGREGATE $ 4 OOO OGG <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 DQD DDD <br /> POLICY PRO LOC <br />A AUT OMOBILE LIABILITY ISAH08228103 iD/1/ZDD6 1D/1/ZDD7 COMBINED SINGLE LIMIT <br /> <br />(Ea accidanl) $ 2, DDD, DDD <br /> X ANV AUTO <br /> ALLOWNEDAUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per parson) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON~OWNED AUTOS (Per accidanl) <br /> PROPERTY DAMAGE <br /> $ <br /> (Per acciden0 <br /> GAR AGE LUIBIUTY AUTOONLY-EAACGOENT $ <br /> ANVAUTO OTHERTHAN EA ACC $ <br /> ADTOONLV: AGG $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br /> <br />' WC STATU- OTH- <br />T RV LIMIT ER <br />_ EMPLOYERS <br />LIABILITY _ _ _ ___ _. _ -_ _-_ - -- - - - - -" <br /> <br />ANV PROPRIEiORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$ <br /> If yes, describe untlar <br /> SPECIAL PROVISIONS below E. L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERADONSA.OCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENTBPEGIALPRDVISIONS <br />Twen tymile Coal Company and BTII Empire Corporation/RAG Empire Corp <br />Including Permits C-81-044 and C-82-056 <br />The Insurer will notify the Division of substantive changes in policy, including or failure to <br />renew. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL XBDti1Si674REI MAIL 3 D OAY$ WRITTEN <br />NOTICE TO THE CERIIFlCATE HOLDEfl NAMED TO THE LE L <br />Colorado Division of Reclamation, Mining & Safety <br />Division of Minerals and Geology <br />Room 215 <br />1313 Shermaa Street <br />Denver, CO 80203-2273 <br />ACORD 25 (2007/08) Co 11:1760861 Tp1:547803 Cert:/7835385 <br />