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ACORD CERTIFICATE OF LIABILITY INSURANCE GPID GATE (MMR)D/Y1~ <br />EMCO-1 05/10/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Blanchard Iasurance Group Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Hox 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Graced Junction CO 81506 <br />Phoae:9T0-245-8011 Fax:970-245-8016 INSURERS AFFORDING COVERAGE <br />INSURED INSUREfl A: Employers Mutual Casualty Co. <br />INSURER B: <br />SEM COn>}t ZRiCtl On CO. INSURER C: <br />715 Hor1ZOII Drive, $nlte 219 INSURER D: <br />Graced Junction CO 81506 <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICATED. NOTWITHSTANDING <br />ANY REOUIREMENi, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W(I}i RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR TYPE OF INSURANCE POLICY NUMBER GATE MMn)D/YY DATE MM/D LIMBS <br /> GENEMLLVIBILITY EACH OCCURRENCE S1,000,OOO <br />A X COMMERCIAL GENERALLIABILITV 9X90868 05/10/02 05/10/03 FIRE DAMAGE (Any onenre) E 100,000 <br /> CLAIMS MADE OCCUR MED EXP (PUy one person) E S, OOO <br /> PERSONALBADV INJURY S 1, OOO, OOO <br /> GENERAL AGGREGATE §2,000,000 <br /> GEN'L AGGREGATE LIMRAPPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 <br /> POLICY jEa LOC <br /> AU TOMOBILE LIABILITY <br />coMBINEDSINGLELIMIT <br />51 <br />000,000 <br />A X ANVAUTO 9X90868 05/10/02 05/10/03 (Ee eccidenq , <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br />BODILY INJURY <br />S <br /> X NON-OWNED AUTOS (Per acddenQ <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LUIBILRY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESS LIABILITY EACH OCCURRENCE S <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE E <br /> RETENTION E $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT $ <br />-- - - ~ -_ - _--`- _ -_ E.L. DISEASE-EA EMPLOYE S ~- <br /> E.LDISEASE-POLICY LIMIT E <br /> OTHER <br />DESCRIPTION OF OPERAT%INSILOCATIONSNENICLES/E%CLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: Blue Ribbon Mine-File No C-81-047. State Of Colorado, Division Of REC1=i`VED <br />Minerals & Geology is included as an Additional Insured.*10 Days Notice Due <br />to Non-Payment Of Premium.**Or incur substantive changes or failure to MqY 15 2002 <br />renew. <br />r sand GeDlOgy <br />l.C1S 11rWA1L TIVLUGIt T ADDITIONAL INJUHtD~IrvSUHtH LtlltN: A OXIYI.CLLXIIVIV <br />0000000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />State Of Colorado DATE THEREOF, THEISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN <br />DiviBicn Of Minerals & GOOlOgy NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, BIR FAILURE TO DO SO SHALL <br />1313 Sh@rmSA Street ROOaR 215 IMPOSE NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER, RS AGENTS OR <br />Denvar CO 80203 <br />REPRESENTATIVES <br />AUTHORRED REPRESENTATIVE ) ~ - //' // L <br />