|
<br />ACORD ;;C,~RT[F;{G1~TE C)F; ;L[AB[LLT ,:.
<br />1f; 1NSURAN±~;f= ;; ; ; ; ;;
<br />~II ~~~~I~~I~~~~~ ~I~ ::
<br />PnooucER THIS CERTIFICATE IS ISSUED AS A M
<br />Aon Riek Services of Florida ONLY AND CONFERS NO RIGHTS l,ra,l. Inc a,~n IIrLL,NIe
<br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />P.O. BOx 019012 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Miami, FL 3 3 101-9 012 RECEIV COMPANIES AFFORDING COVERAGE
<br />ED COMPANY
<br />305-372-9950 A FHDHRAL INSIIRANCH COMPANY
<br />INSURED
<br />COMPANY
<br />OXBOW MINING, INC.
<br />~I B Zurich Insurance Com an
<br />wslono)Minerals&Ge0
<br />Attn: Bruce Clithero
<br />~~
<br />COMPANY
<br />1601 Forum Place, Suite 1400 C
<br />West Palm Beach, FL 33401 COMPANY
<br /> D
<br />
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHEfl DOCUMENT WITH RESPECT 70 WHICH THIS
<br />CERTIFICATE MAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS,
<br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />CD
<br />LTA TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POIICY E%PIMTION LIMR6
<br /> DATE IMM/DD/YYl GATE IMM/DD/YYI
<br /> GEN ERAL LIABILITY GENERAL AGGREGATE ! 2,000,000
<br />A X COMMERCIAL GENERAL LIABILITY 3710-77-65 1/01/98 9/01/99 PRODUCTS~COMP/OP AGG ! 1,000,000
<br />
<br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY 1 1, OOO, OOO
<br /> OWNER'S 6CONTRACTOR'S PROT EACH OCCURRENCE ! 1,000,000
<br /> FIRE DAMAGE (Any one lira) / lOO, OOO
<br />
<br /> MED E%P IAny pne personl ! 1 O , OOO
<br /> AUT OMOBILE LIABILTY
<br />A X ANY AUTO 7839-00-53 1/01/98 9/01/99 COMBINED SINGLE LIMIT ! 1,000,000
<br /> ALL O W NED AUTOS
<br />BODILY INJURY
<br />
<br />SCHEDULED AUTOS
<br />IPer personl /
<br /> HIRED AUTOS
<br />BODILY INJURY
<br />1
<br /> NON OWNED AUTOS IPer accitlenU
<br />
<br /> PROPERTY DAMAGE !
<br /> GARAGE LIABIIRY AUTO ONLY ~ EA ACCIDENT !
<br /> ANV AUTO OTHER THAN AUTO ONLY: '
<br /> EACH ACCIDENT !
<br /> AGGREGATE /
<br /> EXCE66 LIABILITY EACH OCCURRENCE 1 2S, OOO, OOO
<br />B X UMBRELLA FORM AD02393042 9/01/98 9/01/99 AGGREGATE ! ZS, OOO, OOO
<br />_ - _ OTHER THAN UMBRELLA FORM__ _ _ !
<br /> WOR%ERS COMPENSATION AND WC $TATU~ OTH~
<br />T IMIT
<br /> EMPLOYER6' LUIBILRY
<br /> EL EACH ACCIDENT !
<br /> THE PROPRIETOR/
<br />PARTNERS/E%ECUTIVE INCL EL DISEASE -POLICY LIMIT 1
<br />
<br /> OFFICERS ARE: EXCL EL DISEASE ~ EA EMPLOYEE !
<br /> OTHER
<br />A POLLDTION LEGAL 3710-00-43 7/21/98 7/21/99 BACH OCC $1,000,000
<br /> LIABILITY AGG. $1,000,000
<br />DE6CRIPTION OF OPERATIONSILOCATION6/VEHICIFS/SPECIAL REMS
<br />Re: Sanborn Creek Mine Per Division of Minerals & Geology Permit Number
<br />(No. C-81-022). Commercial General Liability Coverage includes use of
<br />8 losives.
<br />CER .. F ........:.............. ............. .... ..
<br />1'1 ICATE:HOCDER:':':: :: :: :' :::::::::: :: :::: :: :' ::':: ::'"::: ; .:'::::::.,
<br />... .:...... .:.~.. ....:... ... ~.~~
<br />..:.: ... .. ..........: .:.:...... .. ....... .. .: .. .......... ....... . .
<br />.CANCELLATION ::; ~' .:: :~:
<br /> SHOULD ANY OF THE ABOVE OE6CRIBED POLICIES BE CANCELLED BEFORE THE
<br />D1V lel On of Minerals & GBOlogy E%PIRATION DATE TXEREOF, THE ISSUING COMPANY WILL 7fE)fDl{A'(<dR7C>il~ MAIL
<br />Attn: Bill C8lrter 3O DAY6 WRITTEN NOTICE TO THE CERTIFICATE XOLDER NAMED TO THE LEFT,
<br />1313 Sherman Street Room 215 uLlfxe4NNCYaeYnY7tlYc7[YIar0E6cSG1[Kllii6iPE?61g]bicll(aF11k7cdGT[IXaI[dlrx
<br />Denver CO 80203 ~scx~'X7Re1DXttPHLICxoT7[AGXEYA62c xen*s,~FS'(]Sdc XG46L4€LYrXT743E~c
<br /> AU RIZEDREPR ATI 013587009
<br />.......: ~ :: ~:~ :I ~::~ :::......:.:........::::::::::::~:::::.~..~.:<....,..,:::::,:.~:::::::::::.~..:..:.....:::::::.::::.:.:
<br />ACORD25.9.:7'/95:?:::;:.::::::::'::::::'':?<:::::::::< :::::::::::::::::::::::::::.::.:.::::::::.::::: . .:...:::
<br />::...:. ;. ... ,.. .. ..,....:::...,....:..:....,...,::::.....:...
<br />>..
<br />- ':'.. ORb'DORRORA7lON't:988
<br />
|