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~~ ~~ ~~" y ~ ~~ oi'.6 ~{~19SUE DATE (MM/DDIVY) <br />~~~ ~~~~~~~~~ <br />ac~~isne <br />"iti<: 999 <br />PpODUCEp THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />Polk"& Sullivan Group, Inc. <br />P. O. Box 90148 COMPANIES AFFORDING COVERAGE <br />Nashville. T., 37209 _ _....__._-__ <br /> IT <br />~~A <br /> LET <br />F <br />-Chubb--I-nsurance Company <br />. .-- -- _-_ . _ _ COMPANY B <br />INSURED LETTER <br /> R[~ <br />LETTERNY C ---_.-_.. - •C~~'V~D <br />Honeyluood Coal Co. I <br />_______ <br /> <br />95 White Bridge Road AP <br />COMPANY /j <br />51 <br />- <br />Nashville TN 37205 `Ep D .. __-___.__ _` <br />994 <br />LE' <br /> PANY l' <br />'UE'fTER .~i C~~. ~l.'1 ~' ~i.. <br />..-iY <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 ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIO <br />NS <br />OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />__ <br />_ <br />__ <br />____ __ _ ___ _ _ _ T_..______.._. .. ... ._ __ <br />CO TYPE OF INSURgNCE I POLICY NUMBER <br />LTp ~ POLICY EFFECTIVE POLICY EXPIRATIONS LIMITS <br />DATE (MM(DDIVY) !DATE IMMIDD/VY) ''~ <br />A GENERAL LIABILITY 371 D4262 3/26/94 3/26/951 GENERAL AGGREGATE S 1,OO6QQO <br />! COMMERCIAL GENERAL LIgBILITV . <br />CLAIMS MADE <br />! OCC <br />R <br />~ <br />' ~ ; PRODUCTS~COMP/OP AGG. f S000OOO- <br />! <br />. X <br />U <br />.I <br />'=~- , PERSONAL S AOV. INJURY S 1~000066~ - <br />-- <br />L ,OWNER'S 6 CONTRACTOR'S PROT. EACH OCCURRENCE _ S _ _ 1 ODOOOO <br />_.. _ <br />h_ _ ; - ~ FIRE DAMAGE IAny one lire) I S 1 DDDDG- <br />' ~. MED. EXPENSE M one n'S <br />I AUTOMOBILE LIABILITY <br />I_..._ ' <br />~ COMBINED SINGLE <br /> <br />MANY AUTO S <br />:LIMIT <br />~~ ALL OWNED AUTOS <br />-. <br />~ BODILY INJURY S <br />' <br />' SCHEDULED AUTOS (Per person) <br />~ - ~-._ <br />{ HIRED AUTOS ~ <br />r..... ~ BODILY INJURY f <br />I- 'NON-OWNED AUTOS IPBf accleent) _ _ <br />GARAGE LIABILITY <br />I` <br /> ~ :PROPERTY DAMAGE S <br />' E%CESS LIABILITY <br />t. _. EACH OCCURRENCE f <br />UMBRELLA FORM ' <br />__. ~ AGGREGATE E <br />' <br />:OTHER THAN UMBRELLA FORM ~ ... ~ M. r.v ce <br />-I~_u~ <br />WORKEp'S COMPENSATION <br />~ STATUTORY LIMITS ~ _ <br />~ AND I EACH ACCIDENT S <br /> DISEASE-POLICY LIMIT S <br />EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE S <br />OTNER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />RE: HAMILTON MINE, MONTROSS COUNTY, CO. <br /> ~, ~ ..._ . <br /> .Y, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />COLORADO MINED LAND RECLAMATION MAIL ._3S7 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />DIVISION; ATTN: H. RANNEY r: LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />1313 SHERMAN STREET, ROOM Z S S %P LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />DENVER. CO 80203 <br />' <br /> ri AUTHOR12E0 REPRESENTATIVE /1''~~ (///~J~ //J~ <br />~J lLi /sw~ if-. a', <br /> <br />20- 14 <br />