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I~~ ~~I~ <br />~~ ~~~~~~~~~ <br />:ERTIFICATE OF LIABI LITY INSURANC~ <br />GF ~1 DAUB,2p pl <br /> CI <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE <br />Hlaachard Insurance Group Inc. HOLDER. THIS CERTIFlCATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand Junction CO 81506 <br />Phone: 970-245-8011 Fax: 970-245-8016 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: Elllpl0yer9 Matu81 C88n81ty CO. <br /> INSURER B: <br />NCIG Financial, Inc• INSURER C: <br />P.G. BOX S46O ~ <br />Playa del Rey CA 90296 INSURER D: <br /> INSURER E: <br />COVERAGES ~/H <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATE ITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDRION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA ~yANn~. <br />.l <br />, <br />a~ w <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION OF S {jC~ <br />, <br />yr, <br />_.~ <br />J <br />POLICIES. AGGREGATE LIMBS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR TYPE OFINSURANCE POLICY NUMBER DATE MM/D ~ DATE~MMID ~ LIMRS <br /> GENERAL LIABILRY EACH OCCURRENCE E SOD, OOO <br />A X COMMERCIAL GENERAL LIABILRY 1X15286 O7/12/Ol 07/12/02 FIRE DAMAGE(Myane fire) f 100,000 <br /> <br /> CWMS MADE ^X OCCUR MED E%P lMyone parson) f 5,000 <br /> PERSONALEADV INJURY S SO D, OOO <br /> GENERAL AGGREGATE E S, OOO, O00 <br /> GEN'L AGGREGATE LIMIT APPLIES PEIi: PROOUCTS~COMPrDP AGG f 1,000,000 <br /> POLICY JE o-T LOC <br /> AU TOMOBILE LIABILffY <br />COMBINED SINGLE LIMB <br /> <br />ANV AUTO <br />IEa apcldeM) E <br /> ALL OW NED AUTOS <br />BODILY IILURV <br /> <br />SCHEDULED AUTOS <br />(Per person) E <br /> HIRED AUTOS <br />BODILY INIURV <br />f <br /> NON~OW NED AUTOS (Per accltlenll <br /> PROPERTY DAMAGE <br /> <br />(Per citlant) f <br /> GARAGE LUIBILRY AUTO ONLV~EA ACCIDENT E <br /> ANY AUTO OTHER THPN EA ACC f <br /> AUTO ONLY: AGG f <br /> E%CESS LIABILfTY EACH OCCURRENCE f <br /> OCCUR ~ CWMS MADE AGGREGATE E <br /> E <br /> DEDUCTIBLE f <br /> RETENTION E f <br /> WORKERS COMPENSATON AND TORY LIMRS ER <br /> EMPLOYERS' LIABILRY <br /> E.L EACH ACCIDENT f <br /> E.L DISEASE ~ EA EMPLOYE E <br /> E.L DISEASE ~ POLICY LIMB S <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONENEHILLES'EXCLUSIONS ADDED BY ENDORSEMENT/SPELIAL PROVISIONS <br />*10 days for non-payment of premium DMG Permit No. C-84-065 - Coal <br />Ridge No. 1 Mine East of New Castle, CO South of the River. <br />CS Minerals, LLC aa8 the State of Colorado Division of Minerals & Geology <br />are named as Additional insureds.**or incur substantive changes or failure <br />to renew. <br />CERTIFICATE HOLDER y ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION <br />DOODDDD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATION <br />L~5 <br />State Of COSOradO DATE THEREOF, THEISSUING INSURER WILL!l~MNL 30* DAYS WRRTEN <br />D1via10II of Minerals & G0010gy NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEF~PII'~SIGUNFX~OD}G~gHN~C <br />1313 Sherman Street, Room 215 }bG€QC9WdX[9LG49tpS0~llAlGA6DCQ470PC116~C1Z[04-Q7Q1307IE}fdCCF144P~3StiEQOXAGP{ <br />Denver CO 80203 <br />]C9PL~XE57LNiNF9T L° /~! $ <br />7y"`.~-- ~~~-e.L~ <br />1988 <br />