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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DD/VVYY) <br />NCIGF-1 07 20 07 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB International Southwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Blanchard Insurance Group HOLDER. THIS CERTIFICATE 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 INSURERSA ING COVERAGE NAIC# <br />INSURED <br />INSURER A: >~ ty Co. <br /> INSURER B: <br />C.B. Minerals Company, LLC INSURER C: <br />P O BOX 1$27 INSURER D: VlSl <br /> <br />Pebble Beach CA 93953-1827 O <br /> INSURER E: /n(n aC(-z^ <br />COVERAGES -"~ ob~el..~~' <br />THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV 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 MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/OOIYY DATE MM/ 0/YY N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ SOD, OOO <br />A ~{ COMMERCIAL GENERAL LIABILITY 1815286 07 ~12~07 07 ~12~08 PREMISES (Ea occurence) $ lOO, OOO <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $ 5,000 <br /> PERSONALB AOV INJURY S SOD, OOO <br /> GENERAL AGGREGATE $ 1 , OOO , OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 5,000, OOO <br /> POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANV AUTO <br />(Ea accitlent) $ <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> MIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per accitlenl) $ <br /> PROPERTY DAMAGE <br /> <br />(Per appitlenl) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE E <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY _ - <br />__ ANV PROPRIETOR/PARTNER/E%EGUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, tlescnbe under <br /> SPECIAL PROVISIONS below E. L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BV ENDORSEMENT/SPECIAL PROVISIONS <br />DMG Permit No. C-84-065 - Coal Ridge No. 1 Mine Sast of New Castle, CO <br />South of the River. NCIG Financial, Inc. and the State of Colorado Division <br />of Minerals & Geology are included as Additional Insureds. *10 Days Notice <br />For Non-Payment Of Premium ~**or incur substantive changes or failure to <br />renew. <br />I,CRIIr WM1C 1-IVLUCR <br />OOOOO OO SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLEOBEFORE THE EXPIRATION <br />State Of COlOradO GATE THEREOF, THE ISSUING INSURER WILL B6~3AYQ6Z~MAIL *3O DAYS WRITTEN <br />D1 V7.810n of Minerals & Geology NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, etR ~SMAtL <br />1313 Sherman Street, Room 215 <br />Denver CO 80203 ' <br />CORPORATION 1988 <br />