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II I' II I II I II IIII III IF INSIJR <br />~E THE gIICIFS OESCRIBEO BELOSV +PE SUBIEI"r i0 E%CLU•; ND TNIS YEIIIFICwPON OF INSUMNCE NERHEP AFFIRMATIVELY NOR <br />999 <br />A NEGAr1VELY AMENDS. E.\TENDS UR +LTEPS THE COVEP NDNR E%CWSIONS AFFOPDED BY OR CONTAINED IN SAIp gLICIE$ <br />.NAME wND wDDRE55 OF AGENCY ' <br /> COAIPANfES AFFORDING COVERAGES <br />Adams & Porter <br /> <br />510 Bering Drive coMPANY <br />ETTER A National Union Fire Insurance Co <br />Houston. Texas 77057-1408 . <br />L <br />• ]Ill9]5-]500 COMPWI' <br />LETTER <br /> <br />I NwME AND ADDRESS OF INSURED <br />Texas Oil & Chemical Company including L'OMPANY <br />LETTER <br /> <br />American Shield Coal Company <br /> <br />P <br />O <br />B <br />1636 , <br />GOSIPA,VI <br />D <br />. <br />. <br />ox LETTER <br /> <br />Silsbee, Texas 77656 <br /> LoMP,NT E vivis,on ci nvneralsu Geology <br />LETTER <br /> <br />Tfua u to am/y 111]1 PJLCat or msunnte Lnal N<lorv have hOCn nsur4 r0 III[ Insurrd namrJ atvvc m0 J n mr;e m Ihl. nme .V.nu nhsunJlnR Jm rt4uucmcnL ¢rm nr [onClunn nl pnv cnnvan a <br />r <br />d1Cr d0[Ylllrnl'J'lih rrSPffl b whl<h nns C<NrICAIt INY hr If SYW Jr RIIY Prlnrn. N< rn5unnic J(flrlllrJ hs III[ prl.lC~ Jr~~ r11n1111I<In la suh)rtl lu all 111<I[rTlt. r4CluflOns Jlld rnrYlnlani ul tYC11 P.IIKtr a <br />r COMPANY <br />LETTER TYPE OF INSURANCE POLICY NUMBER quCT' EFFECTIVE <br />DATC IMM DDrYL gLlC1 ECPIRATION <br />PATE TAI A1rDD/TL .ALL LIMITS IN THOUSANDS ' <br /> GENERAL LIABILrrY GEV EF nL AGGREGATE <br />f <br /> 4 fOMMERCIAL GENEPwI LIABILITY <br /> <br />L CLwIMS NwUE C~OCCURRENCE PNOUI J?RCOMPIOPS <br />AGGREGATE <br />S 1 000 <br /> ' <br />A OOWNEPSd CONTMCTORS PPOTECTIVE GL$42-1921 04'01-92 05-30-93 <br /> iHp SROY ALB ADVERTISING f <br />1 <br />000 <br /> , <br />, <br /> <br /> I <br />^ <br />EAIH UCCUPRENCE <br />f 1 <br />000 <br /> , <br />, <br /> ^ <br /> <br />~ i FIRE DAMAGE ZANY I FIREr f <br />50 <br />I I I <br /> LJ j i I MEDICAL Ex PENSE <br />1 I <br />1 I <br />(A,\l I PERSONI r <br />3 J, 1 <br /> AUTOMOTIVE LIABQ-f1V <br />CSL <br />3 <br /> AN5' AUTO ' <br /> wLL OWNED AUTOS B <br />D <br />L <br />Y 3 <br /> SCHEDULED (AUTOS I P <br />EP <br />PEPSON <br />• HIRED wUr03 I <br /> <br />NON-0WNED~AUTOS i IPEP <br />ACCIDENTI 3 <br /> ~-{ WRAGE IJABILfrY PROPERTY <br /> _ DAMAGE 3 <br /> EXCESS LIABR-TTY ~ EACH AGGREGATE <br /> ^ IXNPPENCE <br /> ^ OTHEP THAN UMaRELIa FORM <br />t <br />S <br /> <br />' <br />' STAtUTORY <br /> WORKERS <br />COMPENSATION <br /> I I 5 IFwCN ACCIpENTI <br /> AND <br />' <br />5 IDISEASE POLICY LlMrrl <br /> ER'S LIA61I!TY <br />EMPLOY <br /> ~ S IDISEASE EACH EMPLUYEEI <br /> OTHER ~ <br /> 1 <br />DE<CRIPr10N OF OPERATIONS/LOCATIONSIVEHICLES/RESTRIRIONSISPECIAL REMS <br />Restoration/Reseeding of approximately 7.8 acres in Section 30, Northeast quarter of Township 8 Se+,rh~ <br />20 Yes north of Fruita <br />Colorado) <br />R <br />101 W <br />t ( <br />i <br />t <br />l <br />, <br />. <br />ange <br />es <br />approx <br />ma <br />e <br />y <br />I <br />CRRCeORIioD: Should anv of }he above descnbed polines be cancelled before the eLpiratlun dale IhereM. thz ihswng company will endeavor <br />to mail b~ days wntten nrnice m the below named deniueatz huldzr. bw I:IIIUTC w meil such nDlice shall impose no <br />ubligalion or bablhry of any land upon the company. <br />Mazch 31, 1993 <br />NAHE (AND wDOPE55 OF CERTIFICA LE HOLDER DA rE I\SL'EU <br />• Colorado Mined Land S~~iri~ ~ '~yjs~,,.,_~.._) <br />Reclamation Division _ <br />1313 Sherman Street, 2nd Floor UITHOPIZED REPRESENTATIVE <br />Denver, Colorado 80203 <br />FORM IOSH <br />