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JUL-11-2005 05:OOPM FROM-CENTRAL APPALACHIAN MINING 6064320031 i-003 P.001/002 F-236 <br />RD <br />AC <br />~ <br />•"' ~ <br />~~ <br />~~ <br />~~ DmI <br />~... <br />' ~ <br />~~~ <br />~~~~ <br />~" D <br />T <br />: <br />Pr <br />~ <br />#Rr/ <br />„ ~iN/Ilr(t <br />idC . <br />; <br />4 <br />s <br />4/15IOS <br />RODUEER ~~~ '~ ~~~ <br />~ <br />P <br />>~I~A <br />® THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />~~~ <br />~ <br />v..:,l / ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aeordle of Kentucky-Lax HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Lexington Green Two, Suite 41D ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />220 Lexi ngtan Green Cl tale NOV 14 2005 COMPANIES AFFORDING COVERAGE <br /> <br />Lexington KY 40503-3371 COMPANY <br />~ <br />' (859) 273-6600 /~ Federal Insurance Company <br />.ilAlEO COMPANY <br />Central Appalachia Ninlnp LLC B <br />P.O. Bax 1169 COMPANY <br />Pikavllia, KY 41502 Ci <br /> COMPANY <br /> D <br />~''' cb .'-- F vs .: '; ~. 0 : n, xc <br />" I -. :' <br />CGl1f~iAGES <br />_ <br />-. <br />rvw.. . n ... r ,.iv.£O,.w .L :~u.:>:l. awx ~ _~ <br />rte. .. :.a. ... 5. ..:.. ~. .''.O .... ..~ a ....unrnn .~ . <br />THISISTOCERTIFY THATTHEPOLICIESOFINSURANCELIS7EDBELOW HAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD <br />TERMOR CONDITIONOFANV CONTRACTOROTHER DOCUMENTW ITHRESPECTTO W HICHTHIS <br />NOT W ITHSTANOINOANYREOUIREMENT <br />INDICATED <br />, <br />, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO POLICY EFFECTIVE POLICY EXPIRATION <br /> <br />LTR TYPE OF RSBURANCE POLICY NUMBER <br />DATE (MMIDD/1'Y) <br />PATE (MNYDDITT) L1MR6 <br />A GE NERAL LUIBRRY 37111019 4l lfi/05 4/16!08 GENEML AGGREGATE f 2,OD0,000 <br /> X COLIA/-ACIAL DENERAL LIABILITY PRODUCTS~COMP/OP AGG 4 2.000,000 <br /> 0.AIM5 MADE ~ OCCUR PERSONAL 6 ADV INJURY f 1,000,ODO <br /> OVMER`SB CONTIIACTO(('S PROT EACH OCCURRENCE S 1,000,000 <br /> FIPE DAMAGE (AnY one Flre) S 1,000,000 <br /> MED E%P {Arry one person) S 10,000 <br />A AU rOMOBdE LUUSLLf1Y 73252286 4/16/05 4/16/06 <br /> COL931NED SINGLE LIMIT f <br /> X ANV AUTO 1,000,OOD <br /> ALL OWNED AUTOS BODILY INJURY <br /> <br />(Par persoN S <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br />S <br /> NON•OWNED AWOS (Par accltlen0 <br /> PROPERTY DAMAGE S <br /> <br /> GARAGE LIABRTfT AUTO OILY ~ EA ACCIDENT Y <br />- ANY AUTO OTHER THAN AUTO ONLY: <br />~ <br /> EACH ACCIOBJT S <br /> AGGREGATE S <br /> E%CE66 L1AB0_m EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM S <br /> WORKPNS COMPENSATION AXD WC AlU- TH• <br />... • . •... ^- .': ,.::. ...';~: <br /> EMPLOYERB'LIABCITY EL EACH ACCIDENT S <br /> TIE PROPRIETOR/ <br />PARTNERS/E7(ECUTIVE INCL EL DISEASEPOLICY LIMIT $ <br /> OFFICERS ARE EX0. EL OISEASE~EA EAPLOYEE S' <br /> OTHER <br />DESCRIPTION OF OPFAATIONSM1OCATION6IVEMICLE4l6PECIAL REMB <br />YeCl ana Canyon Y(ne, Permit Ne. C-80-004 8 Yunger Conyon Yl ne, Perm it No. C-81-020 <br />x ~ <br />~ <br />A!?L <br />117471?I <br />GEtx7ifz <br />IF:A'l~~OLD~f~ <br />T <br />^~ <br />: <br />. <br />~` <br />"` <br />` <br />" <br />{ <br />" <br />, <br />,. ~. f .i _.': <br />: _ <br />; <br />,..;a <br />. ~ <br />. <br />-s <br />:xt ,.,~ <br />: <br />..... <br />. , <br />. <br />. ...>,.., . <br />: <br /> 6XOULD ANY OP 7N6 ABOVE DEBCRIBEO POLICBi6 BF CANCELLED BEFORE TXE <br />$tate of Colorado EXPIRATION DATE THEREOF, THE rJBU01G COMPANY W61 ~MAp. <br />~j OIYl slon of Yl nerels 8 Geology 30 GAYS WIIRTEN NOTICE TD TXE CERTRICATE HOLDER NAMED TO THE LEFT, <br />1313 Sharnan St., Roan 215 YYi0gY0I10110tltl(IYN1KI000{Y1DDQ1 MNNYY%9(X <br />Denver, CO 80203 p70B6BB666NOBG00.WC <br /> RES <br />I <br />, <br />: Philip S Gibson <br />.. <br />. <br />..: ~ r .,. <br />~~cNSIS zs sclrs~s~ F . ,:: ~ ~ : z °:~,: ~ ...n~rweonncowF~~RAT~sz~+isaa~< <br /> <br />LEATIFICATE: 022/007/ 00004 <br />