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ACORV CERTIFICATE OF LIABILITY INSURANCE OP ID R DATE (MMIDD/YYYY( <br />LOREN-1 11 OS 04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Putnam Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P . 0. Box 991 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Ashland KY 41105 <br />Phone: 606 -329-2200 Fax:606-325-7787 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED RECEIV'E® INSURER A'. Federal Ins. Co. <br /> INSURER B: <br />Picketwire Processing LLC <br />Bruce Addington <br />INSURER C'. <br />4422 Bryan Station Road NOV 0 8 2004 <br />Lexin <br />ton KY 40516 INSURER D: <br />g <br /> INSURER E: <br />COVERAGES Oivi$ion of :linerals and neology <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ADOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REpU1REMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT W ITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />NS <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLI V EFFE TIVE <br />DATE MM/DDM/ POLIO EXP RATI N <br />DATE MhVDD/YY <br />LIMITS <br /> GENERAL LIA8ILRV EACH OCCURRENCE $ lOOOOOO <br />A X COMMERCIAL GENERALLIABILITV 37111113CHI 10/10/04 10/10/OS PREMISES (Eaoccurence) $1000000 <br /> CLAIMS MADE ~ OCCUR MED EXP IAny one person) $ lOOOO <br /> PERSONALB ADV INJURY $lOOOOOO <br /> - -- ~- '- car'-tAGGREGATE 2-600000 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS~COMP/OPAGG $lOOOOOO <br /> POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> ANV AUTO (Ea accident) <br /> ALL O W NED AUTOS <br />BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per amtlentl <br /> PROPERTY DAMAGE <br /> <br />(Per accitleny $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 8 <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSNMBRELLA LUlBILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE 8 <br /> RETENTION $ 8 <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LVIBILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> "OFFiCER/MEMBER'EXCLUDED? -' _ _ _ _ E.L. DISEASE-EA EMPLOYEE $ <br /> I(yes, tlesclibe antler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br /> Commercial Applica <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Permit #C-96084, 1 mile east, Primero, Colorado, Township 34 South, Range 66 <br />[vest. <br />YCR I IrIV,~ 1 L !1 VL V CR l,/11Y V CLLN I I VR <br />COLOR-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Colorado Division of Minerals DATE THEREOF, THEISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRRTEN <br />and Geology NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Kent Gorham IMPOSE NOOBLIGATION OR LIABIL VKIND UPON THEINSURER, RS AGENTS OR <br />1313 Sherman Street, Room 215 <br />Denver CO SO203 REPRESENTATWES. <br />J. <br />© ACORD CORPORATION 1968 <br />