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MARSH C ERTIFICATE OF INSURANCE CERTIFICATE NUMBER <br /> CHI-001139271-09 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />Ma(3h USA InC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />800 Market Street, Suite 2600 POLICY. THIS CERTIFICATE DOES N07 AMEND, EXTEND OA ALTER THE COVERAGE <br />St. Louis, MO 63101-2500 AFFORDED BV THE POLICIES DESCRIBED HEREIN. <br /> COMPANIES AFFORDING COVERAGE <br /> COMPANY <br />16862--GUAL-03/04 GT2 A ACE AMERICAN INSURANCE COMPANY <br />INSURED COMPANY <br />Twenty Mile Coal Company ~,aG B <br />701 Market Street, Suite 700 ~®C <br />i®` <br />` <br />"i <br />_ <br />Sl. Louis, MO 63101-1826 ~\\i~ <br />~ COMPANY <br />t: <br />S COMPANY <br /> D <br />COVERAGES This certificate supersedes and replaces any previously issued certificate for the policy period noted below. 11 <br />THIS IS TO CERi1FY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAV <br />PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWM MAY HAVE BEEN REDUCED BY PAID CIAIMS. <br />~ -~ <br />' <br />CO <br />TYPE OF INBURANLE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION <br />LIMITS <br />LTR GATE (MMIDD/YYI DATE (MM/DDNY) <br />A GENERAL LIABWTY HDO 619906735 10/01/03 10/01/04 GENERAL AGGREGATE $ 4,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 4,oOO,000 <br /> ]CLAIMS MADE ~ OCCUR PERSONAL&ADV INJURY $ 1,000,000 <br /> _ OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000 <br /> X BFOad_FOfm ~/endOrS--- FIRE DAMAGE (Any one fire) $ 50,000 <br /> X Covera a Included MED EXP An one erson $ S,OOD <br />A AUT OMOBILE LIABILITY IBA H07943817 10101/03 10101/04 <br />1 <br />000 <br />17D0 <br /> COMBINED SINGLE LIMIT , <br />, <br />$ <br /> x ANY AUTO <br /> <br /> ALL OWNED AUTOS BODILY INJURY <br /> (Per person) <br /> SCHEDULED AUTOS <br /> _ <br />X HIRED AUTOS BODILY INJURY <br /> <br />X <br />NON-OWNED AUTOS (Per accitlent) <br /> PROPERTY DAMAGE <br /> <br /> GARAGE LIABILITY <br />AUTO ONLY-EA ACCIDENT <br />S <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMURELLA FORM <br /> ERS-LOM?EtrSATiON"Afi '- --- -' V °TgTU---~-OTH <br /> EMPLOYERS'LIABI CITY TORY LIMITS ER <br /> <br />' EL EACH ACCIDENT <br /> THE PROPRIETOR/ INCL RE <br />• • <br />~/~ ~~~D <br />I EL DISEASE-POLICY LIMIT <br /> PARTNERS/EXECUTIVE <br />OFFICERS ARE' - <br />EXCL R <br />y v <br />EL DISEASE-EACH EMPLOYEE <br />S <br /> OTHER ) <br /> n`I r~1D9Y <br />s <br /> OivisiaR of Miner a <br />I <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS 1 <br />COVERAGE EFFECTIVE APRIL 21, 2004 FOR THE FOLLOWING: Twentymile Coal Company, Colorado Yampa Coal Company, Shoshone Coal <br />Corporation, BTU Empire Corporation antl BTU Worldwide, lnc. <br />Including Permits C-81-044 and C-82-056 <br />The insurer will notify the Division of substantive changes in policy, including termination or failure to renew. <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE TIE EXPIRATION Dg1E TIEREOF, <br /> ME INSURER gFFOROING COVEMGE IMLL E~X~ MNL -_({Q DAYS WRITTEN NOTCE TO TIE <br />Colorado Dept. of Natural Resources CERTIFICATE HOLDER NAMED HEREIN, <br />Div, of Minerals and Geology <br />1313 Sherman Street, Room 215 ~~ ~ ~ E <br />Denver, CO 80203-2273 <br /> MARSH USA INC. ~i <br />eY: Alfred A. Peterfeso ~y,~ a , Y ~' <br /> VALID AS OF: 05/24/04 <br />