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IVIAR'SH CERTIFICATE OF INSURANCE LERTIF"ATE"DMBER <br />- - NYC-0011 41 51 6-1 0 <br />PRODUCER TNIB CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS <br />Marsh USA, IRC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE <br />1166 Avenue of the Americas POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />New York, NY 10036 AFFORDED BY THE POLICIES DESCRIBED HEREIN. <br />Attn: NEWYORK.CERTS@MARSH.COM/Fax: 212-948-0500 COMPANIES AFFORDING COVERAGE <br />ANV <br />p co <br />A <br />08046-07-08 ,vE <br />N/A <br />INSURED <br />O~ COMPANY <br />W. R, GRACE 8 CO. 111 Q 9 ~O B HARTFORD FIRE INSURANCE COMPANY <br />7500 GRACE DRIVE JU <br />n <br />COLUMBIA, MD 21044 ReCS26 <br />o1 ANY <br />co <br />ty <br />ivislGn C <br />N/A <br />and <br />p <br />M1nin9 <br /> COMPANY <br /> D Hartford Ins Co of the Midwest <br />COVERAGES - This certificate supersedes and-replaces any previously issued certificate torthe policy period noted below. 4 - <br />THIS IS TO CERTIFY THAI POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED i0 THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANV REQUIREMENT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAV <br />PERTAIN, 7HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS ANO EXCLUSIONS OF SUCH POLICIES. AGGREGATE <br />LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />' POLICY EXPIRATION LIMITS <br />LTR DATE (MM/DOm <br />V) DATE (MMIDO/VYI <br /> GEN ERAL 4ABILITY SELF INSURED O6/30I07 06/30/08 <br />$ <br /> GENERAL AGGRECLITE <br /> COMMERCIAL GENERAL LIABILITY <br />PRODUCTS-COMPIOP AGG <br />$ <br /> CLAIMS MADE OCCUR PERSONAL BAOV INJURY $ S,000,OOO <br /> OWNER'S BCONTRACTOR'S PROT EACH OCCURRENCE $ 5,000,000 <br /> X - FIRE DAMAGE IAny one file) $ 5,000,000 <br /> <br /> .R. GRACE & CO MeD ExP IAn one rsoN $ EXCLUDED <br />D AUT OMOBILE LIABnJTV 10 CSE C47908 (ADS) 06/30!07 06/30/08 <br />000 <br />000 <br />2 <br /> COMBINED SINGLE LIMIT , <br />, <br />$ <br />B X ANV Auro 10 CSE C47908 (IN, OK) 06/30/07 06/30/08 <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> SCHEDULED AUTOS IPer person) <br /> HIRED gUT05 BODILY INJURY $ <br /> NON-OWNED AUTOS IPer accitlenp <br /> PROPERTY DAMAGE $ <br /> <br /> GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN AUTOONLV: ' <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS l1ABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br />B WORMERS COMPENSATION AND lO WBR D479O7 (VVI) O6/3O/O7 O6/3O/O8 X <br />O <br />L <br /> <br />EMPLOYERS' LIABILITY TOR <br />IMITS <br />ER <br /> CO,CT,FL,GA,IA,MO,NE,NV,NY,O 06130!07 06/30/08 EL EACH ACCIDENT $ 2,000,000 <br />D THE PROPRIETOR/ <br />PARTNERS/ExECUnv X INCL 10 WN C47906 (CO,CT) 06/30/07 06/30/08 ELDISEASE-POLICY LIMIT $ 2.000,000 <br /> E <br />OFFICERS ARE' <br />EXCL KS,LA,MA,MD,ME,MI,NH.NJ,NM,O 6130/07 06/30/08 <br />EL DISEASE-EACH EMPLOYEE <br />$ 2,000,000 <br /> OTH <br />DESCRIPTION OF OPERATIONS/LOCATIONSAIEHIClESrSPEL1AL ITEMS <br />The coverege and limits stated above apply to Permit #C80-003 <br />'.CERTIFICATE'.HOLDER ' . CANCELLATION- - <br /> SHOULD ANY OF THE PoLICIEG DESCRIBED HEREN BE CANCELLED BEFORE THE E%%RATION DATE TIEREOF, <br /> THE WSURER AFFORDING COVERAGE wLL ENDEAVOR TO MAIL ~p WYB WRITTEN NOTLE TO THE <br />Colorado Division of Minerels and CERTIFICATE MOLDER NAMED HEREW. BUT FAILURE TO AMIL WCH NOTICE SHALL MPJSE NO OBLIGATION OR <br />Geology <br />Attn: Jim Stark LIgBILRY OF ANY KIND UPON THE INSURER AFFORDWG COVEMGE, RS AGENTS OR REPRESENrgTNES, OR THE <br />t 313 Sherman Street -Room 215 <br /> <br />Denv <br />CO 80203 195UER OF THIS CERTIFICATE. <br />er, MARSH USA INC. <br />id <br />~ ~-~~ <br />~~ <br /> Kong <br />~ <br />~ <br />BY: Dav <br />- MMt(3l02) VALID AS OF:-07/02/07 <br />