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~'t <br />~~ <br />X845 <br />JAM <br />~-,. .ter--... <br />c. •.. <br />' <br />~ <br />v <br />- <br />~ <br />4 <br />~,~d <br />.. , <br />~ -t - - ~ - an. .,~ <br />I I II I II I II IIII III ~~~ ' ~ <br />®~ <br />~~ . ISSUE DATE (MM/DD/1'V) <br />1 II <br />- <br />® <br />' ~ . <br />999 8_28_67 <br /> <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />ALEXANDER & ALEXANDER, INC. E7(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />ONE WILLIAMS CENTER <br />SUITE 2200 COMPANIES AFFORDING COVERAGE <br />TULSA, OK 74172 <br /> COMPANY p <br /> LETTER NATIONAL UNION FIRE INS. CO. OF PITTS. PA <br /> COMPANY <br /> LETTER B <br />INSURED <br /> NY C <br />WESTERN SLOPE CARBON, INC. <br />LETTER <br />c/o THE WILLIAMS COMPANIES <br /> COMPANY <br />ONE WILLIAMS CENTER LETTER <br />P. 0. BOX 3483 <br /> <br />TULSA, OK 74101 COMPANY <br />LETTER <br /> :~ ~~ >_ 4 '~a:~ <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW H AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REOUIREMEN7, TERM OR CONDITION OF A NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br />BE ISSUED OR CAAY PERTAIN, THE INSURANCE AFFORDED BY THE P OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONS, AND CONDI- <br />TIONS OF SUCH POLICIES. <br />'CO PoDLV EFFECTIVE PoUCr F%PIRAnON LIABILITY LIMITS IN THOUSANDS <br />LTR TYPE OF INSURANCE POLICY NUMBER ppTE IMMNBHIT DATE IMMippm'I EACR <br /> OCCURRENCE AGGREGATE <br />' GE NERAL LIABILITY 90DRy <br />'~ COMPREHENSIVE FORM INJURY $ $ <br /> PREMISES/OPERATIONS PROPERTY <br />A X EXPLQRIONUB COLLAPSE HAZARD GLA 1578739 2-1-86 2-1 <br />89 DAMAGE $ $ <br /> - <br /> PRODUCTS/COMPLETED OPERATIONS <br /> caNTRACruAL <br />COMB NED <br />$ 500 <br />$ 500 <br /> X INDEPENDENT CONTRACTORS <br /> <br /> BROAD FORM PROPERTY DAMAGE <br /> PERSONAL INJURY PERSONAL INJURY $ SOD <br /> A UTOMOBILE LIABILITY BDDAr <br /> <br />ANY AUTO ikIURY <br />IRA RASCUI $ <br /> ALL OWNED AUTOS (PRIN. PASS.) EDDxr <br /> OTHER THAN <br />ALL OWNED AUTOS (PRIN <br />PASS ~ ~~~ <br />IRA ~~~ <br />$ <br /> . <br />HIRED AUTOS <br />PROPERTY <br /> <br />NONOWNED AUTOS <br />-a DAMAGE <br /> <br />'i <br />GARAGE LIABILItt <br />~] <br />P C <br />ry <br />~ {~ ,y a ~/ <br />Fdtl ~ <br />C/ <br />B~ u PD <br /> 99 <br />3gi Cac~ t? COMBINED $ <br /> E%CESS LIABILITY <br />31 <br />987 <br /> UMBRELLA FORM ~~~ ~, BI 8 PD <br />COMBINED <br />$ <br />$ <br /> OTHER THAN UMBRELLA FORM <br />~ ' IQ ~;IVlSION STATUTORY <br /> WOR%ERS <br />COMPENSATION gEOLAM A~ <br /> $ (EACH ACCIDENT) <br />' AND <br />' $ IOISEASEPOUCY LIMIT) <br /> EMPLOYERS <br />LIABILITY <br />$ (DISEASE-EACH EMPLOYEE) <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS BLUE HORIZON MINING INC. IS AN ADDITIONAL INSURED FOR <br />ITS OPERATIONS AT THE HAWK'S NEST MINES, SOMERSET, CO. SUCH COVERAGE TO BE CANCELLED ON <br />SEPTEMBER 13, 1987 <br />. . <br />COLORADO MINED LAND RECLAMATION DIVISI or ma erTa can e <br />(B <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED,~( <br />E <br />F <br />O <br />RE ~{~ <br />423 CENTENNIAL BUILDING , <br />~ <br />~ <br />~ <br />~ <br />9-~]~i~ THE ISSUING COMPANY WILL FBtiDEXR9'~ <br />MAIL D <br />Y I EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />1313 SHERMAN STREET A <br />LEFT,av+>~IRx~w>Ma~Lx~u+zncoaux:EwNAixa~ugoxe~eraaBUCxwmrma~xa~E~v~w~c <br />DENVER- CO R(17nR x>IFW~mtxaNDwP~owxTaosxmmar''Ya~tlcPt9cJ(r~&Nt1!)bri%a~14~5~L#~f1kVF~ <br />ATTN: SUSAN MOWRY <br />T~.., .~ +nr~m <br />