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al:l/i.n. CERTIFICATE OF IN~UFsANCE ~~ ~ ~ ~~ ~ ~~ ~ ~~ ~~~~ ~~~ IBBDE LATE (MMw/DD,YY) 4/2/91 e~ PRODUCER J~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ~L NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Don Porco Agency 246 E Street COMPANIES AFFORDING COVERAGE Salida, CO 81201 LETTERNY A FODE 1-05-02-220 suB-coDE National Farmers IInioa Property & Casualty COMPANY B INSURED LETTER LETTERNY C Golden Drilling Inc. P.o. Box 38~ Salida, CO 81201 LETTER"Y D COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMEN7, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS r CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION pLL LIMITS IN TNOUSANDS LTR DATE (MM/DD/YY) DATE (MM/ODIYY) GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY OLAIMS MADE OCCUR. OWNER'S 6 CONTRACTOR'S PROT. 1~MO1635o6 AUTOMOBILE LIABILITY ANY AUTO X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON~OWNED AUTOS GARAGE LIABILITY E%CE39 LIABILITY GENERAL AGGREGATE f 500 PRODUCTS-COMP/OPSAGGREGATE f ExCll PERSONAL A ADVERTISING INJURY f 5~ EACH OCCURRENCE S 5~ FIRE DAMAGE (Any one firs) f 50 4/2/91 4/z/92 MEDICAL E%PENSE (Any one person) S 5 COMBINED SINGLE f LIMIT BODILY INJURY f (Per person) BODILY INJURY f IPB! eccitlanq PROPERTY E DAMAGE EACH AGGREGATE OCCURRENCE - -- - s E OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTRER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER State of Colorado Mine Land Reclamation 215 Centennial Bldg. 1313 Sherman Street Denver, Colorado 80203 STATUTORY E (EACH ACCIDENT) S (DISEASE-POLICY LIMITI S (DISEASE-EACH EMPLO` CANCELLATION SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP ~^S/E7N~TAT~IVE ~/J ~~/~- LI~V ~L~l~yi (J a. ......... ....--..-. ~..... .~.