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• Fsrm A II I I II I II I II IIII III Certificate Number: 3(~ 3 ~ `~ 5« ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LIMITED Hamilton, Bermuda CERTIFICATE OF INSURANCE (Excess Liability) This Certificate is furnished to the Certificate Holder named below as a matter of information only. Neither this Certificate nor the issuance hereof makes the Certificate Holder an additional Insured under the policy of insurance identified below (the "Policy") or modifies the Policy in any manner. The Policy terms are solely as stated in the Policy or in any endorsement thereto. Any amendment, change or extension of the Policy can only be effected by a specific endorsement issued by the Company and attached to the Policy. The undersigned hereby certifies that the Policy has been issued by Associated Electric & Gas Insurance Services Limited (the "Company") to the Named Insured identified below for the coverage described and for the policy period specified. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which this Certificate may be issued or to which it may pertain, the insurance afforded by the Policy is subject to all of the terms of the Policy. NAME OF INSURED: Blue Mountain Energy, Inc. PRINCIPAL ADDRESS: p,0. Box 1067, Rangely, CO 81648 POLICY POLICY From: 12/30/95 NUMBER: x0363A1A95 PERIOD: To: 12/30/96 RETROACTIVE DATE: December 30, 1989 DESCRIPTION OF COVERAGE: Claims-First-Made Excess Liability Policy Deserado Mine in Rangely, Colorado (Permit NC-81-018) LIMIT OF $ 400,000 Per occurrence and in the aggregate, where applicable. LIABILITY: DESCRIPTION OF OPERATIONS: Should the Policy be cancelled, assigned or changed in a manner that is materially adverse to the Insureds) under the Policy, the undersigned will7~~te 10 days advance written notice thereof to the Certificate Holder, t~t~t~Jp~~}p~tjp(~)[,~y;;~7Clp~,~~~lptt(i~p}pgtg~ »E~f>e~tfyx)Eit~1clp~~>axStl~,c~'~ktAra~fc ~la~Mxjgr>~xk Rlt>at>~,c~9Rt~4c fPRx~~~a7e,~tatti~,c lafc t~k~R DATE: December 16, 1996 ISSUED TO: State of Colorado ("Certificate Holder") ADDRESS: Division of Minerals & Geology 1313 Sherman Street, Room 15 Denver, CO 80203 AEGIS INSURANCE SERVICES, INC. At Jersey City, New Jersey sooilere~ Copies: White-Certiticate Holder; Canary-Aegis insurance Services, Inc.; Pink-Insured; Goldenrod-Broker