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<br />av~~i:i~. CER;TI~rC;~-T~' Q~ <br />.. <br />. ' 1NS <br />.......... URAN~E <br />' <br />PROD000R ., . <br />. ST+ <br />S~TS5l7E6~C5 <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Aon Risk Services, Inc of MN HOLDER. THIS CERTIFICATE DOES NOT AMEND, E%TEND OR <br />8500 No rmandale Lake Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Suite 1200 COMPANIES AFFORDING COVERAGE <br />Minneapolis, MN 55437 CowANv <br />612-897-5800 A G eat No the n In u ante Co <br />I CURED COLPANV <br />Blue Mountain Energy, Inc. B Fede al In u •nce Com an <br />Attn: AI Hillard coLnANv <br />P.O. Box 1067 C <br />Rangely, CO 91649 colvANv <br /> D <br /> <br />THIS IS TO CE RTIFYTHRT THE DOLICIESOFINSURA NCE LIST ED BELOW HAVE BEENISSUED iO THEINSURED NAMED ABO VEFORTHE POLICY PERIOD <br />INDICA iED.NOT Wli HSi ANDINGANYREOUIREME NT,TERM ORCONDIT IONOF ANVCO NTRACT OROTHERDOCUMENT W ITHRE SPECT TO WHICHTHIS <br />CERiIFICA iE MAY BE ISSUED ORMAV PERT AIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LMIiS SHO WNMAY HAVE BEEN REDUCED BV PAID CLAMS. <br />CO <br />L1A <br />TYPE OF INSURANCC <br />POLICY NUMBCR POLICY FlFECTIVE <br />GATE (MMIDDIYY) POLNfY E%PIRATIO <br />DATE (MMIDDIYY) <br />LIMITS <br /> GE NERAL LIABILTY GENERAL AGGREGATE f 2Q OOOOO <br />B X CONn~RCIALCENERALLIABILIIV 8673194464 12/30/95 12/30/96 PRODUCIS~COMP/OP 4GG S 2000000 <br /> CLAIMS MADE OCCUR PERSONAL L ADV INJURY f zQ QQQQ9 <br /> OwIER'Sb CONIRACIOR'S PROI EACH OCCURRENCE f 200DQQQ <br /> FIRE DAMAGE (Arty one lire) f 100QQQ <br /> MED EXP (Any me person) f <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LINII <br />f <br />A X °N1'°GIG BAP9673194465 12/30/95 12/30/96 2000000 <br /> ALL OWNED AUTOS BCOILY INJWV f <br /> (Per person) <br /> SCHEWLED AUI05 <br /> X HIRED ADIOS BODIIV INA1RV f <br /> X NDN OWNED ADIOS (Per accident) <br /> <br /> PROPERTY DAMAGE f <br /> <br /> GARAGC LIABEITY AUTO ORV ~ EA ACCIDENT f <br /> ANV AU70 OTHER THAN AU70 ONLY <br /> EACH 4CCIDENI f <br /> AGGREGATE f <br /> E%CESSLIABRITY E4CH OCCI.RAENCE f <br /> UM3RELLA FORM AGGREGATE ( <br /> OIFER IRAN UM6iELLa FORM f <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br />~ <br /> EMPLOYERS'LIABILITY <br />EACH ACC'DENt <br />{ <br /> IFE PROPRIETOR/ <br />PARIF¢RSyEXEDGI IVE INCL DISEASE~POLICv LIMIT ! <br /> OFFICERS 4RE EXCL DISE4SE ~ EACH EMPLOYEE S <br /> OTHER <br />D S PTION OF OPER 10 SLOCATIO S EN ICL SPECIA TEM6 <br />Re: Deserado Mine in Rangely, Colorado (Permit 3c-81-018) <br /> <br /> <br />CERTIFICAT.E~: OLDER ~:.: ~ ::.::...:..:.::.:: ~:.::.: ~ .........:.... <br />,...... ..: :. <br /> <br />..:::. <br />.CEL~ ~~~:: ~. .. <br />C :.::.:: ~: ~ ~::: ~:'.;.:'.:.:' ~ ~ ~~ <br />...:::: ~.:: ~ ~ ...... ~ ~ .... ~ .....,.... <br /> SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> E%PIRATION DATE THEREOF. THE ISSUING COMPANY WRL~~~~x.IAIL <br />Stat¢ Of COIOradO 3O DAYS WRITTEN NOTICE TO THCCERTIFICATE MOLDER NAMED TO THE LEFT. <br />Division of Minerals & Geology ~~~~~~~~~~ <br />1313 Sherman St., Room 215 ~~~®~ <br />~~~m <br />Denver, CO 90203 _ <br />T 00100 <br />:84 0 <br /> ' <br />:ACORD:.. .' ~ .:.::~.: ~::.:.::.~ .::::.::.:::.:.::::::~:.::.:..:::: :~.:... .............. :....:.::..:.;: ~:. <br />RATID..N:1ffl9.. <br />:::~:::~::;:..:;:.::;:::.;::.;:.:: <br />