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A/:/1~:1:. CERTIFICATE OF INSURANCE III IIIII~%11111111 04ECZwoD•9 <br />PRaoucER ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />kEYNOLDS INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />124 E VIRGINIA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />GUNNISON, CO 81230 __ _ C_OMPANIESAFFORDINGCOVERAGE <br />COMPANY <br />I A COLORADO CASUALTY INSURANCE CO. <br />' ---- -- <br />' INSURED COMPANY ~ ~ ~~ ~ ~ ~ ~ ~~ ~~~- ~ ~ I DIY ~-----~ <br />e E (;. <br />MR. ROBERT WEAVER APIA ~d j99~ <br />COMPANY <br />O.C. MINE N0. 2'. C <br />2054 C.R. 730 DOMPANY <br />GUNNISON, CO 81230 p JIVISIOII Vi ivnlleldla a LTEUIp <br />COVERAGES <br />THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TC ALL THE TERLIS <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS <br />CG TYPE OF INBURANCE <br />LTA <br />XX GENERAL LIABILT' <br />~GO,MMEACIAL GENERAL LIABILRV <br />~ CUIM$ MADE ii OCCUR <br />OWNER'S 8 CONE PROT <br />AUTOMOBILE LIABILfTY <br />ANY AUTO <br />ALL OWNED AUTOS <br />,SCHEDULED AUTOS <br />HIRED AUTOS <br />NON~OWNEO AUTOS <br />GARAGE LIABILT' <br />N ANY AUTO <br />' E%CE55 LIABILITY <br />UMBRELU FORM <br />i 'OTHER THAN UMBRELU FORM <br />WORKERS COMPENSATION AND <br />EMPLOYERS'LI}DIET' <br />THE PROPRIETOIL r-_I INCL <br />• PARTNERSIE%ECUTIVE <br />OFFICERS ARE: E%CL <br />OTHER <br />DESCRIPTION OF <br />POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION <br />DATE yYMTD/YYI DATE IMWDO/VYI <br />II~"~ AUTO ONLY ~ EA ACCIDENT S <br />III-OTHER THAN AUTO_ONLY: i <br />' I EACH ACCIDENT f _ <br />AGGREGATE S <br />-~~ --~-~---EACH OCCURRENCE ~~ ~$ -_ _-~ <br />AGGREGATE S <br />S <br />-O2 -2 - S -22~ GENERAL AGGREGATE SSOO,000 <br />PRODUCT$LOIAPIOPAGG f nong___ <br />PERSONALi ADVIWURY f_ none <br />EACH OCCURRENCE 5500,000 <br />FI4E DAMAGE fnny One l•re! s none <br />MED E%PlMyona person) 5 pOQE__-.. <br />COMBINED SINGLE LIMIT S <br />~ ' BODILY IWURY I f <br />. I (PN pNNJI11 <br />ROOiLY INJURY 5 <br />IPe~ accaaml <br />PROPERTY DAMAGE S <br />O.C. MINE N0. 2, C-80-002 <br />3403 C.R. 6, GUNNISON, CO 81230 <br />Vacant land (mine) Fenced, posted, 1i~L kcd and <br />CERTIFICATE HOLDER <br />STATE OF COLORADO <br />PANED LAND RECLAMATION DIVISION <br />DEPARTMENT OF NATURAL RESOURCES <br />1313 SHERMAN ST. ROOM 215 <br />DENVER, CO 80203 <br />LIMITS <br />STATUTORY LIMITS <br />', EACH AOCIDEM i <br />I DI$E/SE_ POLICY LIMrt_ ' f <br />DISEASE EACH EMPLOYEE S <br />vealyd <br />CANCELLATION <br />SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRATON DATE THEREOF, THE ISSUING COYPANY WILL }b4ptl4VOW~1E}.MAu <br />1y_ DAYS WRITTEN NOTICE TO THE CERTFlCATE NOLDER HAYED TO fNE LEFT. <br />~ AXq(7NCYBEMA~NilRMMDl9010ARIX STM1170YSCEfB:%Q AOLIGRROIdcOR6lD101LLEY! <br />' AR ~~m II f6;JND Xx RA X9 X6t9c fkPHCTtt6E' <br />AUTHORIZ i <br />ACORD 25-5 (3/93) _ __ L- ©ACORD CORPORATION 1993 <br />