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DA <br />~ <br />ACORD,r CERTIFICATE OF LIABILITY INSURANCE <br />izj3o%os <br />PROnuceR <br />Aon Risk Services, Inc of Florida THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Z22 Lakeview Avenue AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />Sui to 510 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />West Palm Beach FL 33401 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br />PHOrve~ 866 283-7124 FAx- 866 430-1035 <br />INSURED INSURER A: American International Specialty Lines <br />OX bOW Carbon & Minerals LLC INSURER B: HdrtfO rd Fire Insu ran Ce CO. <br />1601 Forum'P1 <br />C <br />\~~ D <br />~^^ <br />1 <br />Attn: Donna. 7. Gul bransen tVG n <br />h FL 33401-8101 u5A <br />l <br />B mSURERG Lexington Insu ran Ce Company <br />west,Pa <br />m <br />eac <br />06 MSURER D <br />~~ p 9 20 INSURER E: <br />COVERAGES-Ttiis.Certificaceis not intendedtoseci all endorsements":cave es;terinsicondition~andexclusionsofthe"oliciesshown. STR_MayApp:,y <br />THE POLICIES OF MSUAANCE LISTED BELOW HAVE BEEN ISSUf.Q NAMED ABOVE FOR THE POLICY PERIOD MDICATED , NOTWITHSTANDRJG <br />I <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY C~'P4PCY IS~R OTHER DOCUMEM WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY <br />PERTABJ, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE M IS SUBIECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF DJSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br /> DATE(MM\DD\ri) DATE(MM\DD\YY) <br />C GENERAL LIABILITY 7287835 12/01/0$ 06/01/06 EACH OCCURRENCE $1, ODD, OBO <br /> General Liability <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGElAm one Tirel $50,000 <br /> CLAIMS MADE X^ OCCUR MED EXP (Anv one omsonl <br /> PERSONAL&ADV MHntY $1,000,000 <br /> GENERAL AGGREGATE E1,000, 000 <br /> <br /> GENL AGGREGATE LIMIT APPLIES PER'. <br />PRODUCTS-COMP/OP AGG <br />$1,000,000 <br /> Pft0. <br />~ <br />~ <br /> POLICY <br />LOC <br />H;CI <br />B A UTOM08n,E LIABILITY 20UENZQ6228 09/01/05 09/Ol/D6 CDMBPIED SINGLE LIMIT <br /> easiness automobile (Ea a«idenq $1,000,000 <br /> X ANY AUTO„ <br /> ALL OWNED AUTOS - ~ BODILYMNRY <br /> (Pa Pmsonl <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br /> (Per a<udenU <br /> NON OWNED AUTOS <br /> PROPERTY DAMAGE <br /> (Per accident) <br /> <br /> GARAGE LIABD.I'IY AUTO ONLY - EA ACCDENT <br /> ANY AUTO OTHER THAN EA ACC <br /> AUTO ONLY : <br /> AGG <br />C EXCESS LIABILITY <br />b <br />ll <br />i <br />bili <br />1 12/01/05 EACH OCCURRENCE $10,000,000 <br /> <br />X OCCUR ~ CLAIMS MADE um <br />re <br />a L <br />a <br />ty <br />st Exces s <br />AGGREGATE <br />$10,000,000 <br /> <br /> DEDUCTIBLE <br /> X RETENTION <br /> WORKERS COMPENSA710N AND WC STATU- OTN- <br /> ' TORY L 9 ER <br /> EMPLOYERS <br />LIABILITY E.L. EACH ACCIDENT <br /> E.L. DISEASE-POLICY LIMIT <br /> E.L. DISEASE-EA EMPLOYEE <br />A OTHER PL59528238 09/29/03 09/29/06 Limit (1) $50,000,000 <br /> PO11Utl On Le0a1 Ll abllliy <br /> X Poll Legal Liab <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCCUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />See Attached: <br />CERTIFICATEHOLDER~ i>" _- - CANCELLATION' ~'--~- ~ ~ •' `~ ~ '` ". "`. .: <br />Di Vl5l00 of Minerals & Geology SHOULD ANY OF THE ABOVE DESCRIHED POLICIES BE CANCELLED BEFORE THE E%PIRATION <br />1313 Sherman street, ROOM 215 DATE THEREOF, THE ISSUING COMPANY WdL EN96AVOR-T9 MAIC <br />Denver CO BO2O3 USA 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> AUTHORIZED REPRESENTATIVE ~~ ~~ ~yrexer-Bea eb `~ezud. 9,~. <br />ACORD 25-5 7/97 "" "" " , ACORD RP RATION Y988 <br />L <br />e <br />S <br />z <br />s <br />N <br />C <br />ti <br />C <br />n <br />2 <br />a <br />`a <br />c <br />4' <br />a <br />L <br />i~ <br />r~r- <br />f <br />~_ <br />r# <br />