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I!I' is ~ ~ r, ~ _ DII QIDQI~QIDQQDOQID CCglr~~r~JC~LL'P` OO iI1~~31~1~~1~1C~' I , ' ,, f • sss ~ C I ~,y)_i OF 3ET JHC 4T"? E FY('1~J10 Ctj /J '~f:1'~Pi, pA; IRr~Jl;,ldl~fJ6 OO J•v /:1.17 Q?l:IxTTFi i:roJ ILN:FCi ..-~ti+..m.,w:.,. .uvvA .rx~a • I,'I:IFS C'-L~'t'~I:ILYd~i iXg7*7 4Cgh' /,y'.1~lOr 12M~JJ U~ /:L TRf:I T:Li lN?'.C7:)iYl /'d~~l)~I '_~'/ ~:1= '~~1TF3f~] :JFTnSr) 117Ve?'u I ADDRESS OF AGENCY Flat Top. Insurance Agency COMPANIES AFFORDING COVERAGES P BOX 1439 O . . COMPANY D Q Bluefield, WV 24701 LETLER St. Paul Mercur Insurance Com an COMPANY O /r~~ n~~~-pp- //-~~-I~ nC nv LETTER ~ -'~ ~, I ?U~~ I]V~VLYW~VG B1VlIGW~rY NAME ANp ADDRESS a INSURED .~. 0. 20[ 6 ~aW3D-77Zt COMPANY ~ r.:..r .Ltw Ciu] LRrF!Inb ]Q701 Sun Coal Company, Capstan Mining Company, LETTER ~ alf Menefee Land Company COMPANY i D \i 1~ BOX 26 LE TFER I Milner, CO 80477 COMPANY ly II ALL FOVlY50P IR^IIn1 RC11 LETTER lS Ch:.rl0clon, N'. '/•. Gru ,a, Vu. I'. en,t,~g v„ w-- :'.. This is to certify that policies o1 insurance listed below have been issuetl to the insuretl named above end are in loge aRhis~ime.lVotwl'Tt IsYari~g any requirement, term or contlition of any contract or other tlacument with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is sublect to all the terms, eXClusions and contlitions of such policies. P NY POLICY Limits of Liabili in Thousan s A COM LETTER TYPE OF INSURANCE POLICY NUMBER E%PIRATION DATE EACH gGGREGATE OCCURRENCE GENERAL LIABILITY BODILY INJURY S f A COMPREHENSIVE FORM 562JG9155 7/1/s3 1'000' 1'000' RECEIVED PREMISES-0PERATIONS PROPERTY DAMAGE t i EXPLOSION AND COLLAPSE 1 OOO 1 OOO EE'''')~ HAZARD • r ~ ~ Ilt~~1E[UNDERGROUND HAZARD P S M ~nfl^ 1 1V~ ~ ~ ~S~ HAZARp OPER T ONS I'I~~"II " BODILY INJURY AND LX CONTRACTUAL INSURANCE PROPERTY DAMAGE S S BRDAD FORM PROPERTY MINED .L'AND RECLAMATION COMBINED II~~II DAMAGE L]E INDEPENDENT CONTRACTORS _ C'(`fQ Cr". OF NATURAL RE URCES PERSONAL INJURY PERSONAL IN JURY S AUTOMOBILE LIABILITY BODILY INJURY S (EACH PERBONI A (f~~II LII COMPRCHENSIVE FORM C 062RA0112 7~1~83 BODILY INJURY t LOE OWNED (EACH ACCIDENT) HIRED PROPERTY DAMAGE S BODILY INJURY AND NON-0WNED PROPERTY DAMAGE t COMBINED EXCESS LIABILITY BODRYINJUPV AND ^ UMBRELLA FORM PROPERLY pAMgGE t t ^ OTHER THAN UMBRELLA COMBINED FORM WORKERS' COMPENSATION STATUTORY and EMPLOYERS' LIABIl1TY t (L ICX.CLIDEMii OTHER DESCRIPTION Of OPERATIONS/LOCATIONBNEHICLES Capstan Mining Company -Bacon Mine Sun Coal Company -Meadows Ikl Mine and Menefee Land Company - Shalako Mine Trout Creek lit Mine Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing com- pany will endeavor to mail _..}~ days written notice to the below named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. 25 (l Z9) NAME qND ADDRESS OF CE RTIFICATE HOLDER. Colorado Mine Land Reclamation Board 1313 Sherman Street Denver, CO 80203 PER .iii ~ I;J ~ ~# f ~I~ i ~I ~,~ ;~ I ~I~ J f I '~ , i ~ '~ I i I ' I { i , l f J~ i~ - ~~ I I III j I! l l.i i i i '~ i9i ,.li i. lllf i I