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«~ ~-02Z <br />e- "~'""."~"" ~,. = ° <br />' <br />` ~ - ~ DATE (MM~DD~YY) , <br />'~' <br />~ <br />° <br />ACORD,~ <br />G~RT <br />I~I~ATE {)F <br />LIABIL I TI <br />INSLIRANCE <br />> <br />z~io/oa <br />~ <br />'~~~ <br />, _ <br />, <br />, <br />PROOUCra <br />aon Risk Services, Inc of Florida THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />222 Lakeview avenue AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />Suite 510 CERTIFICATE DOES NOT ADIEND, EXTEND OR ALTER THE <br />West Palm Beach FL 33401 USA COVERAGE AFFORDED Bl' THE POLICIES BELOYV. <br /> INSURERS AFFORDING COVERAGE <br />Pxorve- 866 283-7124 FAX- 866 430-1035 <br />wsuRED <br />~ID wsuaER A; Federal Insurance Company <br />oxbow carbon & Minerals LLC 1 V G <br />REv`~ V INSUAERB, Lexington insurance company <br />1601 Forum P1 <br />Attn: Donna ]. Gul bransen INSURER C: <br />~ ~ ; 2004 <br />west Palm Beach FL 33401-8101 usA DT' <br />G INSURER D <br />and Geolo YNSURER E' <br />-COVERAGES- Tin's Certifreate is nm intended to ~ ~i enddrsements,-cove "- ~ tams; conditions ahd exciBSiousof [h8 liciessfiowx:'-- '- 52H -May- App y <br />THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSDED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI N IS SUBJECT 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 />TPE OF 165URANCE <br />POLICY'WMBER POLICI'EFFECFIY POLICY'ESPIRATIOrv <br />' <br />LIMITS <br /> DATE(M11lBDDOIT DATE(MM\DD\Yl <br />) <br />B GENERAL LUeD.IrY 0313639 12/01/04 12/01/05 EACH OCCURRENCE $1.000,000 <br /> X COMDIERCIAL GENERAL LIABILITY' FIRE DAh1AGE(Anv one fire: $50,000 <br /> CLAIMS MADE^X OCCUR MED EXP (AnY ane PersPnl <br /> PERSONAL&ADV INIURY $1,000,000 <br /> GENERAL AGGREGATE $1,000,000 <br /> <br /> GEML AGGREGATE LR1IT APPLIES PER: <br />PRODUCTS-CO\B'/OP AGG <br />$1,000,000 <br /> PAO- <br />^ <br />~ <br /> POLICY <br />LOC <br />JECT <br />A AUTOMOBILE LIABILITV 7307-72-$$ 09/01/04 O9/Ol/OS COM1IDINED SINGLE LLMR <br /> Business Automobile (Ee ecddem) $1,000,000 <br /> X ANy AUTO <br /> ALL OWNED AUTOS BODILY INIURY <br /> (Per Person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODB.Y' MIURY <br /> (Pa accident) <br /> NON OWNED AUTOS <br /> PROPERTY DAD1AGE <br /> (Per accident) <br /> <br /> GARAGE LIABILITY AUTOOM1II' - EA ACCIDENT <br /> M'Y AUTO OTHER THAN EA ACC <br /> AUTOONLY: <br /> AGG <br />B ESCE55 LIABILITY 4 12/01/04 EACH OCCURRENCE $10,000,000 <br /> X OCCUR CLAIMS MADE ~ ~ AGGREGATE' ~~ $10,900,-000 <br /> <br /> DEpUCTIBLE <br /> X RETENTION $25,000 <br /> <br />\YORRERSC011PENSATIONAND WC STATG- OTH- <br />TORV LIMITS ER <br /> EMPLOI'ERS' LIABILITY <br /> E L. EACH ACCIDENT <br /> E L. DISEASE-POLICY LIh11T <br /> E.L. DISEASE-EA EA1PL01'EE <br /> OTHER <br />DESCRIPTIOM1' OF OPERATIONS/LOCATIONS/VEHICLES~EXCLUSIONS ADDED Bl' EM1TIORSE.NENT/SPECIAL PROVISIONS <br />CERTIFICAS'E~ HOLDER";~° ~ ~' ~dNGEtI~1T10N , ` - <br />D1 Vl BT 0n of Minerals & Geology SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Attn: Toe DDddSh DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR tO MAIL <br />' 1313 Sherman Street, ROOM 21S JO DAYS WRITTEN NOTICE TO THE CERiIF(CATE HOLDER NAMED TO THE LEFT, <br />Denver CO 80203 USA BUT FAILURE TO DO SO SHALL IAB'OSE NO OBLIGATION OR LIABILITY <br /> OF ANV KTnD UPON THE CObIPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE ~/,~~/'-. /~~ ~" <br />Y F -' ~ -~.. -i-- <br />=ACORD ~5=5°7197 ~ - '~-GORD- ORP R~1T10~ 19$8 <br />.c <br />d <br />d <br />e <br />2 <br />m <br />b <br />m <br />m <br />Po <br />ci <br />ti <br />O <br />O <br />n <br />Z <br />L <br />R <br />V <br />4 <br />d <br />U <br />i1 <br />~S <br />}~-y <br />r z <br />t1 <br />