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iii iiiiiiiiii iiiii <br />sss ~ <br />INSURANCE NEGATVELEY AMEENDSEE%IFNDS OR ALTERES THE COVLERAGES AND/ORIE%CLI15110NSA FFORIDED BYNOR COMA NED H~SAID POLICIES <br />NAME AND ADDRESS OF AGE CY <br /> COM1iPANIES AFFORDING COVERAGES <br />Adams & Porte ' <br />510 Bering Driv COMPANY A National Union Fire Insurance <br />~ <br />Houston. Texas 7057-1408 ITYmh, PA <br />~R ~Y of Pitts <br />713/975-7500 COMPANY <br /> <br />. ' <br />LETTER <br />NAME AND ADDRESS OF IN~~~++.S~~s ` ~~ <br />r. <br />~ <br />~ COMPANY ^ '~ sy 7 <br />LET(ER <br />American .u ~ <br />,,, ~~` <br />~' <br />/s.. <br />µeld WGil ~. <br />10830 No <br />C I Central Expressway COMPANY D ;aPR 5 1390 <br />LETTER <br />, <br />Suite 17 <br /> <br />Dallas, TX <br />75231 >>~~ <br />COMPANY <br />I~IVEV ~i1rolf <br /> 4Y <br />LETTER E TI ~Sl:rr ^•~A~1 <br />This ism ¢nrly Wr poli a(rosusvnre hrW below have ban issued m the imurN ruined above and ue in forcc n this rime. NmwrrlssuMina mY rrgwxmem, lens or condHion o! any convam or <br />oshc document wiN m so which skis rssufium vuy be Issued or may pertain. Ne insurance eHordd by the policies drscnbed hereie is mbjm so ill the terms. elusions and co~dmm~s of such politics. <br />COMPANY <br />LEl-rER TYPE F QISURANCE POLICY NUMBER POLICY EFFErnvE <br />DATE (MMIDD/YY) POLICY E%rIRAT10N <br />DATE (MM/Dp/YY) ALL LIMBS IN THOUSANDS <br /> GENE LIABILITY GENERAL AGGREGATE s1 <br />OQO <br /> I~ <br />L8 COMMERC <br />L GENERAL LIABILITY 1 <br />/ <br /> <br /> ^ CLAIMS M E ®OCCURRENCE PRODUCTS COMP/OPS <br />AGGREGATE <br />000 <br />51 <br /> <br />^ , <br />, <br /> OWHf0.5A NTGCIUPS PROTECENE <br />A ^ GI541351RA 4-1-90 4-1-91 PERSONAL k gDVERTISING <br />INIURY <br />S1 <br />000 <br /> , <br />I <br /> <br /> ^ EACH OCCURRENCE 51,000, <br /> <br /> <br /> ^ FIRE DAMAGE rANY I FlRE) S <br /> ^ MEDICAL EXPENSE <br /> (ANY I PEREONI S <br /> AUTO LIABarrr <br />CSL <br />S <br /> ANT A <br /> ALLO A1R05 BODILY INIURY <br />5 <br /> SCI@DU AUTOS fPER PERSON) <br /> HIRED A BODILY INIURY <br /> NON-0W AUTOS IPER ACCIDENT) 5 <br /> GAiwGE ILLIY PROPERTY <br /> DAMAGE 5 <br /> EXC LIABD.CIY FACN AGGREGATE <br /> ^ OCCURRENCE <br /> ^ OTHER N DMBRELLA FORM <br />f <br />S <br /> STATUTORY <br /> WORKS 'COMPENSATION <br /> S TEACH ACCIDENT <br /> AND <br /> <br />' S (DISEASE FOLKS' LIMRI <br /> EMPIA R <br />S LIABILITY <br />3 (DISEASE EACH EMPLOYEEI <br />_ _ _ _ _ 077~R__ _ <br /> _ _ <br />_ _ _ - __ _- _. <br />DFSCRPIION OF OPEMTIO 5/LOCATIONS/VEHICLES/RF_SfRICf10N5/SPECIAL REMS <br />Restoration seeding of approximately 7.9 acres in Section 30, N.E. Quarter, Taarlship 8 <br />South, Range 101 West. Approximately 20 miles north of Fruitz, Colorado. <br />CancellatfoR: Sh uld any of the above described policies be cancellP-d before the expiration date thereof, the issuing company will endeavor <br />to ail days wrinen notice to the below named certificate holder, but failure to mail such notice shall impose no <br />ob igation or liability of any kind upon the company. <br />NA E AND ADDRESS OF CERTIFICATE HOLDEP DATE ISSU <br />2 1990 <br />r <br />ll <br />ED <br />: ~ <br /> ~~ //~~ ~ <br />/ <br />~ <br />~/ <br />~ <br />/~ <br />lorado Mines land Reclamation Division (gw j~~Pi'~ti <br /> 313 ShPT+~n St., Seoond Floor AIffHO0.1ZEDREPRFSENfATIVE <br /> vet, ~ 80203 <br />FORM A@P IOSB <br />