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PRODUCED <br />CERTIFICATE OF INSURANCE ~~~ ~ IIIIIII III ISSUE DATE IMM/c/YYI <br />Van Gilder Insurance Corp <br />700 Broadway. Suites 1035 <br />Denvere CO 80203 <br />- - 1 O/O.~/93 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BV THE <br />COMPANIES AFFORDING COVERAGE <br />COMPANY <br />303-f337-A500 LETTER A Employer's Mutua! Casualty Co <br />COMPANY <br />INSURED LETTER B C1-Um 6 Forstee" Ins. Co. <br />Flatiron Ijnmpanlfg5 COMPANY <br />FLatirnn Industrial Fark Ca. LETTER C <br />Y ~ LI ~ B n x 229 COMPANY <br />Rn ll I del' LETTER D <br />r_o ao3oe COMPANY <br />LETTER E _ mtrib <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION~OF ANV CONTRACT-OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE <br />ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. E%CLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED RV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTR GATE IMM/DD/YYI DATE IMM/DD/YYI <br />GENERAL BABILITY GENERAL AGGREGATE $ 2 f OOO f C <br />p X COMMERCIAL GENERAL UABILITY 0X4894294 d/Oi/93 6/Ol/94PRODUCiS-COMP/OP AGG E ? f saes f C <br />CLAIMS MADE XOCCUR PERSONAL 8 ADV. INJURY $ Y) OOO I C <br />OWNER'S 8 CONTRACTOR'S PROT. EACH OCCURRENCE $ 1 , 000 f c <br />FIRE DAMAGE IAny one feel $ sa f <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />$ <br />A X ANY AUTO 0X41394294 6/01 /43 6/Ol /94uMIT <br />1 f OOO f Ot <br />ALL OwNEO AUTOS <br />BODILY IWURV $ <br />SCHEDULED AUTOS (Per person) <br />X HIRED AUTOS BODILY INJURY $ <br />X NON-OWNED AUTOS IPer accltlenp <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE $ <br />E%CE$$ LIABILITY T`-'- -_ EACH OCCURRENCE S lO f saes f a~ <br />B UMBRELLA FORM AGGREGATE $ S O f OOO f O{ <br />X OTHER THAN UMBRELLA FORM 5220753903 6/01/93 6/01/94 _ <br />----~~• ~--_ ~ ~- ~ <br />- STATUTORY LIMITS <br />WORKER 5 COMPENSATION <br />_ _ _ _- - EACH ACCIDENT E <br />AND <br />DISEASE-POLICY LIMIT $ <br />EMPLOYERS' LIABIDTY <br /> <br />^ DISEASE-EACH EMPLOYEE $ <br />.-~-__~ _ _ _ ~_ ._~ <br />OTHER <br /> RECE;VEC <br /> (5'~ y ~~- - - . <br />-~- <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ~1 U <br />RE:: Bourg Mine <br />F•ermit Humbert C-R7•-021 <br /> <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E %PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~iDE.gf/160C 7C7[ <br />LI i v i s i o n of M i Hera ! h Geo L ogy MAIL 3a DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />1313 Sherman S+ree+ LEFT, ®xlfl~]OR900016ARA7WGdNXA1Ljt `I~L~SII~O~lXIX1XLXI~Ix`I~fii1~x <br />UenvAr f CD 80203 Lffi9thCMY]LxxxmfoxecmmxxiezmPJCeLaF®cACaeusTD1I1[2W42~]f1K#~Ex <br />AUTHORIZED REPRESENTATIVE 030321000 <br />ACORD 25-5 (7/90) / ACORD CORPORATION 1990 <br />