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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE s/zo/zoo~ <br />PRODUCER TNI$ LERTIFIGATE I$ 53UE0 AS A MATTER OF INFORMATION ONLY ANO CONFERS <br />HILB ROGAL AND HDBBB OF TENNESSEE, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE GOES NOT AMEND, <br />120 MARKET PLACE BLVD. ~O EXTENp OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 6ELOW. <br />KNOXVILLE, TN 3]922 G <br />B65~251-$Z]0 \/` INSURERS AFFORDING COVERAGE <br />INGURED Q ~ INSURER A: NATIONAL UNION FIRE INS. CO. OF PITTSBURGH PA <br />BASIN RESOURCES, INC. ~Cj ~ J m'd~1Dn' IN$DRER B: <br />2 NORTH CASCADE AVE., 3RD FLOOR P o~ReG~SaEe~9 INSURER C: <br />COLORADO SPRINGS, CO 80903 O1vL~`~Y~ga~d INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POCKY PERIOD INDICATED. NOTWITHSTANDING ANT REOtpREMENi, TERM <br />OR CONDITION OF ANY GONTMCT OR OTHER DOCUMENT WITH RESPECT TO WHICH TNIB CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES <br />-E$LRIBE-HEREIN IB SUBJECT TO ALL THE TERMS. ENLLUSIONS ANO CONpITI0N5 OF BUCH POLICIES. AGGREGATE LIAHTS SHOWN MAY HAVE BEEN pEOUCED BY PAID CLAIMS. <br />IN30. <br />LTR <br />iVPECf IX511MNCE <br />P0.1CY XlRABER P0.ICY EFFECINE <br />0.ilE l3YATX~Y1 PQICY ERPIPALIP4 <br />IMIE IAWPWYYI <br /> GENEMWABILITY EACH OCCURRENCE $1,000,OOO <br />A X COMMERCIAL GENERAL LIABILITY FIRE OHMAGE (ANY ONE FIREI $50,000 <br /> CLAIMS MADE ^X OCCUR GL643-18-68 7I1 ~2OW ~/1/ZOOS MED EXP (ANY ONE PERSON) $5,000 <br /> PERSONAL&ADV. INJURV C <br />.p1,000,000 <br /> GENEMLAGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMITS APPLIES PER: PRODUCTS-CAMP/OP AGG $Z,000,OOO <br /> X POLICY PROJECT LOC <br /> AU TOMOBILE UABILITV <br />ANY AUTO COMBINED SINGLE LIMIT <br />(EagI A[ti]enq <br /> ALL OWNED AUTOS <br />SCHEOUIEp AUTOS BODILY INJURY <br />(Per Person) <br /> HIRED AUTOB <br />NON-OWNED AUTOS BODILY INJURV <br />(Px AmUerR) <br /> PROPERTY DAMAGE <br /> (Per ql tlml) <br /> GARAGE LIABILITY AUTO ONLY- FACH ACCIDENT <br /> ANY AUTO OTHER THAN EA. ACC. <br /> AUTOONLY: AGG. <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCCUR ^ CL41M5 MADE AGGREGATE <br /> <br /> pEDUCTIBLE <br /> RETENTION E <br /> WORKERS COMPENSATION AND WC STATUTORY LIMITS <br /> EMPLOYERS' LIABILITY OTHER <br /> E.L. EACH ACCIDENT <br /> E L, pISEASE - EA EMPLOYEE <br /> E L. DSEABE -POLICY LIMIT <br /> OTHER <br />DESCRIPTION OF OPERATIONSILDLATIONSNEHICLES/EXCLUSIONS HDDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: THE GOLDEN EAGLE MINE PERMIT #C-81-013 <br />CERTIFICATE HOLDER ADDITIONAL INSURED: INSURER LETTER'. CANCELLATION <br />STATE OF COLORADO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE GNCELLED BEFORE THE EXPIRATION DATE <br />MINED LAND RECLAMATION OFFICE THEREOF. THE IBEUING INSURER WILL ENBEAVO0. TO MAll30'DAYS WRITTEN NOTICE TO THE <br />ATTN: JOSEPH DUDASH CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 SHERMAN STREET, ROOM 215 ENUe e. <br />DENVER, CO 80203 AUTHORIZED REPRESE <br />AcopD ZSS (N01) '10 DAYS FOR NONPAYMENT OF PREMIUM <br />