GENERAL55348

• Permit No: C1981035
• IBM Index Class Name: General Documents
• Doc Date: 1/17/2003
• Doc Name: Certificate of Insurance
• To: DMG
• Permit Index Doc Type: Insurance
• Media Type: D
• Archive: No

~ertfticate of ~r~gur~uce
~~ Aon Risk Services
TO: Division of Minerals and Geology
1313 Sherman Street
Room 215
Denver, CO 80203
Insured: National King Coal, LLC
4424 County Road 120
Hesperus, CO 81326-9545
RE:
RECEIVED
JAN 1 ~ 2003
- Division of Minerals and GeolagY
Natural Resources
Group
OSM Permit CO-0101A
CDMB Permit C-81-035
This is fo certify that the policies of insurance listed below have been ef/ected (or the Insuretl named above for the policy period indicated, notwithstanding any
requirement, term, or condition of any contract or other document with respect to which this certificate maybe issued or may pertain. the insurence afforded by
the policies described herein is subject to all the terms. exclusions and conditions of such policies. Limits shown may have been reduced by paid claims.
Co Type of Insurance Policy Number Policy Period Policy LimitsNalues
A Commercial General Liability 3710-06-34-DTO 09/15/02-03 $2,000,000 General Aggregate
$1,000,000 Products /Comp. Ops.
$1,000,000 Personal /Adv. Injury
$1,000,000 Each Occurrence
$100,000 Fire Damage
$10,000 Medical Expenses
Insurance Campany(ies): A; Federal Insurance Company
The subscribing insurers' obligations under contracts of insurance to which rhey subscribe are several and not joint and are limited solely to the extent o/ their
individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does riot satisfy all or
part of ds obiigan'ons.
This certificate is issued as a matter of information only and confers no dghts upon the certificate holder. This certificate does not amend,
extend or alter the coverage afforded by the policy(ies) shown hereon. Should any of the above descdbed policies be canceled before the
expiration date thereof, the issuing company(ies), will endeavor to mail' days written notice to the above named certificate holder, but failure
to mail such notice shall impose no obligation or liability of any kind upon the company(ies) or the issuer of this certificate.
Date: January 14. 2003 By:
A isk Services of Texas, Inc.
-~1
Aon Ri.rk Serviret of 7exa.r, Inc.
1330 Post Oak B(vd., Suite 900 • Houston, Texas 77056 • t 1: [phone] • Fax: [phone]
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