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<br />CERTIFICATE OF INSURANCE <br />This is to certify to: Name and address of insured: <br />r ~ r ~ <br />Mined Land Reclamation (ioard Flatiron Companies (see reverse) <br />1313 Sherman St. P.O.Box22s <br />Denver, CO 80203 2344 Spruce St. <br /> Boulder, CO 80302 <br />L J L ~ J <br />that policies of insurance as described below have been issued and are in force. <br />COVERAG= COMPANY/POLICY NUMBER _ _ EXPIRATION _ LIMITS OF L_ IA_BI_L_IT_Y_____ <br />'vViiRKL-R'S ~,t. Paul Fire & Marine Insurance Co. 07/01/gq Statutory <br />COMPENSATION i99 PA 7518 In conformance with the <br /> Compensation Laws of All <br />Coverage B -~ States <br />Employers Liability 5100,OOD each occurrence <br />GENERAL St. Paul Fire & Marine Insurance Co. 07/01/84 5500,000 CSL <br />LIABILITY 599 MA 1613 <br />AUTOMOBILE St. Paul Fire & Marine Insurance Co. 07/01/84 5500,000 CSL <br />LIABILITY 599 MA 1613 <br />WORKER'S COMPENSATION INCLUDES THE FOLLOWING COVERAGES: <br />1. Coverage (or U.S. Longshoremen and Harborworkers Act <br />2. Broad Form All States . <br /> <br />3. Other: __.. 9 i'_,, i ^ r, _,+r „ <br />+f: <br />i! ~~~~yf' $, + ., ~ .. <br />GENERAt_ LIABILITY INCLUDES TH: FOLD OWING COVF.RAGFS: <br />1. Premises ~~ Operations I i I~c <br />~ <br />2. Independent Contractors . <br />3. Contractual Liability Coverage <br />4. Property Damage Liability arising out of the "X CU" hazards r~.lif`:f D I rn i•~'1 is~ O1 !~ <br />`:~," <br />i'l~! <br />5. Completed Operations ~~ Products . <br />; <br />0010. G::;; I. vt i;,aia ~;I .?USUL'1 i <br />;' <br />' <br />6. Broad Form Progeny Damage, including Completed Operations , <br />. <br />7. Personal Injury Liability <br />8. Other: <br />AUTOMOBILE LIABILITY INCLUDES THE FOLLOWING COVERAGES: <br />1. All owned vehicles 4. Garagekeepers Liability -5300,000 <br />2. Employer's Non ownership Liability <br />3. Hired Automobiles <br />COVERAGE COMPANY/POLICY NUMBER EXPIRATION LIPAITSOF LIABILITY <br />Umbrella Liability Twin City Fire Insurance Co. 07/01/84 525,000,000 <br />TXU 108250 _ <br />Contractors Equipment <br />Other Coverages c. a, ~i nno i., r„ on, ~nno2~ ~: ~~+ ~~., <br />. - -.~ ... -_. <br />Au nick <br />This Certificate of Insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the <br />Policy (s) described. <br />In the event of any material change in or cancellation of the policies, the com panies named herein will give 30 days <br />prior written notice of such change or cancellation to the party to whom this ce rtificate is addressed. <br />Dated at Dallis TPxas June 7. 1983 <br />AGENT: ARTEX INSURANCE AGENCY, INC. \ <br />~ <br /> <br />10300 NORTH CENTRAL EXPRESSWAY gy. ^~ <br />~,1~ ~ <br />1l <br />BUILDING III, SUITE 208 Authorized Representative <br />DALLAS,TEXAS 75231 <br />(2141369-8991 <br /> <br /> <br /> <br />