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' : ert NO'.'.;':~.; DATE IMM/DD/YYI :::' <br />A ORD~, :' ::C~:RTIIFIC:ATE?:O~': L..::.B.:. tT.. ,.;.:. S...:..:.: .. - . ,_ <br /> <br />99 fjU7~C 3IDI199 <br />.. <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />J&H Marsh & McLennan <br />Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />. <br />Three Embarcadero Center <br />#200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />--PB-BDx-]93880-- -- _ <br />San Francisco. CA 94119-3880 -- - - --COMP-ANIES.AFFORDING COVERAGE <br /> COMPANY <br />EIVED I <br />Mary R. Berry REC <br />Q PACIFIC EMPLOYERS INS CO <br />INSURED <br />P COMPANY <br />MAR O 1 999 <br />The <br />ittsburg & Midway B CIGNA INSURANCE CO. <br />Coal Mining Co. <br />6400 5. Fiddler's Green Circle COMPANY 9Y <br />f Minerals & Geolo <br />Englewood <br />CO 80ll ] C Divlslon o <br />. <br /> COMPANY <br /> D <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 70 WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO <br />LTR TYPE OF BiSURANCE POLICY NUMBER POLICY EFFECTIVE <br />GATE IMM/DD/YYI POLICY E%PIRATION <br />DATE IMM/DD/YYI LIMBS <br />A GEN ERAL LIABIITY HDC G1807223-3 3/01/99 3/DIIDD GENERAL AGGREGATE • ]. DDD. DDD <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS ~ COMPIOP AGG • ] ,DDD. DDD <br /> .: A' CLAIMS MADE ~OCLUR PERSONAL 8 ADV INJURY • I, DDD. DDD <br /> OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE • 1. DDD. DDD <br /> X RetrO Date: FIRE DAMAGE IAny one lira) • <br /> X March 1. 1986 MED E%P IAny one person) • <br /> AUT OMOBILE LIAMIlIY <br /> INED SINGLE LIMIT <br />COM • <br /> ANY AUTO B <br /> ALL OWNED AUTOS' <br />BODILY INJURY <br />• <br /> SCHEDULED AUTOS IPer Person) <br /> HIRED AUTOS <br />BODILY INJURY <br />F <br /> NON~OWNEO AUTOS IPer accitlenU <br /> RTY DAMAGE <br />PROP <br /> E <br /> GA MGE LIABIIRY AUTO ONLY ~ EA ACCIDENT <br /> ANY AUTO OTHER THAN AUTO ONLY: """ ' ~~~~ ~~ ~ "" """' <br /> EACH ACCIDENT • <br /> AGGREGATE <br />B E%CESS LIABILRY XCEG17312145 3/01/99 3/01/00 EACH OCCURRENCE • 3, SDO. DDD <br /> UMBRELLA FORM AGGREGATE • 6.5DD. DDD <br /> A' OTHER THAN UMBRELLA FORM • <br /> WORRER'B COMPENSATION AND TOPY IMITS ER <br />. .:....:... .:.:..: :.... <br />~~~" <br /> EMPLOYERS' LUBILRY <br />EL EACH ACCIDENT <br />• <br /> THE PROPRIETOfl/ INCL EL DISEASE -POLICY LIMIT • <br /> PgRTNERSIE%ECUTIVE <br />OFFICERS ARE' <br />E%CL <br />EL DISEASE ~ EA EMPLOYEE <br />• <br /> OTNEfl <br />DESCRIPTION OF OPEMTIONSAOCATIONS/V EHICLESISPECIgL REMS <br />This Cernflcate shall provide for personal injury and property damage as <br />a result of surface coal mining and reclamation operations including <br />arising fran the use of explosives at the Insured's Edna M ine In Colorado. <br />(See reverse and/or attached far additional information.I <br />G~RTIFIGATEHOLUER :'. CANCk1iA;FION <br /> SXOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CgNCEtLED BEFORE THE <br />Division of Minerals & Geology EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ]~-](~(][ MAII <br />CO Dept. of Natura 1 Resources 3D DAYS WRRTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />Kent Gorham <br />1313 Sherman Street. Rnan 215 XHafC@NODI9C90707i(~{9G~CPp6KrX7fr1~DC7CdF06KNACG6DfdiNrX7DK]PA0009lX <br />Denver, CO 80203-2273 XdF7WQ~1C761000X~7Q~GC]WEX~d]L@61dX 4CXdGX7WRDL9GK~Q-[9(X <br /> AUTHORIZED 11EPR ENTATR/E O I <br />~ACOAD 2~s:l1'146.}:':::~:::~:`:~:~::::~:'~~:;:.,',~:::;~:-~:~:<:.~;:':`:~::~:::':.:~:-~:::::: <br />.. .... .. ... ... ..... ..... .. ...:........:.....: ~~:::~::::: <br />.:....... :~~~:::::~:: .: :: :::: ~~~: ~:~~:::: :.:: :: ...:. ": <br />.:...:.......:...:'.:.. :: ~~:..: ~.: :~: ~:..: ~:.:.. ... :;.';..e~~p <br />COpD;CORPO '.'OAE''t99B:': <br />HOLDER COPY 0070 CERTIFICATE ND. 028600]-00001 <br />