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APPENDIX D
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<br /> ~ THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION !
<br />Aeord)a of Kentucky-Lox ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
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<br />~ HOLDER. THIS CEATIFICATE DOES NOT AMEND, EXTEND OR -
<br />Loxington 6ronn Two, Suit• 410 ~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />220 Loxl n9ton 6roon Cirel• COMPANIES AFFORDING COVERAGE
<br />Loxlnptan KY 40503-3311 COMPANY
<br />18591 273-6600 A Fodsnl Insuranes Company
<br />INSURED
<br /> COMPANY
<br />Control Appaloehi• Ylniny, LLC B
<br />P.O. Box 2827 COMpANy
<br />Pikovlllo, KY 41501 ~ C
<br /> COMPANY
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<br />THISISTOCERTIFYTHATTHEPOLICIES OFINSURANCEUSTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEOABOVEFOR THEPOLICYPERIOD
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<br />INDICATED,NOTWITHSTANDINGANYREOUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTO WHICHTHIS
<br />CEATIFICATE MAY BE ISSUED OR MAY PEATAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />~ TYPE Of MSUMNCE POLK:Y NUMBEII POLICY EFFECTIVE POLICY EYPIRA710N LIMBS .
<br />LTR GATE (MMR)D/Yl') DATE (MMRIOR'Y)
<br />A GE NERAL LMBLTTY ~ ~~ ~ 37111019 5/09!03 5(09/D4 GENERAL AGGREGATE S 2,000,000
<br /> X COMMERCIAL GEfERALLIABILI7Y PRODUCTS-COMP/OP AOG f 2,000,000
<br /> CLAIMS MADE ~ OCCUR PERSONAL 6 ADV INJURY S 1,000,000
<br /> OWNERS b COMRACTOWS PROs EACH OCCURRENCE S ~ 1,000,000
<br /> FIFE DAMAGE (My one lira) f 50,000
<br /> MED E%P (Any are person) S 5,000
<br />A AU fOMOBLE LIABf-RY 73252298 6/09/03 5/09/04
<br /> COMBINED SINGLE LIMIT S
<br /> X ANY AUTO 7,000,000
<br /> ALL OWt~D AUTOS BODILY INJURY
<br /> SCHEDULED AUTOS (Per person) f
<br /> K HIRED AUTOS BODILY INJURY
<br />S
<br /> K NON-0WNED AUTOS (Ptt accl0ent) .
<br /> PROPERTY DAMAGE
<br /> f
<br /> OARAOE LIABLRY - AUTO ONLY - EA ACCIDENT f
<br /> ANY AUTO - OTHER THAN AUTO ONLY
<br /> EACH ACCIDENT S
<br /> AGGREGATE f
<br /> EXCESS LIABLT' EACH OCCURRENCE S
<br /> UMBRELLA FORM AGGREGATE S
<br /> OTHER THAN UMBRELLA FOPlA - S
<br /> WORKERS COMPENSATION AND
<br />' WC SiAiU- O M-
<br /> EMPLOYERS
<br />LIABLRY
<br />0. EACH ACCIDENT
<br />S
<br /> SHE PROPRIETOR! INCL EL DISEASE-POLICY LIMIT f
<br /> PARTNERS/E%ECUTIVE I
<br /> OFFICERS ARE E%0. ~ 0. DISEASE-EA EMPLOYEE S
<br /> OTHER I iI
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<br />DESCRIPTION OF OPERATIONEA.OCATIONSIYENICLES/SPECIAL REM9
<br />YctlAno Canyon Yi ns, Permit No. C-BO-004 6 Yunyor Gnyon Yi no, Permit No. C-81-020
<br />£RTiFIGATEHOEDER.,.~~< ... .--. .. ...:..,.. ---. ..
<br />^ .. :C.ANCEL1-ATtOt~f ~. " .:: -~: ";
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<br /> 9NOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />Steto of Lelorodo EXPIRATION GATE THEREOF, THE ISSUING COMPANY WLL EI/dBINN1R(NXf(MAL
<br />Dl vi Sion of Yi nerAls 8 6ooleyy 30 DAYS VINR'fEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />1313 ShormAn St., Roan 215 YYOOBYIKYMY)OtlTX1400BDG1090~61KMXXNNYdTYNkN%YIBOfYXYWNTXIN(KNIOINN7fX%
<br />Oonvor, CO 80203 QCOROl00T)DOIIDDQBODD001000WOBBEtKO(X1T1B(XXX70ND0(XAR~TWDL
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<br />HORIZED REPRESENTATIVE
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