PERMFILE118742

• Permit No: C1980007
• IBM Index Class Name: Permit File
• Doc Date: 2/13/2007
• Section_Exhibit Name: Exhibit 05 Certificate of Insurance
• Media Type: D
• Archive: No

CERTIFICATE ~F INSURANCE GERnFICATE "DMBER
- CHI-000178471-08
THIS CERTIFICATE IS 1$SUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOEB NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPAN)ES AFFORDING COVERAGE
COMPANY
Y A ACE AMERICAN INSURANCE COMPANY
COMPANY
B
COMPANY
C
COMPANY
D
)ersedes and replaces any previously issued cer8ficale for the policy period noted below. 8 -
ESCRIBED HEREIN HAVE BEEN ISSUED TO THE MSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
T10N OF ANV CONTRACTOR OTHER DOCUMENT W nH RESPECT TO W RICH THE CERTFICATE MAV BE ISSUED OR MAV
)ESCRIBEO HEREIN IS SUBJECT 1b ALL THE TERMS, CONDRX)NS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE

)LICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MMIDDIYY) DATE IMNIDD/YY)
Ig8 07131/05 07I31I06 GENERAL AGGREGATE $ 500,000
lenerel aggregate"' PRODUCTS-COMPIOP AGG $ 500,000
OCaf10r"" PERSONALSADV WJURY S 3DO,ODO
EACH OCCURRENCE $ 300,000
FIRE DAMAGE one fire ~ 50,000
MED EXP one rsan $ 5.000
COMBPJEDSWGLE LMNT
BODILY INJURY
(Per person)
BODILY INJURY
(Per aafdent)
NON-0W NEO gUTOS
PROPERTY DAMAGE

GARAGE LIABILITY AUTO ONLY-EA ACCIDENT
ANV AUTO OTHER THAN AUTO ONLY:
~
EACH ACCIDENT $
AGGREGATE
E%CESS LIASILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
ORK R8C NPENSATIO A D Y

EMPLOYERS' LIABILITY LIMBS ER
TOR
EL EACH ACCIDENT
THE PROPRIETORI MCL EL DISEASE-POLICY LIMB S
PARTNERSIEXECUINE -
S
OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE
O HE
DESCRIPTION OF OPEMTION8/LDCATIONBNEHICLESISPECIALITEMS
Coverage is included for surface coal mining and reclamation operations including the use of e~losivas. C-80-007 West Elk Mine
CERTIFICATE HOLDER `-. -- CANCELLATION-.. ~ _ -
u~i ..-. .. -.. i, 1_ ti... _. .... - .. .. i ...,-r i. -u.-
BHDDLD ANY OF THE POLICe3 OESCgIBEO HEREIN BE CANCELLED BEFORE ME EXPIPA1gN DAIS THEREOF,
THE Y13URER AFFOPDWO COVERAGE WLL EBW~ NAL _QJ DATS WRI1'1EN NOTICE TO THE
Colorado Dept. Of Natural Resources CERIFfCATE HOLDER NAMED HEREIN,
Division of Minerals & Geology
1313 Sherman Street, Room 215 ~ E
Denver, CO 80203

~~ MARSH USA INC. h t~~ ~ //~~
sr: Alfred A, Peterfeso '~`~`~ (?. , Y ~t1~.A)~ls
f I =_ ~ " , i -
'sue - +~ ' ' MM1(3102) k r r ~ VAUD AS OF 07/29/05 - ~~ _
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