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r ~I:I/~:u. CERTIFICATE OF,.INSURANCE _ N- ;ISSUE GATE (MM/DDIYY)
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<br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
<br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br />SEDGW I CN. JAMES OF TN INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />O
<br />T POLICIES BEL
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<br />0. 90X 19810
<br />OXVILLE, TN 37939 COMPANIES AFFORDING COVERAGE
<br />(610 584-9101 A e NATIONAL UNION-FIRE--INS --CG.
<br /> COMPANY
<br />A
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<br />CYPRUS MINE RRLS CO. ///''^^^~~~ T 7~
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<br />C_OVERAGES.~~~~,.,,_:r.«..-r`:~.:c.,:.a..'':_-'ai%i•.^iw:~.r'r~.::,i ~!-E=.~ _•5::'. .'^, .`.: rrs .., .. ._. .y. '•_: ~:~:
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<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTE ry7~
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<br />D BELOW HAVE BEEN ISSUED TO THE INSURED NAME~ABOVE'FOR't'FiE-PHCIONF/ERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV 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 TYPE OF INSURANCE POLICY NUMBER
<br />LTRi POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br />GATE (MM/DD/YY) DATE (MM/DO/YY)
<br />G
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<br />NERAL LIABILITY GENERAL AGGREOATE 3 `~, ~ I , '~I~'
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<br />I L 'ICOMMERCIAL GENERAL LIABILITY I ~ ~ PROOUCTS~COMP/OP AGG. S ~, I~ATJ 4~, ICl lil ~.
<br />"'-~~;. M :CLAIMS MADE~OCCUR. ~ I ;PERSONAL 8 ADV. INJURY S '~, IZI ICI IZI, I[71CJ.
<br />A~CPOWNER'SSCONTRACTOR'SPROT RMGL3252826 i07/01~91IZ17~01~9G EACH OCCURRENCE fC,QIIjJIZI;IZIk:-.
<br />r-~ PRODUCTIVENDORI ~ (FIRE DAMAGE (Any onA llrel f c,I]J I~V~,~I l~~
<br />X CU 1 I. • MED. EXPENSE (Arty rrnA PeraPnl~ S
<br />'AUTOMOBILE LIABILITY j I COMBINED SINGLE
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<br />3
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<br />ANY AUTO LIMIT
<br />1, IZIOO, hL1L
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<br />ALL OWNED AUTOS
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<br />BOOBY INJURY
<br />3
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<br />RMCA 14c^775E
<br />SLHEDDLED ADTD9 ID7/01/9c (Per ovsonl
<br />07/01 /91
<br />HIRED AUTOS ~ BODILY INJURY
<br />3
<br />NON-CWNED AUTOS IPBr amOanq
<br />GARAGE LIABILITY
<br /> PROPERTY DAMAGE S
<br />E%CESS LIABILITY i EACH OCCURRENCE S
<br />'UMBRELLA FORM i ~ ~ ~ ~ AGGREGATE S
<br />OTHER THAN UMBRELLA FORM I ~ --
<br /> STATUTORY LIMITS
<br />WORKER'S COMPENSATION -.- -
<br /> EACH ACCIDENT S
<br />AND ~ ~ ~ ~ ~ DISEASE-POLICY LIMIT 3 '~
<br />' EMPLOYERS' LIABILITY -'---'_"""' --'- --- -
<br />DISEASE-EACH EMPLOYEE 3 -
<br />OTHER
<br />
<br />DESCRIPTION OF OPERATIONS/LOCATIONSIVENICLES/SPECIAL ITEMS AND OPERATIONS AT OAK C]tEEK, COLORADO
<br />~'fPRUS EMPIRE CORP., C'lPRUS ORCH ARD VALLEY COAL CORP. , -WEiJT`lMILE COAL CO. -
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<br />:CLORADO Y INCL. MI NES 1, c, 3, PERMIT C-B'+-06c, C-81-071
<br />CERTIFICATE HOLDER -..:,''_-_:-~.'_.;_,: ~=~~'s~~~.;'y,J~;l~=~, CANCELLATION'=,_r =:.r;•'_a.`_..' . '' :. ....! •;i ~;:.`,; ~ l__~. t'. '..
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> EXPIRA]ION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
<br />STATE OF COLORADO
<br />
<br />INE LAND RECLAMATION DEPT. MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br /> ~ LEFT, BUT FAILURE 70 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
<br />,
<br />; 1 ~ ::ICE RI+1AN STREET
<br />. LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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<br />~ AUTHORIZED REPIICSFJVTATIVE
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<br />ACORD Z5-S (7/90) ~ ~ ~~~ ~~~""'""f"'`~-~v'"'r..~?"^'4AC0~10 °CaRPORATiON 199c
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