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Attachl>rlent $® ACORID Certificate for Nat; oval King coal , LLC <br />The terms, conditions and provisions noted below aze hereby attached to the captioned certificate as additional description of the <br />coverage afforded by the insurer(s~. This attachment does not contain all terms, conditions, coverages or exclusions contained in the <br />1' <br />• po Icy. <br />INSURED <br />National King Coal, LLC <br />4424 County Road 120 <br />Hesperus Co 81326 USA <br />• <br /> <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br /> <br />INSR <br />LTR ADD'L <br /> <br />LVSRD <br />TYPE OFINSURANCE POLICY NUMBER <br />POLICY DESCRIPTION POLICY <br />EFFECTIVE <br />DATE POLICY <br />EXPIRATION <br />DATE <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OFOPERATIONS/LOCATIONS/l%EHICLES/EXCLUSIONS ADDED BYENDORSEMENT/SPECIAL PROVISIONS <br />Re: o5M Permit CO-0106A; CDRMS Permit co-1981-035. <br />office of Surface Mining western Regional Coordinating named as an Additional Insured as required by <br />written contract but limited to the operations of the Insured under said contract, and always subject to <br />the policy terms, conditions and exclusions. <br />BI & PD Coverage. <br />xCU Exclusion does not apply. <br />Certificate No : 570019759986 <br />