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E~~t~C~&IYl~llff'~• ~O L~~Q)~® ~~Y'$Il~YC~tEB ~®1C National !<i nc1 Caal , LLC: <br />T1te terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the <br />coverage afforded by the insurer(s). Tbis attachment does not contain all terms, cotditions, coverages or exclusions contained in the <br />policy. <br />• msuRED <br />Ndti Ondi ICI ng Coal , LLC <br />4424 County Road 120 <br />Hesperus co 81;326 usa <br />~-I!I'TI®Ia1A-Ia ['®I,ICIES <br />I INSURER <br />• <br /> <br />if a policy below does no <br />IINSLJRER r ~~ -- I <br />t include limit inf~rmatinn rn4~.r+„ tt,,. ,.~ ~•~a:.... _,.i:..... _ .L_ <br />certi~eate form for nolicv limits. <br /> <br />INSR <br />L7'R .9DU'L <br />11YSRD <br />TYPEOPIIASLIRAi(C6 .~ POLt~CYNUM6ER~ <br />POLICYDESCRlPTllON POLICY <br />F.FFECTIVF. <br />DATE FOLICY <br />EXPIRATION <br />BATE _~~w <br />LtMH7'S <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATJONS/LOCATIONSNEHICLESBXCLUSIONS ADDED BY ENDORSEMENT/SPIiCIAL PROVISIONS <br />Re: OSM Pernllit CO-01C16i CDRMS Permit Co-1981-035. <br />Colorado piviision of Rec1amarion, Mining & Safety is named as an Additional snsured as required by <br />written contract but lirrrited to the operations of the r.ns;ured under said contract, and always subject to <br />the policy t(:rms, conditions and exclusion;>, <br />Certificate 1~Ial : 570019242112 <br />