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<br />CERTlFIGATE QF LlABILITI( INSURANCE °"'~`"""°°"11~'I <br />~ <br />D <br />P <br />-4 09 07 07 <br />TA <br />NO <br />R <br />ACO~n <br /> THIS CERTIFICATE IS ISSUED A5 R MATTER aF INF~iMAT10 <br />Paoou~ t~VLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />g~,~, ~, ~, Irsc , THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />HOLDER <br />P.O. Box 100547 <br />A . <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW <br />`re <br />45 E. E~aaa <br />CO 80250 <br />Phons:303-743-1341 E'ax:303-7~4-0654 ;NSURERS AFFORDING COVERAGE NAIC 8 <br />as;,REC ~e:n United States Liabili Co <br /> <br />I <br />T <br />C <br />ld B <br />z n~REQC: <br />, <br />, <br />neia, <br />ar <br />1Qor fie <br />1720 S Hellure St. Ste 910 nsuREStD: <br />Deriver CC 80722 <br /> ~E7tE <br />COVER1tit3E3 <br /> <br />THE POLJCIES OF INSURANCE LIS ~ ED aELOW HAVE BEEN ISSUED TO THE INSUI~D NA1l~D ABOVE FOR THE POLICY PERIW INL>II:A I tV, F!V I m 1 ns I ~uYUlrw+ <br />TERfu10R CANDITION OFANYCONTRACT OR OTHER DOCI[NEM WITH RESPECT TO WHICHTHIS CERTIFICATENiRYBf rwSUED OR <br />ANY REQUIREIfENT <br />, <br />h4HY PERTAAV, TFIE IMSURiWC~ AFFORDED BT TT'IE F0.FrfES OESGRI9ED FIEREIN IS SVE+~ECT TD P1L Tt1E TERKIS, E)CCLVSIGNS AND CVNDITIOfi6 Cf SUCtt <br />POLICES. AGGREGATE LIt~iTS SHOWN hWY HAVE BEEN REGUCEDSY PWD CLAIMS. <br />LTR TYPE of NSURANCE POLK'Y fWIEEER pATE IMIIRIODlTY) DATE I«NIDD!YY) UMRT>! <br /> GEIERAL LIABILITY EACH OCCURAEI'TE S ~ ~ OOO ~ OOO <br />~ z GT~IpAEft:IALGBdFR-LllA91LRY LG8dIS896& 46/01/67 06J01/68 PREMISLs raraoo>~ c: S 160,000 <br /> ClAl1~ MADE ~ OCCUR NEC ED(P [Anyare pa~m) S ~ 1 OOO <br /> PER94NAL 8 AD4INJURY b 1 OOO r 000 <br /> ~ GENERIZ ,'k:GR~AiE S 2 ~ OOO 1 OOO <br /> CfiHL p.^.(.T2&GAT6 LlN,TAPPJ6H PER: ~ PRODUCTS. ^ANCIDP Mf;G 9 2 ~ OOO ~ OOO <br /> rJi P4 - <br />Pc''-~cY I I .I~'r I L~ <br /> <br /> ALr toNDe~LwalLrtY carer'+ECSI1x,LEUaIr ~ <br /> <br />_~ IEa ocdaan0 <br /> <br />- ANYM110 I _..~-_._.-.__--.._.._ ~__._.~_-.- <br /> i <br />Alt CA4FIF.D AUTOS <br />67CIiLY N.'URY <br />~ <br /> I i I ff~? <br /> ~_- 5i:HF:DIA.EUAUI'0~ <br /> 4iIR8UAUTU& ~~ BOpiLY NJURY I <br />S <br /> ..__ ~ ~ ~'~~ <br /> -.. <br />NCN CVJNEDA'.fr06 <br /> _ <br />...... ; PRf}"t:,R~Y;7F,HIAaE 4 <br /> ......~ .... <br />,.,_...,.........,..__...„...,..~.., D'e~ aq;llfpM;. <br /> NBKJTi'.. ~ <br />kAOEi <br />D ,IUTOUMLY^EJ',AGGPE'(f ~ $ <br /> A . <br />C M .._..._...__ <br /> ANYAUTa ~ <br />C~HER7HfW ..~A.Av S..,..............,.`...Y.. <br /> A~TCOHL'% AGG g <br /> ExCESSNN6R'cLIA LY~6ILITT E.°Ai CaGURTiBI~ E --- 5 --------- --- <br /> ~ CI.Ap~AS-iADF' <br />] q{~`,UR I d.GfiRFGATF-_~.__ S <br /> _. <br />.__ <br /> DECUCTIf3LE I <br />- ------- s----- - - <br /> _ <br />RETEt(TION S j I 4 <br /> WORKERS CGNPEf16kT10H AND j ' TORY tAV1R5 ER <br /> lstIIPLGYERS LW~lILRY <br />' E.L. EAtii ACG"OEfdT 5 <br /> c <br />AtJYP{~P9TIETCRIPRRINERJDC^IXlI7V <br /> O~l'fCERRAQJBEREKCLUD®% E.L DISE0.]'E-EAEFIFiOV 5 <br /> It yy2~SS.. CE6UIb@ 1It10M ~ <br />SP[-'IAL PR4111SL7hER be4~v E L O'~.4Sk-FaIC~ LIMIT 5 <br /> <br /> QTI~R I <br />I <br />DE6CRIPTIQY Of OPERATIOH51 LOCATi0N6 f VEHICLE 1 £]fCLU&DH6 RDD~ @Y BrDORSEIIEWT 1 SPECV:L pAAYIS!CNb <br />*10 days notice far nonpayreeut of premiTao-fine cancellation <br />Applies to Northfield Coal Dsine Permit ~a200b-085- treplaaes any/all prior <br />as of 9-07-09) <br />CERTIFICATE HOLDER CANCELLATION <br />aoaoaao SHOULD ANYOF'iiEA8D1~eDESCRIBEDFOtJCiE3~CPJiCEL~D6E~F.7RETHEE](RRATIDI <br />DATETHEIlEOF,THEISSUlh'GIHBURC3iM9LLL~~JN7~P1'~i~fRiL 3O* DAYSri7[fREH <br />NOfCE TO THE CERTIPlG4TE HULCfR NAMED TC THE LEF T'k <br />Colorado Diviaicn of ,,;~.,~~,~~ <br />I Reclai.matian Mining & 3efety <br />Isis shes~an 3t Ste 215 >~I~sa~lxrxxxxr ~ <br />Deaver CO 80203 ~ <br />,...tr~r~ ee r~nne ufo~ ~ACORD CORPORATION <br />