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ADDITIONAL INFORMATION NYC-003677526-14 DATE (MWDDfYY) <br /> 06/26/20 26/2009 <br />PRODUCER <br />Marsh USA Inc. <br />1166 Avenue of the Americas <br />New York, NY 10036-2774 <br />Att <br />N <br />Y <br />k <br />n: <br />ew <br />or <br />.certs@Marsh.com Fax: 212-948-0500 <br />008046-ALL-cas-09-10 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED <br /> INSURER F: <br />W <br />R <br />GRACE & CO <br />. <br />. <br />. <br />7500 GRACE DRIVE INSURER G- <br />COLUMBIA, MD 21044 INSURER H: <br /> INSURER I: <br /> <br />1LA I <br />WORKERS COMPENSATION POLICIES: <br />HARTFORD FIRE INSURANCE COMPANY <br />POLICY #1OWN C47906 (CO,FL,GA,IA,NE,NV,OH,PR,WA,) <br />06/30/09 - 06/30/10 <br />TWIN CITY FIRE INSURANCE COMPANY <br />POLICY #10 WBR C47907 (WI) <br />06/30/09 - 06/30/10 <br />HARTFORD CASUALTY INSURANCE CO. <br />POLICY #1OWN C47906 (AL,MN,NC,VA) <br />06/30/09 - 06/30/10 <br />HARTFORD ACCIDENT AND INDEMNITY INS. CO. <br />POLICY #1OWN C47906 (CA,CT,KY,MO,MS,PA,WV) <br />06/30/09 - 06/30/10 <br />HARTFORD INS. CO. OF THE MIDWEST <br />POLICY #10 WN C47906 (AR, AZ,DE, IL, IN, KS, LA, MA, MD, ME, MI, NH, NJ, NM, NY, OK, RI,SC, SD, TN, TX, UT) <br />06/30/09 - 06/30/10 <br />CERTIFICATE HOLDER <br />Colorado Division of Minerals and <br />Geology <br />Attn: Jim Stark <br />1313 Sherman Street - Room 215 <br />Denver, CO 80203 <br />of Marsh USA Inc. 1 <br />David Kong <br />2