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® <br />A? ° <br />CERTIFICATE OF LIABILITY INSURANCE 07 <br />`0 /20 9 <br />page 1 of 2 / <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis of Tennessee, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 <br />Nashville, TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Basin Resources, Inc. INSURERA:Zurich American Insurance. Company 16535-000 <br />Attn: Doug Rathol <br />2 N <br />th C <br />A <br />d INSURERB:Westmoreland Insurance Services B6748-001 <br />or <br />ve. <br />asca <br />e <br />2nd Floor INSURER C: <br />Colorado Spring, CO 80903 <br />INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR DD' <br />N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD YY POLICY EXPIRATION <br />DATE M DD Y LIMITS <br />A GENERAL LIABILITY GL0654147900 7/1/2009 7/1/2010 E:ACH000URRENCE $ 1,000,000 <br /> <br />X <br />COMMERCIAL GENERAL LIABILITY DAMAGETO RENTED <br />PREMISES Ea-ooeurarea- <br />SQ QQ-0-- <br /> _ <br />s <br /> CLAIMS MADE ]{ OCCUR MED EXP (Any one person) $ 5,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIESPER: PRODUCTS - COMP/OP AGG $ 2,000,000 <br /> PRO <br /> POLICY <br />JECT LOC <br /> AUT OMOBILE LIABILITY COMBINED :TINGLE LIMIT <br /> ANYAUTO (Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS Ov <br />?O BODILY INJURY <br /> NON-OWNED AUTOS 4 %? (Per <br /> J <br /> 6 <br />A e AMAGE <br /> r 0, <br />a s <br />(Per accident) $ <br /> . ga <br />n <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHERTHAN EAACC $ <br /> AUTOONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACHOCCURRENCE $ <br /> <br /> OCCUR CLAIMS MADE AGGREGATE: $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STATU- OTH- <br /> AND EMPLOYERS' LIABI TORY LIMIT ER <br /> LITY Y/N <br /> <br />-- ANY P-flOP_RIETOR/P_AATNER/EXECUT.IVE - -.- - - - - -- - - ^ _ f:L EACH7tCCIDENT- <br /> OFFICER/MEMBER EXCLUDED' <br /> (Mandatory in NH) E.L. DISEASE: - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE: - POLICY LIMIT $ <br />B OTHER 00102 7/l/2009 7/1/2010 <br /> Property & Equipment $2,000,000 Limit <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />RE: The Golden Eagle Mine - Permit #C-81-013 <br />t,r-H I IrII;A I It nULUrK t;ANk;tLLA I IUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />State of Colorado IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Attn: Joseph Dudash <br />Mined Land Reclamation Office REPRESENTATIVES. <br />1313 Sherman Street, Room 215 AUTHORIZED REPRESENTATIVE <br />Denver, CO 80203 <br />ACORD 25 (2009/01) Co11:2742834 Tpl:950236 Cert:12743296 0 1988-2009ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD