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A °® CERTIFICATE OF LIABILITY INSURANCE 7 <br />` <br />Page 1 of 2 / <br />0 <br />7/ 009 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie of Tennessee, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 Ceatury Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 ?pr? <br /> <br />Nashville, TN 37230-5191 RECF-I V <br />G <br />SURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED Basin Resources, Inc. INSURERA:Zurich American Insurance company 16535-000 <br />Attn: Doug Kathol JUL 2 Y 2009 <br /> <br />2 North Cascade Ave INSURER B: <br />. <br />2nd Floor <br />ision Ot rteCla <br />i <br /> <br />&WR RC: <br />v <br />Colorado Spring, CO 80903 D <br />Mining and Sa &`II URER 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 />SR TYPEOFINSURANCE POLICY NUMBER POLICYEFFECTIVE <br /> <br />_fMM1DD1YYYYI POLICY EXPIRATION <br /> <br />(MM <br />T DD Y LIMITS <br />A GENERAL LIABILITY GL0654147900 7/1/2009 7/1/2010 EACHOCCURRENCE $ 11000,000 <br /> X COMMERCIAL GENERAL LIABILITY PREMISEStEaoccurence $ 50,000 <br /> CLAIMS MADE ]{ OCCUR MED EXP (Any one person) $ 5,000 <br /> PERSONAL & ADV INJURY $ 11000,000 <br /> GENERAL AGGREGATE '000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 <br /> <br /> <br />RO LOC <br />POLICY P <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br />(Ea accident) $ <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per accident) $ <br /> PROPERTYDAMAGE <br /> $ <br /> (Per accident) <br /> GARAGELIABILITY AUTO ONLY'-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTOONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACHOCCURRENCE $ <br /> <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WC STAT <br />U OTH- <br /> ' I <br />TORYLIMT ER <br /> AND EMPLOYERS <br />LIABILITY Y/N <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ _ <br /> -OFFICER7MEMBER'EXCLUDED' -?"' "` -- - - - -- <br /> (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ <br /> It yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />RE: The Golden Eagle Mine - Permit #C-81-013 <br />THIS VOIDS AND REPLACES ANY PREVIOUSLY ISSUED CERTIFICATE. <br />L;ANL;LLLA 1 IUN <br />State of Colorado <br />Attn: Joseph Dudash <br />Mined Land Reclamation office <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <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 />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />AGUKU25(ZUU9/U1) C011:2757535 Tp1:950236 Cert:12825498 ©1988-2009ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD