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DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 11/30/2010 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED AS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the ADDITIONAL INSURED i , s an IMPORTANT: If the certificate holder terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Aon Risk Insurance Services West, Inc. PHONE (559) 449-7200 FAX (559) 439-0863 N o.: (AIC. No. Ext): AIC. Fresno CA Office 5260 North Palm Avenue E-MAIL Suite 400 PRODUCER 570000031836 93704 USA CUSTOMER ID 11: Fresno CA INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co of Pittsburgh 19445 INSURED MCC1 ane Canyon Mining LLC INSURER B: P.O. BOX 1169 41502 USA INSURER C: Pikeville KY INSURER D: INSURER E: INSURER F: COVERAGES I,CRI IrlvNl G r?vrnva-rte. -, vv-------- - SURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF IN TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS UIREMENT , INDICATED. NOTWITHSTANDING ANY REQ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested POLICIES . EXCLUSIONS AND CONDITIONS OF SUCH - LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY FXP MMIDDIYYW LIMIT S 000 $1 000 A CL EACH OCCURRENCE , , GEN ERAL LIABILITY DAMAGE 10 RFNTEU ,000,000 $1 MERCIAL GENERAL LIABILITY PREMISES Ea occurrence X COM MADE ? OCCUR MS IVIED EXP (Any one person) $10,000 CLAI - PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 COMP/OP AGG PRODUCTS 000,000 $2 - , GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- X LOC JECT CA 935830 12/01/2010 06 01 2012 COMBINED SINGLE LIMIT $1 000,000 A AUT OMOBILE LIABILITY Ea accident , X ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS BODILY INJURY (Per accident) SCHEDULED AUTOS PROPERTY DAMAGE Per accident X HIRED AUTOS _ X NON OWNED AUTOS OCCUR EACH OCCURRENCE UMBRELLALIAB H E AGGREGATE EXCESS LIAB CLAIMS-MAD DEDUCTIBLE RETENTION WORKERS COMPENSATION AND WC SMI TU- OTH- TORY LIMITS ER , EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/ PARTNER/ EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ? in NH) Mandator NIA ` E.L. DISEASE-EA EMPLOYEE ( y If yes, describe under E.L. DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Mcclane Canyon Mine, Permit No. C-1981-004 CERTIFICATE HOLDER Division of Reclamation Mining and Safety 1313 Sherman St., Room 215 Denver CO 80203 USA CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE NTH THE POLICY PROVISIONS. AUTHORIZED,, REPRESENTATIVE oo????// Q aeon .7Giok?n tans yGfiti'I y1G"101 a d c ro v 0 S c? 0 N M °v 00 O Z d w d U t? J 1s. S? ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD