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r'.Ii-+lf- 191AIG <br />CRnnI NIr70A <br />ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MMID <br />1) <br /> 31 <br />041201 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB International Ins Svcs Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />2742 Crossroads Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand Junction, CO 81506 <br />970 245-8011 INSURERS AFFORDING COVERAGE NAIC # <br />INSURED Employers Mutual Casualty Co 21415 <br />.B. Minerals Company, LLC <br />C .B. <br /> INSURER B: <br />PO Box 1827 <br /> INSURER C: <br />Pebble Beach, CA 93953 <br /> INSURER D: <br /> INSURER E: CA Resident License #0757776 <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 /> <br />LTR <br />NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD/YYYY POLICY EXPIRATION <br />DATE MM/DD/YYYY <br />LIMITS <br />A GENERAL LIABILITY 1X15286 07/1212010 07/1212011 EACH OCCURRENCE $500,000 <br /> X COMMERCIAL GENERAL LIABILITY DP (Ea AMAGSE TO RENTED occurrence) $$100,000 <br /> <br /> 1 CLAIMS MADE a OCCUR MED EXP (Any one person) $5,000 <br /> X PC Ded:250 PERSONAL & ADV INJURY $500000 <br /> GENERAL AGGREGATE $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $1,000,000 <br /> POLICY PRO LOC <br />JECT <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> ANY AUTO (Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />P <br />i $ <br /> NON-OWNED AUTOS er acc <br />dent) <br />( <br /> PROPERTYDAMAGE <br /> $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS! UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR FICLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br /> ' TORY LIMIT,; FR <br /> EMPLOYERS <br />LIABILITY <br />A <br />NY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> A <br />) EXCLUDED? <br />an <br />t <br />ry <br />n N <br /> (M <br />o <br />i <br />H <br />da E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS <br />Coal Ridge No. 1 Mine <br />CtKII IGAIt NULII CANCELLATION lU Ua STor Non-I'a ment <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Division of Reclamation, Mining DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL A_ DAYS WRITTEN <br />& Safety NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />1313 Sherman Street Room 215 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Denver, CO 80203-2273 REPRESENTATIVES. <br />AUTHORIZED EPRESEI?TATIVE <br />ACORD 25 (2009101) 1 of 2 #S1095089/M1078796 © 1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD CL01