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A41101 . CERTIFICATE OF INSURANCE 08/(11/97) <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> HRH of Denver ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> 455 Sherman Street, Suite 390 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> P.O. BOX 9364 COMPANIES AFFORDING COVERAGE <br /> Denver, CO 80209 _ - - <br /> COMPANY <br /> ACNA_ Insurance Companies <br /> INSURED <br /> Western States Reclamation, Inc . COMPANY <br /> Crum & Forster Insurance - U. S . Fire <br /> 11730 Wadsworth Blvd. - - <br /> Broomfield, CO 80020 COMPANY <br /> C <br /> COMPANY <br /> D <br /> COVERAGES <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> CO <br /> TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE iPOLICYEXPIRATION <br /> LTR DATE(MM/DD/YY) 1 DATE(MM/DD/YY) LIMITS <br /> A GENERAL LIABILITY C 13 16 5 6 4 8 0 0 9/O 1/9 6 1 0 9/01/9 7 GENERAL AGGREGATE $2, 000, 000 <br /> X OMMERCIAL GENERAL LIABILIT PRODUCTS-COMP/OP AGG�s2 , 000, 00-0 <br /> CLAIMS MADE�_X] OCCUR PERSONAL&ADV INJURY 1$1, 0 0 0, 0 0 0 <br /> OWNER'S&CONTRACTOR'S PRO EACH OCCURRENCE ;$1 _0 0 0 , 000 <br /> FIRE DAMAGE(Any one fire)I$ 50-,_000 <br /> MED EXP(Any one person) $ 5, 000 <br /> A AUTOMOBILE LIABILITY C13165084 2 09/01/96109/01/97 <br /> X] ANY AUTO COMBINED SINGLE LIMIT I$1, 000, 000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> _ SCHEDULED AUTOS (Per person) $ <br /> X j HIRED AUTOS BODILY INJURY <br /> X_ NON-OWNED AUTOS (Per accident) $ <br /> PROPERTY DAMAGE I$ <br /> GARAGE LIABILITY ;AUTO ONLY-EA ACCIDENT Is <br /> ANY AUTO <br /> OTHER THAN AUTO ONLY: <br /> l EACH ACCIDENT I$ <br /> AGGREGATE $ <br /> B EXCESS LIABILITY 5530415814 09/01/96 j 09/01/97 EACH OCCURRENCE $1, 000, 000 <br /> X UMBRELLA FORM kAGGREGATE -- $1, 0 0 0, 0 0 0 <br /> OTHER THAN UMBRELLA FORM $ <br /> A WORKEECOMPENSA WC1063859321 07/01/97 07/01/98 X ',STATUTORY LIMITS <br /> EMPLOYWORKERS COMPENSATION AND I <br /> --- <br /> EACHACCIDENT _ i$500, 000 <br /> THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $5 0 0, 0 0 0 <br /> PARTNERS/EXECUTIVE -- —__ <br /> OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE $5 0 0, O O O <br /> OTHER <br /> i <br /> i <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br /> Coal Basin Mine 4 , Revegetation Project, Pitkin County, CO <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> State of Colorado, Division EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL <br /> of Minerals & Geology I n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 1313 Sherman Street, #215 BUTFAILURE SUCyNOTICE SHALL IMPOSE NO OBLIGATION ORLIABILITY <br /> Denver, CO 80203 OF ANY KIN N^ 6OMPANY, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED E <br /> okon <br /> ACORD 25-S(3/93)1 of 1 #M42357 SMS" © ACORD RPORATION 1993 <br />