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Client#: 15175 <br /> -ACGRUM CERTIFICATE OF LIABILITY INSURANCE . 9/204 <br /> DAE /Y <br /> (MM/DDYYY) <br /> PRObUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Payne Financial Group(Msl-CL) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> P.O. Box 3327 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br /> ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 145 West Front Street <br /> Missoula, MT 59806-0638 INSURERS AFFORDING COVERAGE NAIC# <br /> INSURED INSURERA: Montana State Fund <br /> Bitterroot Restoration, Inc INSURER B <br /> 445 Quast Lane <br /> INSURER C. <br /> Corvallis, MT 59828-9406 <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 /> TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> LTR NSR DATE MM/DD/YY DATE MWDD/YY <br /> GENERAL LIABILITY EACH OCCURRENCE $ <br /> COMMERCIAL GENERAL LIABILITY PREMIDAMAGE TERENToccurrence) <br /> r n e $ <br /> CLAIMS MADE OCCUR MED EXP(Any one person) $ <br /> PERSONAL&ADV INJURY $ <br /> GENERAL AGGREGATE $ <br /> GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGG $ <br /> POLICY PROJECT LOC <br /> AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT $ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS COM <br /> BODILY INJURY $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br /> BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ _ <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> A WORKERS COMPENSATION AND 031936248 01/01/04 01/01/05 X WC IIMIT OTH- <br /> EMPLOYERS'LIABILITY T <br /> E.L.EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> OTHER <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br /> RE: Coal Basin Mine Slope Stabilization Project <br /> Project No. PKA-5-545 <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> State of Colorado DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> Department of Natural Resources NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL <br /> Division of Minerals&Geology IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR <br /> 1313 Sherman Street, Room 215 REPRESENTATIVES. <br /> Denver, CO 80203 AUTHORIZED REPRESENTATIVE <br /> ACORD 25(2001108) 1 of 2 #S165461IM144951 01 O ACO CORPORATION 1988 <br />