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THIS <br />INDICATED. <br />CERTIFICATE <br />EXCLUSIONS <br />I LTR <br />IS <br />TO CERTIFY THAT THE POLICIES OF INSURANCE <br />NOTWITHSTANDING ANY REOUIREMENT. <br />MAY BE ISSUED OR MAY PERTAIN. THE <br />AND CONDITIONS OF SUCH POLICIES. <br />TERM <br />INSURANCE <br />LIMITS <br />AO DL <br />LISTED <br />OR <br />SHOWN <br />SWVD <br />BELOW HAVE BEEN ISSUED TO THE INSURED <br />CONDITION OF ANY CONTRACTOR OTHER <br />AFFORDED BV THE POLICIES DESCRIBED <br />MAY HAVE BEEN REDUCED BY PAID <br />NAMED ABOVE FOR THE POLICY PERIOD <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />HEREIN IS SUBJECT TO ALL THE TERMS. <br />CLANS. <br />{MMIDWYYYY) i(MM DDIYYYY) LIMITS <br />— TYPE OF INSURANCE <br />POLICY NUMBER <br />A <br />GENERAL <br />X <br />___ __ <br />— <br />GEN'L <br />LIABILITY <br />, COMMERCIAL GENERAL_ LIABILITY <br />{ CLAI.IS•MADE (_Xi OCCUR <br />{ <br />AGGREGATE TE LIMIT A PER. <br />POLICY I I jib T 1 Loc <br />GL 6576428 <br />02/01/12 :02/01/13 <br />: EACH OCCURRENCE <br />`DAMAGETO RENTED - <br />I PREMISES gaoccurrence) <br />$ 2000000 <br />3 1000000 <br />$ 10000 <br />$ 2000000 <br />S 3000000 <br />$ 2000000 <br />$1000000 <br />j MEO EXP (Any one person) <br />PERSONAL 6 ADV INJURY <br />GENERAL AGGREGATE <br />PRODUCTS • COMP/OP AGG <br />• <br />, Emp Ben. <br />AUTOMOBILE LIABILITY <br />i <br />i , ANY AUTO <br />, <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />- <br />I HIRED AUTOS <br />NON -OWNED AUTOS <br />I <br />- <br />; COMBINED SINGLE LIMIT <br />(Ea accdent) <br />I <br />1 BO <br />� BODILY INJURY (Pm person) i <br />i --- - <br />' BODILY INJURY (Per ecudenq <br />- <br />PROPERTY DAMAGE <br />j (Per accident) <br />3 <br />S <br />- <br />S <br />S <br />- <br />3 <br />A <br />X 1 UMBRELLALIAB <br />EXCESS LIAR <br />ILI OCCUR <br />I CLAIMS•MADE <br />BE12816081 02/01/12 102/01/13 I EACH OCCURRENCE • S 10000000 <br />I AGGREGATE 510000000 <br />5 <br />S <br />X <br />DEDUCTIBLE <br />RETENTION S 10000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y 1 N <br />ANY PROPRIETOWPARTNERIEXECUTIVD <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If Yos. desaibe under <br />DESCRIPTION OF OPERATIONS below <br />N 1 A <br />1 <br />j <br />1 <br />I Tp C YFI AT . ; . D ER- -- <br />E.L. EACH ACCIDENT <br />E.L. DISEASE - EA EMPLOYEE <br />3 <br />-- - - --- - - - <br />S <br />5 <br />E.L. DISEASE • POLICY LIMIT <br />B Excess Umbrella <br />025267252 102/01/12 <br />1 <br />02/01/13 1 Excess 15000000 <br />; Umbrellla <br />DESCRIPTION OF OPERATIONS 1 LOCATION$ VEHICLES (ARach ACOR0101, Addltonal o marks Schedule, II more spafo Is' ulrod) <br />Evidencpe of Insurance as respects to Bowie 2 Mine Permit 8C -096 -083 and <br />Bowie to Mine Permit #C86 -038. General Liab ity policy provides protection <br />for use of explosives. <br />4c3Rb® CERTIFICATE OF LIABILITY INSURANCE <br />OP ID BH <br />DATE (MMIDO1YYYY) <br />05/23/12 <br />I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />'LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />- rnfPORTANT: lithe certificate holder 15 an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />Central Insurance Services <br />4630 Taylorsville Rd <br />Louisville KY 40220 <br />Phone:502- 493 -2370 Fax:502 -493 -2320 <br />INSURED <br />J Bowie LLC <br />6100 isville Dutchman's Lan Ste 902 <br />4VNI At, I <br />NAME: <br />WONE <br />` <br />E�MfUL ' Est): - <br />(NC. No): <br />AODRESS: <br />PRODUCER <br />CUSTOMER I01; BOWIE -1 <br />INSURER(S) AFFORDING COVERAGE <br />INSURERA: National Union Fire <br />INSURERS Lazing ton In serene* Company <br />INSURER C : <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />NAIL <br />19445 <br />COVERAGES <br />CERTIFICATE HOLDER <br />ACORD 25 (2009!09) <br />CERTIFICATE NUMBER: <br />CANCELLATION <br />REVISION NUMBER: <br />State of Colorado <br />Department of Natural Resource <br />Div. of Minerals & Geology <br />1313 Sherman St, Room 215 <br />Denver CO 80230 <br />STATECO <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZE EPRESENTATIVE <br />Robe r i : s i1 <br />© 1988.2009 ACORD CORPORATION. Ali rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />