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CO R <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM/DD/YY) <br />POLICY EXPIRATION <br />DATE (MM/DD/YY) <br />LIABILITY LIMITS IN THOUSANDS <br />EACH <br />OCCURRENCE <br />AGGREGATE <br />A <br />GENERAL <br />AL <br />LIABILITY <br />COMPREHENSIVE FORM <br />ZC50430 <br />114146 <br />u_u. <br />BODILY <br />INJURY <br />$ <br />$ <br />i <br />Y <br />_x <br />i <br />jr. <br />. <br />PREMISES /OPERATIONS <br />EXPLOSION & HAZARD -. <br />PRODUCTS /COMPLETED OPERATIONS <br />CONTRACTUAL <br />INDEPENDENT CONTRACTORS <br />BROAD FORM PROPERTY DAMAGE <br />PERSONAL INJURY <br />PROPERTY <br />DAMAGE <br />$ <br />$ <br />COM NED <br />$ L00 <br />$ L000 <br />PERSONAL INJURY <br />$ WOO <br />, 4C <br />AUTOMOBILE <br />% <br />A <br />z <br />LIABILITY <br />ANY AUTO <br />ALL OWNED AUTOS (PRIV PASS) <br />ALL OWNED AUTOS � T H�E R P THA N) <br />1 <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />GARAGE LIABILITY <br />T8212 <br />S•.6.66 <br />5 <br />L ILY <br />INJURY <br />(PER PERSON) <br />$ <br />0 <br />"^J <br />� " <br />BOO)l¥ <br />INJURY <br />(PER ACGDENT <br />$ <br />PROPER <br />DAMAGE <br />$ <br />Y <br />El & PD <br />COMBINED <br />1 ,€>aB <br />$ <br />EXCESS <br />LIABILITY <br />UMBRELLA FORM <br />OTHER THAN UMBRELLA FORM <br />W�C 004974©3 <br />11- 11-!16 <br />11-11-0 <br />BI & PD <br />COMBINED <br />STATUTORY <br />$— <br />$ <br />$ <br />$ <br />k <br />$ <br />i <br />$ <br />WORKERS' COMPENSATION <br />AND <br />EMPLOYERS' LIABILITY <br />JAW (EACH ACCIDENT) <br />1 I (DISEASE - POLICY LIMIT) <br />r (DISEASE -EACH EMPLOYEE) <br />OTHER <br />• <br />PRODUCER <br />MARSH & McLENNAN, INC. <br />222 S. RIVERSIDE PLAZA <br />CHICAGO, ILLINOIS 60606 <br />COMPANY <br />LETTER <br />COMPANY <br />LETTER <br />COMPANIES AFFORDING COVERAGE <br />A OLD REPUBLIC INSURANCE COMPANY <br />B ZURICH DISURANC E COMPANY <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURED <br />MID-COMMENT MINERALS CORP. <br />625 PLAINFIE D ROAD <br />SUITE 220 <br />Wr:II.LO gtrBROOK, ILLINOIS 60521 <br />COMPANY <br />LETTER C• <br />COMPANY D <br />LETTER <br />COMPANY E <br />LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITi'.STANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- <br />TIONS OF SUCH POLICIES. <br />ATIONSNEHICLES /SPECIAL ITEMS <br />ISSUE DATE (MM /DD/YY) <br />1 <br />Mined Land Reclamation Board is named as additional insured with respects to <br />Truck Services Building, Carbondale Mine Services Shop and building on <br />CANCELLATION' <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br />PIRATIMI DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />OF ANY KIND UPON THE COMPAN A _ • - • RESE w- TIVES. <br />QRI 2.(8!8 <br />'� a <br />