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(7-t' L't t-40J <br /> ..... %XX.......... .... <br /> IIISJUE DATE <br /> ............ <br /> ....................... .......................... <br /> .................... .. .............. <br /> .. ............. . ... <br /> ...... ................ 9 20/93 <br /> .. ................................. <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFMATION ONLY AND <br /> Marsh & McLennan, Incorporated CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> 500 W. Monroe POLICIES BELOW. <br /> Chicago, IL 60661 COMPANIES AFFORDING COVERAGE <br /> Patricia A. Bartolomei <br /> COMPANY <br /> LETTER A OLD REPUBLIC INSURANCE CO <br /> COMPANY <br /> INSURED LETTER B <br /> Mid Continent Resources <br /> COWANY C <br /> 1058 #100 Road LETTER <br /> Carbondale, Co 81623 SEP '!49.? <br /> COMPANY <br /> D <br /> OOMPA <br /> LETTERNY E <br /> ... . .... ....... <br /> THIS IS TO CERTIFY THAT THE POLICIES OF'INSURANCE I ISTED BELOW HAVE BEEN ISSUED TO THE INGUREDNAIAED 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 CLAMS. <br /> CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br /> LTR I DATE(MM/DD/YY) DATE(MM/DD^ LIMITS <br /> • GENERAL umm KL13745 8/30/93 8/30/94 GENERAL AGGREGATE 6 2000000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. 6 2000000 <br /> CLAIMS MADE ®OCCUR. PERSONAL&ADV.INJURY $ 2000000 <br /> OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 2000000 <br /> FIRE DAMAGE(Any one fire) S 50000 <br /> MED.EXPENSE(Any onopersm) $ 5000 <br /> • AUTOMOB11LE IJASIUTY KL13745 8/30/93 8/30/94 COMBINED SINGLE <br /> x ANY AUTO LIMIT i 2000000 <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per P..) $ <br /> HIRED AUTOS BODILY INJURY $ <br /> NON-OWNED AUTOS (Per accident) <br /> F1GARAGE LIABILITY PROPERTY DAMAGE $ <br /> A EXCESS LIABILITY ZL244 8/30/93 8/30/94 EACH OCCURRENCE S 5000000 <br /> UMBRELLA FORM AGGREGATE f 5000000 <br /> OTHER THAN UMBRELLA FORM <br /> . ............. ... . . <br /> ............. <br /> STATUTORY LIMITS .... .. <br /> WORKER'S COMPENSATION <br /> EACH ACCIDENT $ <br /> AND DISEASE-POLICY LIMIT is <br /> EMPLOYERS'LIABILITY DISEASE-POLICY <br /> EMPLOYEE Is <br /> OTHER <br /> DESCRIPTION OF OPERATIONSAJOCATIMS/VENCLES/SPECL4kL Man <br /> CERTI PATk.Ho...........fl .......... .. ...... . <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> Division of Minerals & Geology EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO <br /> Attn: Anthony J. Waldron MAIL A 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> 1313 Sherman St. LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> Room 215 LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. <br /> Denver, Co 80203 AUr 0 REPRE4ENTA7� <br /> .. . ......*.**..*..:.: <br /> ...... ... . <br /> j�mki '2 Word 00 <br />