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.3_!'-~OICD.x~.4~11.1 .iP 1l..Zi1~'~Fi Iilt'1DLUl1 i.,IN047i1t'Nl\U,Fi Ae..° ": ::I DATECMM~DD~YY) <br />_~ 09/10/04 <br />PROOOCeB <br />Aon Risk services, Inc of Florida THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />222 Lakeview Avenue AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />Suite 510 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER T11E <br />West Palm Beach FL 33401 U$A COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br />Pxorve~ 866 283-7124 FAX- 866 430-1035 <br />INSURED /'~ <br />_ INSURER A'. L2Xl nCJtOn Insurance Company <br />oxbow carbon & Minerdl5 LLC (,~ gg, Federal Insurance Company <br />1601 Forum P1 <br />Attn: Donna 7. Gul bransen ~~/~ INS i <br />h <br />33401 <br />8101 U$A ~% <br />l ! <br />m Beac <br />FL <br />- <br />west Pa <br />rlr7oq. ~ uRERD. <br />f m <br />7'Q IN RE' <br />-COVERAGES-Thu Cer~catels not intended t(>-s eci 'ali endxrselrlent9 - Ds xe xDnditions and exclusions oftbe ]icZes slawrr~==:'~-.-SIR May--App-y ,~, <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TH E INS AMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING 9 <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHE R DOCUM ITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY ~ <br />S <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJE T TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHO WN MAY HA V E BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTrv <br /> <br />' POLIO'EXPIRATION <br /> <br />' <br />LMITS <br /> DATE(MNxDDO <br />V) pATE(MNMDO <br />V) m <br />N <br />A cerveRAL LUxarrv $270634 12/01/03 12/01/04 EACH OCCURRENCE $1,000,000 m <br /> X COMMERCIAL GENERAL LIABILITY FIRE DAMAGElAnv one Fne: ESO, 000 O <br /> CLAL\15 MADE^X OCCUR MFD EXPfAm ane person) O <br /> m <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE E1,000, 000 <br /> <br /> GENL AGGREGATE LIMIT APPLQ:S PER: <br />PRODUCTS-COMP/OP AGG <br />$1,000,000 <br /> PRO- <br /> POLICY ~ JECT ~ LOC Z <br />d <br /> R <br />B <br />AUTO)fOBILE LIABILITY 7307-72-SS 09/01/04 09/01/0$ <br />COM1DIINED SR.GLE LIMIT ~ <br />4 <br /> gU510255 AUtOmOb11B lEa ncdaem7 $1,000,000 .. <br /> X ANY AUTO ~' <br />d <br /> V <br /> ALL OWNED AUTOS BODLLY PIRIRY <br /> ( Pa person) <br /> SCHEDULED AUTOS <br /> <br /> HBtED AUTOS BODB,Y Br'JURY <br /> (Pn ~°ae^0 <br /> NON OWNED AUTOS <br /> <br /> PROPERTY DAMAGE <br /> (Per mcidcm) <br /> <br /> GARAGE LIABILITY' AUTO ONLY - EA ACCB)ENT <br /> ANV AUTO OTHER THAN EA ACC <br /> AUTO oh7.v . <br /> AW <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCCUR CLAMS MADE <br />AGGREGATE <br /> <br /> DEDUCTDILE <br /> RETENTION <br /> WC STATU- OTH- <br /> \PORRERSCOM1IPEFSATIONANU TORY LIM1IITS ER <br /> EMPLOYERS' LIABILDY' <br />E L EACH ACCmENT <br /> - <br /> E.L. DISEASE-POLICYLMR <br /> s <br />. <br /> E.L. DISEASE-EA EAiPLOYEE <br /> <br /> OTHER <br />.xJ <br /> <br /> <br />TIONSR'EHICLESIEXCLUSIONS ADDED BY ENDORSEhfHNT/SPECIAL PROVISIONS + <br />DESCRIPTION OF OPERATIONSILOCA ~ <br /> - <br />- <br />CERTIFIC'AT`E HOLDER==- - - - .- == ` =-- <br />= ~" ` <br />£ANCEliLATtON° - -- =f <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> DATE THEREOF, THE ISSUING COAVAN1'N'ILL ENDEAVOR TO MAIL f! <br />Mined Land Reclamation DIV. <br />ROOM 21S <br />1313 Sh <br />$t i0 DAYS MRITFEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ':Y <br />erman <br />, <br />Den Ver CO HOZO3 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY <br />' <br />' S~i~ <br />a <br /> TATI\ <br />ES. <br />OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESEh <br /> ADTHORIZED ItEPRESENTATI\T: -~Jll <br />-ACORn 25_s i719'il -_ - - `-- -- --• - ~ _ - -~-~ACORD ~C--`~ORPORATIDN`7988 ~ <br />