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II I' I I' I I f I I'II I'l l <br />C <br /> ~ , ~ , ~ ~ , <br />ISSUE DATE (MM/DD/V10 <br /> 5-22-87 <br /> PRODUCER <br />C <br />7NI5 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> ) NO RIGN7S UPON THE CERTIFICATE HOLDER. THIS CERTIFCATE DOES NOT AMEND, <br /> J EXTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW. <br /> western Insurance service, inc. <br /> COMPANIES AFFORDING COVERAGE <br /> 202 West 29th Street <br /> Pueblo, CO 81008 COMPANY <br /> LETTER A $ltum inouS <br /> COMPANY <br /> <br />INSURED s <br />LETTER <br /> COMPANY C <br /> La Platd COal COYp. LETTER <br /> BOX 1941 <br /> COMPANY D <br /> Dllr aRgO, CO 81301 LETTER <br /> COMPANY E. <br /> LETTER <br /> <br /> THIS IS 70 CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW N AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br /> NOTWITHS7ANOING ANY REOUIREMEN7, TERM OR CONDITION OF AN Y CONTRACT OR OTHER DOCUMENT WI7N RESPECT TO WHICH TNIS CERTIFICATE MAy <br /> BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE P OLICIES DESCRIBED NEREiN 13 SUBJECT TO ALL THE TERMS. E%CLUSIONS'AAD COND <br /> TIONS OF SUCH POLICIES. <br /> CO <br />LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />pATE fMMlODNYI PoLICY ExPIRAT10N <br />pATE IMWDpm1 qLL LIMITS IN THOUSANDS <br /> GEN ERAL LIABILITY GENERAL AOGRECATE $ 800 <br /> COMMERCIAL GENERAL LIABILITY PROOUCT$ LOMPIOPS AGGREGATE .~ 800 <br /> CLAIMS MADE ~OLCURRENLE PERSONAL d ADVEPTI$ING INJURY <br /> ONINER'S d CONTRACTORS PROTECTIVE GL 1 24 7 5 5 5 1 -Z O-B7 1 _2 0_$8 EACH OCCURRENCE $ sOO <br /> FIAE DAMAGE ZANY ONC FIRE) ,;~' <br /> MEDICAL fxPENSF ZANY ONE PERSON) <br /> AU TOMOBILE LIABILITY <br /> ANY AUTO GCL <br /> ALL OWNED AUTOS RoplLv <br /> NNRY <br /> SCHEDULED AUTOS IPEP PERSON) c <br />N <br /> HIRED AUTOS ® <br />~ ~1 ~/'~"," A <br />- <br />~ INeoDJURy <br /> NON-OWNED AUTOS ~J ~ ~ p <br />G <br />AT <br />~ LCEaoExn <br /> " L <br />. <br />_ <br />"" <br />"'/~ <br /> GARAGE LIABILITY PROPERTY <br /> j AY DAMAGE <br /> E%CESS LIABILITY EACn •GGPEOATE <br />CCCIIRRENCE <br /> ~Er~ ' <br />~~~ <br /> OTHER THAN UMBRELLA FORM AT (~ <br /> STATUTORY <br /> WORKERS'COMPENSATION <br />(EACN ACCIDENT) <br /> AND <br />' <br />(pl$FAGEPOLILY LIMIT) <br /> EMPLOYERS <br />LIABILITY IDI$EAGE~EACN EMPLOYEE) <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILCCATIONSlVEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> Coal Mining-- Bituminous will comply with Form 2.03.9 stating- The policy shall include <br /> a rider requiring that the insuror notify the Division whenever substantive changes <br /> are made in the policy, including any termination or failure to renew. <br /> • ~ <br /> SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX~ <br /> PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> Peter O'COnner <br /> Mine Land Reclamation D1 V).51 Ori MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> LEFT, BUT FAILURE MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> 423 Centennial Building <br /> LIABILITY 0 UPON THE COMP Y, AGENTS OR REPRESENTATIVES. <br /> 1313 Sherman AUTHORIZ EP NTATIVE <br /> Denver, CO 80203 <br /> <br /> <br /> <br />