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III IIIIII~Iiuu ~u <br />III IIIIIIIIIIIIIIII =RT <br />R <br />ATE <br />F <br />S ANCE <br />) <br />IFIC <br />IN <br />O <br />U <br />999 ~i2e/95 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />SEDGWICK JAMES OF CA. INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />3435 WILSHIRE BLVD.. #500 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />LOS ANGELES I CA 9001 O COMPANIES AFFORDING COVERAGE <br />~~ - - _ ~- - - - <br /> COMPANY <br /> A Ranger Insurance Company <br />~ <br />-_ - - _ - ~ - - <br />INSURED -- - ~---~ - ~ <br />COMPANY <br /> I <br />B <br />Kaiser Ventures, InC. <br /> <br />3633 E. Inland Empire Bl. , #B50 COMPANY <br />C RECEIVED <br />Ontario CA 91764 COM <br />PANY All(? <br /> D <br />O <br />I~UU 219 <br />COVERAGES <br /> <br />RIOD <br />AM D A <br />QQ~~TTI~{{F,,~ <br />I <br />N <br />T <br />~ <br />O <br />L <br />C <br />~ <br />NDICATED NOTW THSTANDING ANY <br />REOUIREMENT <br />TERM OR COND I6[T~ RE <br />WHICH <br />SPECT TO <br />I <br />ION OF ANV CONTR <br />A <br />T'tSF YJ <br />~ <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED <br />BY PAID CLAIMS.- _ _ _ _ _ _ _ _ <br />CO TYPE OF INSURANCE POLICY NUMBED <br />LTR ~ <br />POLICY EFFECTIVE POLIi CY E%PIRATION LIMITS <br /> DATE (MMIDDIYY) DATE (MMIDD/YY) <br />A GEN ERAL LIABKRY OO 'GENERAL AGGREGATE ,IS ~ <br /> X COMMERCIAL GENERAL LIABILITY j PRODUCTS~COMP/OP AGG ~ E I OOOOOOO <br /> CLAIMS MADE ~ OCCUR E 1 OOOOOOO <br />~ PERSONAL 8 ADV INJURY ~ <br /> OWNER'S 8 CONT PROT _ <br />'EACH OCCURRENCE E 1 OOOOOOO <br /> E SOOOO <br />I FIRE DAMAGE (Any one lice) <br /> ~ <br />r- - _ _. _ <br /> ' MED EXP (Any one person) $ <br /> AUTOMOBILE LIABILTY ' <br /> COMBINED SINGLE LIMIT $ <br /> ANV AUTO I F <br />• <br /> ALL OWNED AUTOS <br />_ I BODILY INJURY <br />E <br /> SCHEDULED AUTOS (Per persanl <br />i <br /> - <br />+ <br /> 'HIRED AUTOS <br />NON <br />OWNED AUTOS BODILY INJURY <br />I E <br />(Per acc~tlenll <br /> - } <br /> PROPCRTV DAMAGE IE <br />GAPAGE LIABILITY <br />~1 '~, AUTO ONLY - EA ACCIDENT / E <br />~ _ _ <br />_ <br />ANV AUTO I i <br />OTHER THAN AUTOONLY. ~ <br />I EACH ACCIDENT E _ <br /> ' AGGREGATE.E <br /> E%CESS LIABILffY I EACH OCCURRENCE ' E <br /> UMBRELLA FORM 'LAGGREGATE S <br /> OTHER THAN UMBRELLA FORM E <br /> WORKERS COMPENSATION AND STATUTORY LIMITS <br /> EMPLOYERS'LIABILITY --- ---- <br /> '1 EACH ACCIDENT <br />E <br /> THE PROPRIETOR/ <br />INCL - <br />I <br />(DISEASE-POLICY LIMIT <br />iE <br /> PARTNERSIE%ECUTIVE + <br /> OFFICERS ARE: EXCL (DISEASE-EACH EMPLOYEE If <br /> OTHEP <br />I ~ <br />I <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />RE: COLORADO COAL MINE @ WALSENBERG (PERMIT NO. C-81-024) <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />STATE OF COLORADO E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL F}S{}rj MAIL <br />DEPT. OF NATURAL RESOURCES 3O DAYS WRTfTEN NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT, <br />MINED LAND RECLAMATION DIVISION ~'y`(T~~'j]I~74}jX~~'~}F](IRYX~Y~)~~3F~~j[xXly}[~Y~.T[~1[MY~~xY <br />1313 SHERMAN STREET cgs, <br />DENVER, COLORADO 80203 AUTHORIZED REP ENTATI <br />ACORD 25-5 (3/93) 30- 25 o ACORD CORPORATION 1993 <br />