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C Iq$ f-027 <br />W~-~~~~~~~~~~ ~ v e t ~ DATE (MM~DD~YY) r <br />'. ACORD <br />CERTIFICATE +Q~;=LIt1BIL I TY INSURANCE ~ <br />m ~_ „ ~ ~ ~~ ~~ iz/lo/oa <br />,„ <br />~. _ , <br />PnoouceR <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 THE <br />west Palm Beach FL 33401 USA COVERAGE AFFORDED BY THE POLICIES BELOIV. <br />PNONE- 866 283-7124 FAX- 866 430-103$ INSURERS AFFORDING COVERAGE <br />INSURED MSURER A: Fede rat insurance company <br />Oxbow Carbon & Minerals LLC <br /> INSURER B~ Lexington Insurance Company <br />1601 Forum P1 <br />Attn: Donna ] <br />GUl bransen <br />. <br />West Palm Beach FL 33401-8101 USA INSURER C: <br /> <br /> INSURER D: <br /> INSURER E: <br />COVERAGES-'PhLs CertTicate is notintendetl tos eci -ali Fmdoaements. cbi~er 'a esterms':conditiansand=azclusions-of the Yic3es shown. = -SIR, May App y <br />THE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD MDICATED ,NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREI N IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIU CLAIMS. <br />ISSR <br />LTR <br />TYPE OF INSURANCE <br />POLIO'NUMBCR POLICY EFFECTI\' <br />' <br />' POLICY EXPIRATION <br />' <br />LIMITS <br /> DATEIM)f)DD\\ <br />Y <br />) DATE(tlNDDDI\ <br />Y) <br />6 GENERAL LIABILITY 0313639 12/OI/D4 12/Bl/Q$ EACH OCCURRENCE $1, GGG, DBG <br /> X COMAtERCLll, GENERAL LIABILITY FIRE DAMAGE(Anv onefm: $50,000 <br /> CLAIMS MADE ^X OCCUR MED EXP (Anv one ottvn) <br /> PERSONAL 4 ADV INIURY $1 ~ DOO ~ OBO <br /> GENERAL AGGREGATE $1,000,000 <br /> <br /> GEN1 AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS-COA1P/OP AGG <br />$1,000,000 <br /> PRO- <br />^ <br />~ <br /> POLICY <br />LOC <br />JECT <br />A A UTOMOBILE LIABILITY 7307-F2-$8 09/01/04 09/01/05 C01mIFED SINGLE LLMIT <br /> BUST Bess Automobile (Ea acddenq $1,000,000 <br /> X ANY AUTO <br /> ALL OWNED AUTOS BODR.I' INIURY <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILI' INJI:RY <br /> NON ON'!YEDAUTOS (Per accident) <br /> PROPERTI' DAMAGE <br /> (Per acciden) <br /> <br /> GARAGE LIABILITV AUTO 0\1V - EA ACCIDENT <br /> ANY AUTO <br />OTHER THAN EA ACC <br /> AUTO ONLY <br /> AGG <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> OCCUR CLAIMS MADE ~ AGGREGAIC ~ _ <br /> <br /> DEDUCTDtLE <br /> RETENTION <br /> \\ORAERS COMPENSATION AYD 'C STAN- OTH- <br /> ' TORY LI\11TS ER <br /> EMPLOYERR <br />LIABILITY E.L. EACH ACCD)ENT <br /> ~'CS <br />~JJ E L. DISEASE-POLICY LNfIT <br /> `~ <br />~C~ E.L. DISEASE-EA EVPLOYEE <br /> OTHER ' <br />a$ /I(I\W <br />UV <br /> L ~ <br />~ <br />-- J L <br />I <br /> .. <br />pIE..~ <br />DESCRIPTION OF OPERATIORS/LOCATIONS/\'EHICLES/EXCLUSIQIt~'~~8 TEIJDORSE\tEtiT/SPECIAL PRO\'ISIOVS <br />..t M <br />CERTIl:ICAT)r~HOLDER -=.-` '" --~ °; . . ~;' ~, - 'CANCEliliA'1'[ON ~' "° "" -_ ~ - <br />Mined Land Reclamation DIV. SHOULD ANY OF THE ABO\R DESCRIBED POLICIES BE CANCELLED BEFORE TIIE ExPIRAI'ION <br />1313 Sherman St, ROOM 21S DATE THEREOF, THE ISSURJG CO\iPAN1' WILL ENDEAVOR TO MAIL <br />Denver CO 8OZO3 USA 30 DAYS NRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTO THE LEFT, <br /> BUT FALLURE TO DO SO SHALL IMPOSE NOOBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE COMP.ANV, ITS AGENTS OR REPRESENTATIVES. <br /> /~~ <br />,~/. <br />AUTHORIZED REPRESENTATIVE /,!- / <br />Y <br />i <br /> `- <br />- <br />! <br />~ <br />A ORD 25-5 7/97 ~ . i <br />A COQ R <br />D~ CORPO ~TION 1988 <br />v <br />.~ <br />9 <br />L <br />'_~O <br />e <br />2 <br />n <br />W <br />N <br />O <br />n <br />z° <br />d <br />e <br />L <br />La <br />U <br />~_ <br />~~ <br />.- <br />~~~p? <br />C! <br />~' <br />