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acoRn <br />CERTIFICATE OF LIABILITY INSURANCE-0PIU P`7 DATE (Mnvoom~ <br />_ NCIGF-1 06/16/99 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />y <br />e <br />0on <br />Inc • III I II I II I IIIIII <br />G III <br />~ <br />D <br />E <br />D <br />O <br />P.O <br />Box <br />6013 AL <br />TER THE COVERAGE AF ORDED B <br />THE PO <br />LIC ES <br />BE <br />LOW. <br />Grand Junction CO 81506 999 COMPANIES AFFORDING COVERAGE <br />Pam JOhRSOR COMPANY <br />Pane No 970-295-8011 Fex No. 970-245-8016 A Employers Mutual Casualty Co. <br />INSURED <br /> COMPANY <br /> 8 <br /> COMPANY <br />NCIG Financial, Inc. C <br />P.O. BOX S46O <br /> <br />Playa del Rey CA 90296 COMPANY <br />p <br />COVERAGES ~ ~ ~ ~ BIOII Of MIfIBf21B 8 GBOIOQr <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACTOR 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 CLAIMS. <br />CO rypE OF INSURANCE POLICY NUMBER POLICY EFFECRVE POLICY EXPIRATION LIMITS <br />LTR DATE (MMIDDM') DATE (MMIDDM'J <br /> GEN ERAL LIABILRY GENERAL AGGREGATE f 1 , OOO , OOO <br />A X COMMERCIAL GENERAL LIABILRV 1X15286 07/12/99 07/12/OO PRODUCTS~COMPIOP AGG f 1,000,000 <br /> CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY f SOO , DD O <br /> OWNER'S 6 CONTRACTOR'S PROT EACH OCCURRENCE f SOO , OOO <br /> FIRE DAMAGE (Any one lire) f 1DD,DDD <br /> MED E%P (Any one person) f 5 , 000 <br /> AUT OMOBILE LIABILfIY <br /> COMBINED SINGLE LIMIT f <br /> ANV AUTO <br /> ALL OW NED AUTOS <br />BODILY INJURY <br />f <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />f <br /> NON~OW NED AUTOS (Per accident) <br /> <br /> PROPERTY DAMAGE f <br /> GARAGE LIABILIry AUTO ONLY. EA ACCIDENT f <br /> ANV AUTO OTHER THAN AUTO ONLY' <br /> EACH ACCIDENT f <br /> AGGREGATE f <br /> EXCESS LIABILRV EACH OCCURRENCE f <br /> UMBRELLA FORM AGGREGATE f <br /> OTHER THAN UMBRELLA FORM f <br /> WORKERS COMPENSATION AND WC STATU- 0TH- <br />TORY uMRS <br />ER <br /> EMPLOYERS LIABILRY _ _ <br />- - ' - - - _ <br />EC EACFl7TCCIDENT - i- <br /> THE PROPRIETOR/ <br />T <br />ER <br />E <br />E <br />1T <br />E INCL EL DISEASE -POLICY LIMB f <br /> PAR <br />N <br />S/ <br />X <br />Cl <br />IV <br /> OFFICERS ARE' E%CL EL DISEASE - EA EMPLOYEE f <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL REMS <br />*10 dayys for non-pa nt of remium <br />1 <br />i <br />t <br />f Ne <br />C <br />tl <br />id DMG Permit No. C-84-065 - Coal <br />S <br />th <br />f th <br />Ri <br />CO <br />qe No. <br />M <br />ne Eas <br />o <br />w <br />as <br />e, <br />R ou <br />o <br />e <br />ver. <br />, <br />CH Funerals, LLC and the State of Colorado Division o£ Minerals b Geology <br />are named as Additional Insureds. <br />CERTIFICATE HOLDER CANCELLATION <br /> OOOOOOO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />state Of COlOradO EXPIRATION DATE THEREOF, THEISSUING COMPANY WILL MAIL <br />D1 VlslOn Of MSRCrals S Geol Ogy 3Die DAYS WRTREN NOTCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />1313 Sherman Street, Aoom 215 <br /> <br />Denver CO 80203 SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILRY <br /> OF ANY KIND UPON THE COMPANY, RS AGEMS OR REPRESENTATVES <br /> AU RIZED RE ESENTAT <br /> P <br />ACORD 25-5 (1195) ~ ~ ~ " ACORD CORPORATION 7988 <br />