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ACORD.. t1 ~'~ I - _ - ` " ~='a DATE(MM/DDMI) <br /> 08/28702 y <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Aon Risk Services, Inc of Florida ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />222 Lakeview Avenue HOLDER. THIS CERTIFICATE DOES NO7 AMEND, EXTEND OR <br />Suite 510 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />West Palm Beach FL 33401 COMPANIES AFFORDING COVERAGE <br /> COMPANY <br /> Federal Insurance Company <br />PHONE - (561) 253-2501 PAX - (561) 694-7645 A <br />INSURED ~ <br />C <br />g I <br />a coMPANV - ~- - - <br />~ <br />/ -Oxbow Mining LLC ~ <br />- <br />Z" z 8 ' <br />I -, <br /> co <br />ANV RE <br />West Palm Beach FL 33401-8101 USA C <br />CEIVED <br /> COMPANY <br /> D <br />~' G . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 7 7H~ INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTtIWGIDR(lSIAABf&C~61~IQ{e~ RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFO RDED BY THE POLICIES DESCRIBED HEREIN IS Sf79JECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECITYE POLICY EXPRRAilO LIMITS <br />L DATE (MM8)DlYY) DATE (MM(DDtYY) <br />A GENERAL LIABILITY 3710-77-BS 09101/02 09/01103 GENERAL AGGREGATE $2,DOD,DDD <br /> <br />$ <br />COMMERCIAL GENERAL LIABILITY General Liability PRODUCTS-COMPIOP AGG 1 <br />$ ,oooADD <br /> CLAIMS MADE OCCUR PERSONALBADV INJURY $1,000,000 <br /> OWNER'SBCONTRACTOR'S PROT EACH OCCURRENCE $1,000,000 <br /> FIRE DAMAGEIAM Ona flee) $100,000 <br /> MED EXP (AM one person! $1 D,ODD <br />p AU TOMOBILE LIABILITY 7839-00-53 09/01102 09101/03 COMBINED SINGLE LIMIT $1,DOD,DDD <br /> }{ ANY AUTO Business Automobile <br /> ALL OWNED AUTOS BODILY INJURY - <br /> (Par person) <br /> SCHEDULED AUTOS <br /> HIRED AUTOS - BODILY INJURY <br /> (Per accitlenry <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE <br /> <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> ANV AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGAT <br /> EXCESS LIABILITY EACH OCCURRENCE <br /> UMBRELIA FORM AGGREGATE <br /> OTHER THAN UMBRELLA FORM <br />- <br /> WC STATU- 0TH- t;`?i~,`a'~"', ~~}y'^~"m <br />''x' <br /> WORKER'S COMPENSATON AND <br /> EMPLOYERS` LIABILITY EL EACH ACCIDENT <br /> THE PROPRIETORI INCL <br />EL DISEASE-POLICY LIMIT <br /> PARTNERS/EXECUTIVE <br /> OFFICERS ARE'. EXCL EL DISEASE-EA EMPLOYEE <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLEB/SPECIAL ITEMS <br />.LI ,O ~E. GAN.CE .a i0" <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Division of Minerals & Geology EXPIRATION DATE THEREOF, THE ISSUING COMPANY IMLL ENDEAVOR TD MAIL <br />Attn: Joe Dudash 3D DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. <br />1313 Sherman Street, Rm 215 BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY <br />Denver CO 80203 USA OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE ~ ~~ // // //''jj ,y <br />~'B~ $Q CO DEO P_~ +TI, 8 <br />n_...r._.._.,_. c~nnna~c~nc~ u_r~_-r-r~_..c__. <br />