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<br />F :I <br />:.: CERTIFICATE O <br />` a1:/11:11. '0.1136 :::: IiSDE DATE (MM/DDNYy <br />NSURANCE .zP :: <br />, <br />. ; <br />:..:... 09/19/95 <br />PgODUCEq AdCO Genera L Corp. ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> I <br />I <br />I <br />P.O. BOX 40007 , Denver, CO 80402 BY THE <br />ORDED <br />THE COVERAGE AFF <br />DOES NOT AMEND, EXTEND R ALTER <br />CA INSURANCE -CS POLICIES BELOW. - <br />925 N UNION BLVD / COMPANIES AFFORDING COVERAGE <br />OLORADO <br />SPRINGS <br />CO 80918 <br /> _ _ A ESSEX INSURANCE COMPANY <br />I II II III III II'l l'l IVED <br />F <br />l <br />. <br />RF(i <br />999 ~ anNV <br />B <br />'NSBRED <br />NOV 14 1995 LETTER <br />WIN PINES INVESTMENT COMPANY C <br />TD ~R <br />6154 E . STATE HWY . IDQ6i0n Ot MlNeldlS & Geolo YDDMPANY D <br />LORENCE, CO 81226-9530 IETIER <br /> COMPANY E <br /> LEDER <br />:: <br />COYERAGES :.:~.~~.: ~.~~. ~.~:::. .~. .:.~ :.: ...:.... <br />... ..... .... ..... . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BEL OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED NOTWITHSTAHDINGAHY REQUIREMENT 7EgM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WRH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN TH~INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />_ _ _ EXCLUSIONS AND CONDRIONS OF-SUCH.POLICIES..LIMRS-SHOWN MAY HAVE BEEN REDUCED-BY PAID CLAIMS.- _ _. _ <br />O PODCY EFFECTIVE POLICY EXPIRATNNi <br /> <br />TN TYPE OFINSUMNCE POLICY NUMBER LIMITS <br /> ATE (MM/DD/YV) DATE (MM/DDMT <br /> OENE(fAL DABILITY 3AJ6848 8/10/95 8/10/96 GENERAL AGGREGATE S 1 QQQ O[] <br /> MMERCIAL DENERAL UASILITY PRODUCTS-COMP/OP AGO. S <br /> WMS MADE OOCGUR. PEFi40NALSAOV. INJURY <br /> OWNER'S ACONIRACTOR$PROT. EACH OCCURRENCE S rj 00 00 <br /> FIRE DAMAGE )Any ons Sro) f <br /> MED EXP (Any one person) <br /> AUTO MOBILE LIABILIry COMBINED SINGLE <br /> AL1T0 UMR f <br /> OWNED AUTOS <br />BODILY INJURY <br /> EDUIED AUTOS (per person) <br /> <br /> HIRED AUTOS BOOIIV INJURY <br /> <br /> NON-OWNED AUTOS <br />(Per eccltlantl <br />S <br /> <br /> ARAGE UABILRV <br /> PROPERTY DAMAGE <br /> S <br /> EXCESS DABIDTY EACH OCCURRENCE f <br /> BAELLA FORM AGGREGATE S <br /> <br /> NUMBgELLA FORM ~ ~.." ~~ ~ '~~~~~""""' <br /> <br />WORNEq•S COMPENSATION STAMORY UMIT9 <br />~ ~ ~ ~ ~ ~ ' <br /> <br /> MHO - ,..__ _ _ - EAGI ACCIDENT f <br /> EMPLOYEFLS' DABIDTY OISFl.SE-P000V UMR i <br /> DISEASE-EACH EMPLOYEE S <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIALTTEMS <br />E: TWIN PINES MINE #2, PERMIT C83- 058 <br /> 1 <br />CERTIFICATE HOLDER~~~~'~~~.:..:~.;~;.~: ~ ...~..~,.:......~....~...:..~:. .::~.,~.~CANCELLATION ...:::....... .. <br /> <br />. <br />:. <br />. <br />: <br /> . <br />... <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> IXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ~i <br />DIVISION OF MINERAL AND MAIL_30__DAYS WRNTEN NOTICE 70 THE CERTIFICATE HOLpER NAMED TO THE - <br />GEOLOGY LEFT, <br />1313 SHERMAN ST. RM 215 <br />ATTN: DAVID BAR)I <br />~ <br />DENVER CO 80203 ~ /~ <br />~~ <br />/ <br />G <br />j . <br />'. ASLJIIORI / E~R[SINi(L <br />.. ~ :I <br /> <br />/ ~ /! ~Q . <br />} <br />` <br />L <br />7 <br />' ~ <br />ACORD 25-9 (7190) ...: :.... .. .. ' ..:..:::., .. . , .... , , .......:. <br />.:.... .. <br />... o:. <br />:........ ::....r!. is av/ .. ,,. .....,:..::. : . <br />.:.....: ....:.®ACORO.C.ORPDRATION 1990 <br />