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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MhVDDM'YV) <br />NCIGF-1 09 12 06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HOB International Southwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Blanchard Iseurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Sox 60130 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />F <br />O <br />1 <br />\f <br />~ <br />Phone: 970 245 8011 <br />F <br />ax: 970-2 ~, <br />S INSURERS AFFORDING COVERAGE NAIC t! <br />INSURED 5/1~ <br />L INSURER A'. Em LO era Mutual Casualt C <br />SEp 1 <br />`tOn~ INSURER B: ' <br />yy <br />a Bty <br />°fR ~ <br />a <br />n <br />~ INSURER C: <br />S <br />$717 Delg <br />an <br />Aveaue <br />#~ll <br />s <br />t°~ <br />y <br />~ <br />N~9 z~ <br />Pla <br />a del Ra <br />CA 90293 M INSURER D: <br />y <br />y <br />M( <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIOD DATE MMIDDlYY uNUTS <br /> GENERAL LIABILITY EACH OCCURRENCE E SOD, DDD <br />A ]{ COMMERCIAL GENERAL LIABILITY 1x152$6 ~7~12~U6 D7~12~07 PREMISES (Eaoccurence) E 1DD,GDD <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) E 5 GGD <br />r <br /> PERSONALBADVINJURY E SOO,000 <br /> GENERAL AGGREGATE E 5,000, DDD <br /> GEN'L AGGREGATE LIMRAPPLIES PER: PRODUCTS-COMP/OP AGG E l,000,OOO <br /> POLICY PRO- LOC <br />JECT <br /> AU TOMOBILE IJABILITY <br />COMBINED SINGLE LIMIT <br />E <br /> ANY AUTO (Ea acdtlenl) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />E <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />E <br /> NON-0WNED AUTOS (Per acciEenl) <br /> PROPERTY DAMAGE <br /> <br />(Per ectltlenU E <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT E <br /> ANV AUTO OTHER THAN EA ACC E <br /> AUTO ONLY: AGG E <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE E <br /> OCCUR ~ CLAIMS MADE AGGREGATE E <br /> E <br /> DEDUCTIBLE E <br /> RETENTION E E <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> NYPROPRIETOWPARTNER7EXECUTIVE ---`-- - -.- __ ___ E.LEACH AGCNJENT--- - E-- _ -- -- <br /> OFFICER/MEMBEREXGLUDEDT E. L. DISEASE-EA EMPLOYEE E <br /> H yes, Oesdibe untler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT E <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADOEO BY ENDORSEMENT /SPECIAL PROVISIONS <br />DMG Permit No. C-84-065 - Coal Ridge No. 1 Miae , Bast of New Castle, CO <br />South of the River. NCIG Financial, Inc. and the State of Colorado Division <br />of Miaerala & Geology are included as Additional Insureds. *10 Days Notice <br />For Non-Payment Of Premium **or incur substantive changes or failure to <br />renew. <br />VCRII:'ILXIC RVLUCR <br />OOOOOOO SHOULD ANY OF THE ABOVE DESCRIBED <br />THE <br />State of Colorado <br />Division of Miaerala <br />1313 Sherman Street, <br />Denver CO 80203 <br />DATE THEREOF, THE ISSUING INSURER WILL fBi6SAUaEdTO MAIL • 3O DAYB WRITTEN <br />& GeOZOgy NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, afH]Cd070R~R01D~x"rveew <br />Room 215 Y~1R1&Etl}ERAIAEhRWAUNt$[HXlEEE4CO691R 'r <br />ACORD 25 <br />