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_ THIS CE <br />R <br />TIFICATE REP:LAGES'.ONE PREVIOUSLY SENT DATED.8/17~ <br />'lllll"II'll <br />~g <br />y <br />AI~III\II <br />' I ~ ' <br />S -' OATS IMWDD/YY) <br />III III <br />. V <br />r. . _ <br />:_;;,, sss 8/24/94 <br />y <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Sed <br />wick James of TN <br />' Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />g <br />T <br />. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P. 0. Box 1981 0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Knoxville TN 37934-2810 COMPANIES AFFORDING COVERAGE <br /> ,:COMPANY <br />: A Federal Insurance Go <br />r. . <br />INSUflED COMPANY <br /> B <br />Williams Fork Company COMPANY <br />P. o. box 1sT ~ ~~r,FIVE~ <br />Craig GO 81626 COMPANY <br /> D <br />EO ERAGES ...._:'?~':"s. .............. `•):. .. .. ..:eiis~~~„ .,:~rygp~:;.„,;g;c::~=''".. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEES!, <br />N <br />T <br />L <br />MI <br />E <br />T <br />k <br />T <br />T <br />T <br />O <br />N <br />NN <br />l <br />$R <br />LL <br /> <br />INDICA <br />HSTANDING ANV REQUIREMEN <br />ED, NOTWI <br />, TERM OR CONDI <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN <br />THE INSURANCE AF y( <br />~ <br />. <br />~ <br />f1 <br />,~ <br />CONTRACT <br />HER,DOG <br />OP,O <br />irk <br />TION OF A <br />F <br />THE TERMS, <br />TO A <br />'YN~I EEIINN""~~ 55SSOOHH77EEYYI~fYY <br />FORDED BY THE POLICIES'DESCHIIBED ~'R I <br />, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO <br />LTR rypE OF INSURANCE POLICY NUMBER ~ ' "P.OLICV EFFECTIVE <br />DATE (MEVDD/YY) POLICYEIIPIRATION <br />DATE IMNVDD/YV) LIMBS <br />A GE NERAL LIABILITY (95)37100018 7!20/94 7/ZOI9S GENERAL AGGREGATE E 2000000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG E 1 OOOOOO <br /> CLAIMS MADE ~X OCCUR PERSONALe ADV INJURY S 1 OOOOOO <br /> OWNER'SB CONT PROT EACH OCCURRENCE E 1000000 <br /> FIRE DAMAGE IAn ona fire E 100000 <br /> MED E%P An one rson f 1 OOOO <br /> AU TOMOBILE LIABILTY <br />COMBINED SINGLE LIMIT <br />f <br /> ANV AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br />E <br /> SCHEDULED AUTOS (Per person) <br /> <br /> HIRED AUTOS <br />BODILY INJURY <br />E <br /> NON~OW NED AUTOS leer 2CGtle1ltl <br /> <br /> PROPERTY DAMAGE S <br /> GA RAGE LIABILITY AUTO ONLY ~ EA ACCIDENT S <br /> <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> <br /> EACH ACCIDENT f <br /> AGGREGATE E <br /> EXCESS LIABILITY EACH OCCURRENCE E <br /> <br /> UMBRELLA FORM AGGREGATE f <br /> <br /> OTHER THAN UMBRELLA FORM E <br /> WORKERS COMPENSATION AND- - - STATUTORY LIMBS -' <br /> EMPLOYERS' LIABILT' EACH ACCIDENT f <br /> THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT E <br /> PARTNERS/E%ECUTIVE <br /> OFFICERS ARE E%CL DISEASE-EACH EMPLOYEE E <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES9PECIAL ITEMS <br />INSURER WILL NOTIFY DIVISION WHENEVER SUBSTANTIVE CHANGES ARE MADE IN THE POLICY INCLUDING ANY <br />TERMINATION OR FAILURE TO RENEW. THIS POLICY APPLIES TO PERMIT IIC-81-010 AND INCLUDES COVERAGE <br />FOR PROPERTY DAMAGE AND PERSONAL INJURY RESU LTING FROM THE USE OF EXPLOSIVES. <br />E~RTI CA;TEyk~o..~._,E_g flr.'„ a`. ... _ ' ^. >. ... C ~L'~t?~0.'.. ~..`Yr-'~„s.Y~, i+::,...... x..-, ~^a's <br />COLORADO DEPT OF NATURAL RESOURCES RE THE <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFO <br />DIVISION OF MINERALS ~ GEOLOGY Rv <br />EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL XIOIrO MAIL <br />ATTN KEN GORHAM IO DAYS WRITTEN NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEFT, <br />215 CENTENNIAL BUILDING <br /> ~r <br />1313 SHERMAN ST <br />DENVER CO 80203 ~ \°RyEDNe"~ E~ Tlv ~ ~~ <br />f •' 'aaey' ~'--'~ <br />CO U 5-S 3 93) • <br />;~~ ' _„ ~ ••'~w~i~to:ArCO D CO~RO V A O`fPP 993 <br />2- 24 <br />