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CERTIFICATE OF INSURANCE <br />(This Csrlifiuts M Insurenee nsithsr.effirmtatit/MY nor negatiNaly <br />emends. suttmde a alum tltosov~req~. limits. terms a eonditiom. <br />of the pdieiee it eertiHeetee.l <br />This is to Certify to <br />Colorado Division of Minerals & Geology <br />Office of Mined Land Reclamation <br />Room #215, Centennial Building <br />1313 Sherman Street <br />Denver, CO 80203 <br />L Attn: Christine Johnston <br />12/08/93 - DPC <br />ORIGINAL <br />CIGNA Property antl Casualty Companies ~~ ~~ <br />R ~ ~J ~ 1 t//~. . 1 <br />JAN 0 4 9993 ~ <br />MINER lv,,,;,; r r - <br />ALS ~, ~~ <br />J <br />IMt the lollowlrlq detcrbed Ooltp or poliOlM, nstratl bV The Compenr a ootletl bNOw. <br />Ixovttlutq tnwrano on1T for he:erda cMCked bT "X" below, have titan neued to: <br />q~pG Atlantic Richfield Company, its Subsidiaries and subsidiaries <br />AOOR ~~ thereof as now or hereinafter constituted, Atlantic Richfield <br />INBUREO Plaza, 515 So. Flower Street, Los Angeles, CA 90071 <br />covnrng m attiord~loa wnh tM erma tMreol, tl tM following locnlonltl: <br />Including Mountain Coal Company <br />III IIIIIIIII IIII III <br />999 <br />COMPANY CODES <br />© CIGNA INSURANCE COMPANY <br />© CIGNA INS. CO OF TEXAS <br />© PACIFIC EMPLOYERS INS. CO. <br />INSURANCE COMPANY <br />® OF NORTH AMERICA <br />® CIGNA INS CO OF ILLINOIS <br />®CIGNA INS CO OF OHIO <br />^ IOTHER. -SPECIFY) Fot_o <br />TYPE OF POLICY Ca CODE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY <br />(al Sbndard Workmen's st.tptory w. c. <br />Cempenreflen g ^ ^ s Ons Acntlent arw <br />Empioysn' llibdltY Aggregate Owwee <br />Ibl Galural Liability <br />Pramwn-Ogrniom (intluGtng "In~ <br />c+denul Conn <br />ti ~ n tlefinsd Oelow) <br /> <br />® S•See Below Eacn Perron <br />ac <br />.> ISL G1 01/01/93 to } ^ Aceident <br />c ItldepetltlentContrectort ^ ® 519134-A 01/01/96 S Est I ^ Oteurrence <br />a <br />8 Completed Opnettonf/Pratluctt © 9^ <br />m <br />Contrectwl, (Sgeifit tYM at <br /> <br />® <br /> <br />® <br />Aggregete-COmpletatl <br />/P <br />dnetbed to footnote Wlowl <br />_ <br />- _ _ _ _ _ _ _ __ - _ S _ _ _ _ OWretionr <br />ratlucn <br />_ _ <br />Premrwa-0pwntone IInclWinq - ^ Attitlent <br />"IneldenW Contraeti' at tlefined <br />below! <br />® <br />® <br />ISL G1 <br />01!01/93 to Each <br />e'See Below ^ Occurrence <br /> 519134-A 01/01/96 <br />a Irtdepnldntt ContrepOrt ~ ® S Aggregate-Pram./Oiler. <br />a• <br />f Aggregeta-Yrotect~ve <br /> ® ® l <br />~ <br />tl <br />s A <br />Cartpleud Opwetane/Products ggregan <br />ottlp <br />ate <br />s Otleranons/PrUtluctt <br />Contrsenul, ISpeilte type n <br />© <br />9 <br />tfasRbed to lootnote below) s A repots-Contractual <br />let Automobile liability <br />Owned AuttngbiNa n s Eadl Perron <br />~ <br />8 ~ Mind AutongbiNa <br />c 1 <br />I . <br />~ <br />+ <br />~ <br />( ~ ~ <br />E~ `1 ^ Aoettlmt <br />- - _ <br />m _Nonoswted Autttlttpbiln - U - - _ _ - - _ - _ -- - - ._ - - <br />s f ^ Oceurrenp <br />_ . _._, _ <br />~ <br />Oawrtl Autttrttebilw <br />~C <br />jI ^ <br /> <br />8 l ^ Aaelent <br />{` <br />Eat <br />G <br />I <br />Hired AutpntpbrlM L <br />nn f ^ Occvrreno <br />e <br />I i ^ 1 <br />Ntlnownlad Autonlpbilet <br />(d) • $2,000,000 Combined Single Limit, <br /> per occurrence/aggregate where <br /> applicable. <br />CorrbaeOral Foebtos: Sublact to ell the polity nrmf epphGble, apa(:dif cVOlraClual <br />mverr.pe a proeidatl n raswen <br />Otesft ~^ a opntrset <br />AltWitaeh ^ purti+ap oNer egraemenn betwwn the Insuretl end: <br />Bbee ^ an conaaen <br />OF OTHER pq RTy ... ....... . <br />is the intention of the company that in the event of <br />lncellation of the policy or policies by the company, ten <br />0) days' written notice of such cancellation will be given to <br />lu at the address stated above. <br />DMititions: "InutMntal COniraCY' meant any wntlln It l Ilse of pnmuer 131 taremant agreemMt, ettep[ In ConneCi~On w~N COnttrucbOn or tlemobUOn opera <br />t~Onf on Or atllaCMt to a ratlroatl. 171 untllrUbng t0 mtlemmfv • mumapabry rlpnuttl by mum ipal Ordnance, eatlPl to CPnneCLpn wHh work for <br />the mun¢~Wbty. NI f~tleRaCk agreement, or 151 elevator malntenanp agreement -~ <br />I.e . <br />L:IUTARCOICERTI 1 ~ epresenuuvt <br />