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ISSUE DATE IMMIDDIVY) <br />I <br />ac~aa~. CERTIFICATE OF INSURANCE <br /> I <br />II I I II I II I II IIII II <br />PRODUCER THIS CERTIFICATE 99y OF INFORMATION ONLY AND <br /> CONFERS NO RIGh I a urvn I n~ t:cn I Irlt:nTE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />SedgtDick Jam's Of TNi InC. POLICIES BELOW. <br />P.. U. Box 171337 COMPANIES AFFORDING COVERAGE <br />t4enphis. TN 381 8 7-1 3 77 _ __ __ _ _ _ __ _ _._ .- <br /> COMPANY A <br /> LETTER Federal_.InsUran CO GO• _ __ _. <br />_ -_ _ -._ .. <br />INSURED COMPANY B _ <br />LETTER <br />- - - - - - _ - ~ ~ ~ ~ ~ ~ ~ ~' <br /> COMPANY ^ <br />k Company <br />!Jilliams For LETTER l• - <br />o <br />P. O• BOX 1 C7 COMPANY R Q <br />D <br />~~'• O " ~~~~ <br />Craig CO 81626 LETTER <br />- <br /> COMPANY Mined Land <br />E <br /> LETTER <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI STED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANV REOUIREMEM, TER M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INS URANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT S SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />YY) DATE (MM/DD/ <br />VYI <br />LTR ~ DATE (MM/DDI <br />A GENERAL LIABILITY ,37100018 n <br />n <br />7I2O~91' 7I2O~92 GENERAL AGGREGATE 'E 2000OQO <br />X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPAGG. S 1000OgO <br />CLAIMS MADEx OCCUR.i PERSONALBADV. INJURY E -1000000 <br />~ I OWNER'S 8 CONTRACTOR'S PROT. ~ EACH OCCURRENCE E 1 OOOO.QO_. <br />' ~ FIRE DAMAGE (Any one Irte) E 1 O OO QO <br />' MED. E%PENSE (Any one person) E <br />• AUTOMOBILE LIABILITY <br />- <br />I .COMBINED SINGLE E <br />ANY AUTO i LIMIT ~ <br />ALL OWNED AUTOS <br />BODILY INJURY E <br />SCHEDULED AUTOS i IPer person) , <br />i I - . - -4 -- <br />HIRED AUTOS <br />BODILY INJURY S <br />NON~OWNED AUTOS (Per acci0enl) <br />_ _ <br />_ <br />GARAGE LIABILITY ~ <br />~ <br />- PROPERTY DAMAGE <br />~E <br />E%CESS LIABILITY ~ EACH OCCURRENCE E <br />UMBRELLA FORM ~ ~ .AGGREGATE E <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION 'STATUTORY LIMITS <br /> 1 ~ EACH ALCIDENT T S <br />AND ~ - ' <br /> DISEASE-POLICY LIMIT S <br />EMPLOYERS' LIABILITY ' <br />DISEASE-EACH EMPLOYEE E <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS <br />This policy applies to Trapper Mining Inc. Permit iX-81-010 and <br />includes coverage for property damage & personal injury resulting from <br /> ' ; / / <br />CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Colorado Mina Land Reclamation EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />(•J 1V i510n Attn: Kent Gorham MAIL 1O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />c15 Centennial Building LEFT, eUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />1313 Sherman Street LIABI OF ANY KI UPON THE PANY, ITS AG OR REPRESENTATIVES. <br />Denver. CO 8OZO3 ~ <br /> AU DREPRE TIVE <br />~-~ <br /> _ <br />f ~ __- -- <br />ACORD 25•S (7/90) ©ACORD CORPORATION 1890 <br />2- 24 <br />